Role of orthoptics and scoring system for orbital floor blowout fracture:surgical or conservative treatment  

作　　者：Juraj Timkovic Jiri Stransky Katerina Janurova Petr Handlos Jan Stembirek 

机构地区：[1]Clinic of Ophthalmology,University Hospital Ostrava,17.Listopadu 1790/5,Ostrava 70852,Czech Republic [2]Department of Craniofacial Surgery,Faculty of Medicine,Ostrava University,Syllabova 19,Ostrava 70300,Czech Republic [3]Clinic of Oral and Maxillofacial Surgery,University Hospital Ostrava,17.Listopadu 1790/5,Ostrava 70852,Czech Republic [4]IT4Innovations,VSB-Technical University of Ostrava,Studentská6231,Ostrava 70833,Czech Republic [5]Department of Forensic Medicine,University Hospital Ostrava,17.Listopadu 1790/5,Ostrava 70852,Czech Republic [6]Laboratory of Molecular Morphogenesis,Institute of Animal Physiology and Genetics CAS,Veveří97,Brno 60200,Czech Republic

出　　处：《International Journal of Ophthalmology(English edition)》2021年第12期1928-1934,共7页国际眼科杂志（英文版）

基　　金：the Ministry of Health,Czech Republic Conceptual Development of Research Organization(FNOs/2017).

摘　　要：AIM:To assess the role of orthoptics in referring patients with orbital floor blowout fracture(OFBF)for conservative or surgical treatment and based on the results,to propose a scoring system for such decision making.METHODS:A retrospective analysis of 69 patients with OFBF was performed(35 treated conservatively,34 surgically).The role of orthoptics in referring to surgery or conservative treatment was retrospectively evaluated,the factors with the highest significance for decision making were identified,and a scoring system proposed using Logistic regression.RESULTS:According to defined criteria,the treatment was unsuccessful in 2(6%)surgically treated and only in one(3%)conservatively treated patient.The proposed scoring system includes the defect size and several values resulting from the orthoptic examination,the elevation of the eyebulb measured on Lancaster screen being the most significant.CONCLUSION:The study demonstrates the benefits of orthoptic examination when making decisions on conservative or surgical treatment and for diagnosing ocular motility disorder(with or without binocular diplopia)in OFBF patients.The proposed scoring system could,following verification in a prospective study,become a valuable adjunctive tool.

关 键 词：orbital floor blowout fracture scoring system ORTHOPTICS ocular motility DIPLOPIA conservative treatment surgical treatment 

分 类 号：R779.6[医药卫生—眼科]