J Korean Ophthalmol Soc > Volume 57(2); 2016 > Article
Journal of the Korean Ophthalmological Society 2016;57(2):181-187.
DOI: https://doi.org/10.3341/jkos.2016.57.2.181    Published online February 1, 2016.
Orbital Wall Fracture Repair: The Results of Early and Delayed Surgery.
Kyu Hwan Jang, Nam Ju Kim, Ho Kyung Choung, Sang In Khwarg
1Department of Ophthalmology, Seoul National University Hospital, Seoul, Korea. khwarg@snu.ac.kr
2Department of Ophthalmology, Seoul National University College of Medicine, Seoul, Korea.
3Department of Ophthalmology, Seoul National University Bundang Hospital, Seongnam, Korea.
4Department of Ophthalmology, Seoul Metropolitan Government Seoul National University Boramae Medical Center, Seoul, Korea.
안와골절 정복술: 조기수술과 지연수술의 결과
장규환1⋅김남주2,3⋅정호경2,4⋅곽상인1,2
서울대학교병원 안과1, 서울대학교 의과대학 안과학교실2, 분당서울대학교병원 안과3, 서울대학교병원운영 서울특별시보라매병원 안과4
Abstract
PURPOSE
To investigate the surgical results of early and delayed repair of orbital wall fracture after multiple subgrouping of patients by time between the operation and injury. METHODS: Eighty-eight eyes of 88 patients who underwent orbital wall fracture repair from January 2002 to December 2014 and who were followed up for more than 3 months postoperatively were included in this study. We divided the 88 patients into three groups: Early surgery group (surgery within 2 weeks after the injury), slightly delayed surgery group (surgery between 3 weeks and 2 months after the injury), delayed surgery group (surgery after 2 months of the injury). Preoperative and postoperative ocular motility, diplopia, and the degree of enophthalmos were analyzed retrospectively. RESULTS: The early surgery group consisted of 30 eyes; slightly delayed surgery group, 42 eyes; and delayed surgery group, 16 eyes. The mean duration between injury and surgery was 8.6 +/- 22.5 weeks in all patients, 1.5 +/- 0.5 weeks in the early surgery group, 3.5 +/- 1.3 weeks in the slightly delayed surgery group, and 35.3 +/- 44.7 weeks in the delayed surgery group. All patients were followed up for a mean of 12.9 +/- 10.8 weeks. Gaze limitation in all directions showed improvement in all groups, with the most shown in up gaze limitation. There were no significant differences in the degree of improvement between preoperative and postoperative gaze limitation among the three groups. Enophthalmos improved as well, without any significant differences among the three groups. CONCLUSIONS: Improvement in ocular motility limitation and enophthalmos after orbital wall fracture repair did not vary significantly according to the duration between the surgery and injury. Therefore, surgical repairment even for old orbital fractures may successfully treat enophthalmos or diplopia and relieve symptoms.
Key Words: Delayed surgery;Early surgery;Multiple subgrouping;Orbital wall fracture repair


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