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Abstract
Background/Aims To ascertain factors associated with persistent diplopia after orbital fracture reconstruction.
Methods In this retrospective study, we reviewed 798 cases with depressed fragment fracture at the Department of Kyoto Prefectural University of Medicine Hospital between January 2009 and November 2023. The restriction of extraocular movements and diplopia was assessed using the Hess area ratio (HAR). The factors for HAR% ≥85% before surgery and 6 months after surgery were assessed.
Results Of the 798 cases in this study, 437 cases (54.8%) had an HAR% of ≥85%, and 361 cases (45.2%) had an HAR% of <85% before surgery. Age ≤18 years old (p=0.017), orbital tissue herniation volume <median (p=0.001), absence of extra-ocular muscle deviation (p<0.001) and medial wall (vs medial wall and orbital floor with strut fracture; p<0.001) were found to be associated with HAR% ≥85% before surgery. Of the 332 cases treated with surgery, 272 cases (81.9%) were HAR% ≥85%, and 60 cases (18.1%) were HAR%<85% after surgery. Age ≤18 years old (p=0.011), male (p=0.014), absence of extra-ocular muscle deviation (p=0.002) and medial wall (vs medial wall and orbital floor with strut fracture; p=0.002) were found to be associated with HAR% ≥85% at 6 months post surgery.
Conclusion Patients of younger age, male and those with absence of extraocular muscle deviation have better eye movements in the affected eye (increased HAR%) 6 months after surgery.
- Orbit
- Trauma
- Treatment Surgery
- Imaging
Data availability statement
Data sharing not applicable as no datasets generated and/or analysed for this study. No data are available.
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Data availability statement
Data sharing not applicable as no datasets generated and/or analysed for this study. No data are available.
Footnotes
Contributors Guarantor (HO), conception and design of the study (HO, AW, CS), collection of data (HO), management of data (HO, AW), analysis of data (HO, KY), interpretation of data (AW), writing of the article (HO, AW, SR, CS), approval of the manuscript (HO, AW, SR, AY, TN, KY, CS) and searching the literature (HO).
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Provenance and peer review Not commissioned; externally peer-reviewed.
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