| A Clinical Study of Pediatric Orbital Wall Fracture. |
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Yoon Hyung Kwon, Dong Won Park, Jun Young Chung, Hee Bae Ahn |
1Department of Ophthalmology, College of Medicine, Dong-A University, Busan, Korea. hbahn@daunet.donga.ac.kr
2St. Mary's Eye Hospital, Busan, Korea.
3Department of Emergency Medicine, College of Medicine, Dong-A University, Busan, Korea. |
| 소아 안와골절 환자의 임상양상 |
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권윤형1,박동원2,정준영3,안희배1 |
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Department of Ophthalmology, College of Medicine, Dong-A University1, Busan, Korea St. Mary`s Eye Hospital2, Busan, Korea Department of Emergency Medicine, College of Medicine, Dong-A University3, Busan, Korea |
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Correspondence:
Yoon Hyung Kwon, M.D.1 |
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| Abstract |
PURPOSE
We sought to evaluate the clinical aspects associated with a preoperative and postoperative state in cases of blow-out fracture. METHODS: We retrospectively assessed the cause, location, type, and ocular motility restriction in 25 eyes of 25 pediatric patients with blow-out fracture, which were repaired by orbital reconstruction between January 2001 and June 2004. RESULTS: The mean age of patients was 14.96 years, the most common cause of fracture was assault (13 cases, 52%); there were 15 case (60%) of inferior wall fracture, 14 cases (45%) of comminuted type fracture, and 11 cases (35.4%) of trapdoor type fracture. The mean time to intervention was 14 days (range, 3 to 56 days). Ocular motility restriction improved most in the early postoperative period, and then decreased gradually. At last follow-up, the majority of patients had improved. Their diplopia improved almost completely, except in one patient who had late orbital reconstruction. CONCLUSIONS: Most cases of blow-out fracture were resolved with orbital reconstruction. Even when performed late, orbital reconstruction is helpful in improving the symptoms associated with blow-out fracture. |
| Key Words:
Diplopia;Ocular motion restriction;Pediatric orbital wall fracture;Reconstruction |
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