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Rev Stomatol Chir Maxillofac Chir Orale. 2014 Nov;115(5):274-8. doi: 10.1016/j.revsto.2014.07.005. Epub 2014 Jul 28.

[When should an orthoptic evaluation be prescribed in the management of orbital floor fracture? A prospective study of 47 fractures].

[Article in French]

Author information

1
Service de chirurgie maxillo-faciale, centre François-Xavier-Michelet, groupe hospitalier Pellegrin, CHU de Bordeaux, place Amélie-Raba-Léon, 33076 Bordeaux cedex, France. Electronic address: mathieu.laurentjoye@yahoo.fr.
2
Service de chirurgie maxillo-faciale, centre François-Xavier-Michelet, groupe hospitalier Pellegrin, CHU de Bordeaux, place Amélie-Raba-Léon, 33076 Bordeaux cedex, France.
3
Service d'ophtalmologie, centre François-Xavier-Michelet, groupe hospitalier Pellegrin, CHU de Bordeaux, place Amélie-Raba-Léon, 33076 Bordeaux cedex, France.

Abstract

INTRODUCTION:

We evaluated the indication of orthoptic evaluation for the management of orbital floor fractures in a prospective series.

MATERIAL AND METHOD:

Forty-seven patients presenting with an orbital floor fracture were included in our prospective study. Consultations in orthoptics and maxillo-facial surgery were regularly carried out. Diplopia and motility were systematically assessed as well as a coordimetric examination according to Hess-Lees's technique.

RESULTS:

Nineteen percent of coordimetric motility disorders were observed among asymptomatic patients, after trauma. No diplopia or clinical motility disorder were observed 1 and 2 months after trauma, and coordimetric examinations came back to normal 2 and 3 months after trauma respectively for non-operated (26) and operated (21) patients.

CONCLUSIONS:

An orthoptic evaluation is necessary for the management of orbital floor fractures to diagnose the type of diplopia, motility disorders, and to indicate a coordimetric examination if diplopia is present. We suggest this orthoptic evaluation for patients presenting with diplopia between 5 and 10 days following trauma, 1 month after trauma for non-surgical treatment and 2 months after trauma for surgical treatment.

KEYWORDS:

Diplopia; Diplopie; Fractures orbitaires; Ocular motility disorders; Orbital fractures; Troubles de la motilité oculaire

PMID:
25081488
DOI:
10.1016/j.revsto.2014.07.005
[Indexed for MEDLINE]

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