| The Effect of Intraoperative Exophthalmometric Values on Enophthalmos Correction in Inferior Orbital Wall Reconstruction. |
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Yu Jin Choi, Ji Hye Kim, Hyoun Do Huh, Seong Jae Kim, Seong Wook Seo |
1Department of Ophthalmology, Gyeongsang National University, School of Medicine, Jinju, Korea. stramast@naver.com
2Department of Ophthalmology, Gyeongsang National University Changwon Hospital, Changwon, Korea.
3Gyeongsang Institute of Health Science, Gyeongsang National University, Jinju, Korea. |
| 안와하벽골절정복술에서 수술 중 측정한 안구돌출 계측치가 안구함몰의 교정에 미치는 효과 |
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최유진1⋅김지혜1⋅허현도2⋅김성재1,3⋅서성욱1,3 |
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경상대학교 의과대학교 안과학교실1, 창원경상대학교병원 안과2, 경상대학교 건강과학연구원3 |
Correspondence:
Seong Wook Seo, MD, PhD
Email: stramast@naver.com |
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Received: 30 March 2017 • Revised: 31 May 2017 • Accepted: 22 June 2017 |
| Abstract |
PURPOSE
To measure the enophthalmos corrective effect after inferior orbital wall reconstruction, we compared preoperative and intraoperative exophthalmometric values with postoperative exophthalmometric values. METHODS: From January 2014 to April 2016, 60 eyes of 60 patients who underwent surgery for inferior orbital wall fracture were included. In Group 1, the exophthalmometric value was measured before surgery, during the operation, and 6 months after surgery using the Naugle exophthalmometer. In Group 2, the value was measured before surgery and 6 months after surgery using the Hertel exophthalmometer. The thickness of implants was determined by preoperative exophthalmometric values and overcorrection of 0.5 mm was performed in Group 1 patients with relatively large fractures. RESULTS: The mean age of the patients was 32.4 years in Group 1 and 34.3 years in Group 2. The mean duration between injury and surgery was 4.2 weeks in Group 1 and 2.3 weeks in Group 2. There was no statistically significant difference between preoperative exophthalmometric values in Group 1 (−1.78 ± 0.31 mm) and Group 2 (−1.81 ± 0.26 mm), but postoperative exophthalmometric values between Group 1 (−0.25 ± 0.78 mm) and Group 2 (−0.53 ± 0.46 mm) were statistically different (p = 0.034). CONCLUSIONS: The exophthalmometric values and wall fracture size are important factors for determining implant thickness of inferior orbital wall reconstruction. Intraoperative measurement of exophthalmometric values should be considered in inferior orbital wall reconstruction for enophthalmos correction. |
| Key Words:
Enophthalmos;Exophthalmometer;Inferior orbital wall fracture;Intraoperative exophthalmometric values |
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