Prognosis and Clinical Features of Orbital Wall Fracture in Preschool Children.

Park, Jung Hyun; Kim, Dae Hyun

doi:2011.52.12.1490

J Korean Ophthalmol Soc > Volume 52(12); 2011 > Article

Original Article

Journal of the Korean Ophthalmological Society 2011;52(12):1490-1495.
DOI: https://doi.org/10.3341/jkos.2011.52.12.1490 Published online December 15, 2011.

Prognosis and Clinical Features of Orbital Wall Fracture in Preschool Children.

Jung Hyun Park, Dae Hyun Kim

Department of Ophthalmology, Chosun University School of Medicine, Gwangju, Korea. eyelovehyun@hanmail.net

학동기이전 소아 안와골절 환자의 임상양상과 예후

박정현⋅김대현

Department of Ophthalmology, Chosun University School of Medicine, Gwangju, Korea

Abstract

PURPOSE
To evaluate the clinical aspects associated with the preoperative and postoperative state of blow-out fractures in preschool children. METHODS: The authors of the present study retrospectively reviewed 11 cases of blow-out fracture repaired by orbital reconstruction. RESULTS: The most common cause of fracture was a traffic accident (45%); there were 7 cases (63%) of inferior wall fracture and 7 cases (63%) of trapdoor-type fracture. All patients with trapdoor-type fractures had nausea and vomiting. After the operation, the majority of patients (88%) had mild ocular motility restriction and diplopia. CONCLUSIONS: In preschool children, systemic symptoms such as nausea and vomiting presented frequently. In addition, complications such as restriction in ocular movement and diplopia often developed postoperatively.

Key Words: Blow-out fracture;Diplopia;Ocular motility restriction;Preschool child;Trapdoor-type fracture