Detecting binocular diplopia in orbital floor blowout
fractures: Superiority of the orthoptic approach

J 2021

Detecting binocular diplopia in orbital floor blowout fractures: Superiority of the orthoptic approach

TIMKOVIČ, Juraj, Jiří STRÁNSKÝ, Petr HANDLOS, Jaroslav JANOŠEK, Hana TOMÁŠKOVÁ et. al.

Základní údaje

Originální název

Detecting binocular diplopia in orbital floor blowout fractures: Superiority of the orthoptic approach

Autoři

TIMKOVIČ, Juraj, Jiří STRÁNSKÝ, Petr HANDLOS, Jaroslav JANOŠEK, Hana TOMÁŠKOVÁ a Jan ŠTEMBÍREK

Vydání

Medicina, 2021, 1648-9144

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30207 Ophthalmology

Stát vydavatele

Švýcarsko

Utajení

není předmětem státního či obchodního tajemství

Impakt faktor

Impact factor: 2.948

Organizační jednotka

Lékařská fakulta

DOI

http://dx.doi.org/10.3390/medicina57090989

Klíčová slova anglicky

diplopia;orthoptic examination;orbital blowout fractures;orbit;maxillofacial surgery;ocular motility disorder

Příznaky

Mezinárodní význam, Recenzováno

Změněno: 26. 4. 2022 11:19, Mgr. Tereza Miškechová

Anotace

V originále

Background and Objectives: In patients with orbital floor blowout fracture (OFBF), accurate diagnosis of ocular motility disorder is important for decisions about conservative or surgical therapy. However, the accuracy of the traditional test for detecting binocular diplopia/ocular motility disorder using a moving pencil or finger (hereinafter, “finger test”) has been generally accepted as correct and has not been subject to scrutiny so far. Hence, its accuracy relative to full orthoptic examination is unknown. Materials and Methods: In this paper, the results of the “finger test” were compared with those derived from a complex examination by orthoptic tests (considered “true” value in patients with OFBF). Results: “Finger test” detected ocular motility disorder in 23% of patients while the full orthoptic examination proved much more efficient, detecting ocular motility disorder in 65% of patients. Lancaster screen test and test with color filters were the most important tests in the battery of the orthoptic tests, capable of identifying 97.7% and 95.3% of patients with ocular motility disorder, respectively. Still, none of the tests were able to correctly detect all patients with ocular motility disorder in itself. Conclusions: As the presence of ocular motility disorder/binocular diplopia is an important indication criterion for the surgical solution of the orbital floor blowout fracture, we conclude that a complex orthoptic evaluation should be always performed in these patients.

Citovat

TIMKOVIČ, Juraj, Jiří STRÁNSKÝ, Petr HANDLOS, Jaroslav JANOŠEK, Hana TOMÁŠKOVÁ a Jan ŠTEMBÍREK. Detecting binocular diplopia in orbital floor blowout fractures: Superiority of the orthoptic approach. Medicina. 2021, roč. 57, č. 9, 6 s. ISSN 1648-9144. Dostupné z: https://dx.doi.org/10.3390/medicina57090989.

@article{1793137,
   author = {Timkovič, Juraj and Stránský, Jiří and Handlos, Petr and Janošek, Jaroslav and Tomášková, Hana and Štembírek, Jan},
   article_number = {9},
   doi = {http://dx.doi.org/10.3390/medicina57090989},
   keywords = {diplopia;orthoptic examination;orbital blowout fractures;orbit;maxillofacial surgery;ocular motility disorder},
   language = {eng},
   issn = {1648-9144},
   journal = {Medicina},
   note = {Bez afiliace k MU.},
   title = {Detecting binocular diplopia in orbital floor blowout fractures: Superiority of the orthoptic approach},
   volume = {57},
   year = {2021}
}

TY  - JOUR
ID  - 1793137
AU  - Timkovič, Juraj - Stránský, Jiří - Handlos, Petr - Janošek, Jaroslav - Tomášková, Hana - Štembírek, Jan
PY  - 2021
TI  - Detecting binocular diplopia in orbital floor blowout fractures: Superiority of the orthoptic approach
JF  - Medicina
VL  - 57
IS  - 9
SN  - 16489144
N1  - Bez afiliace k MU.
KW  - diplopia;orthoptic examination;orbital blowout fractures;orbit;maxillofacial surgery;ocular motility disorder
N2  - Background and Objectives: In patients with orbital floor blowout fracture (OFBF), accurate diagnosis of ocular motility disorder is important for decisions about conservative or surgical therapy. However, the accuracy of the traditional test for detecting binocular diplopia/ocular motility disorder using a moving pencil or finger (hereinafter, “finger test”) has been generally accepted as correct and has not been subject to scrutiny so far. Hence, its accuracy relative to full orthoptic examination is unknown. Materials and Methods: In this paper, the results of the “finger test” were compared with those derived from a complex examination by orthoptic tests (considered “true” value in patients with OFBF). Results: “Finger test” detected ocular motility disorder in 23% of patients while the full orthoptic examination proved much more efficient, detecting ocular motility disorder in 65% of patients. Lancaster screen test and test with color filters were the most important tests in the battery of the orthoptic tests, capable of identifying 97.7% and 95.3% of patients with ocular motility disorder, respectively. Still, none of the tests were able to correctly detect all patients with ocular motility disorder in itself. Conclusions: As the presence of ocular motility disorder/binocular diplopia is an important indication criterion for the surgical solution of the orbital floor blowout fracture, we conclude that a complex orthoptic evaluation should be always performed in these patients.
ER  -

TIMKOVIČ, Juraj, Jiří STRÁNSKÝ, Petr HANDLOS, Jaroslav JANOŠEK, Hana TOMÁŠKOVÁ a Jan ŠTEMBÍREK. Detecting binocular diplopia in orbital floor blowout fractures: Superiority of the orthoptic approach. \textit{Medicina}. 2021, roč.~57, č.~9, 6 s. ISSN~1648-9144. Dostupné z: https://dx.doi.org/10.3390/medicina57090989.

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