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

J 2021

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

TIMKOVIČ, Juraj, Jiří STRÁNSKÝ, Kateřina JANUROVÁ, Petr HANDLOS, Jan ŠTEMBÍREK et. al.

Základní údaje

Originální název

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

Autoři

TIMKOVIČ, Juraj, Jiří STRÁNSKÝ, Kateřina JANUROVÁ, Petr HANDLOS a Jan ŠTEMBÍREK

Vydání

International Journal of Ophthalmology, 2021, 2222-3959

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30207 Ophthalmology

Utajení

není předmětem státního či obchodního tajemství

Impakt faktor

Impact factor: 1.645

Organizační jednotka

Lékařská fakulta

DOI

http://dx.doi.org/10.18240/ijo.2021.12.18

Klíčová slova anglicky

orbital floor blowout fracturescoring systemorthopticsocular motilitydiplopiaconservative treatmentsurgical treatment

Příznaky

Mezinárodní význam, Recenzováno

Změněno: 28. 4. 2022 14:33, Mgr. Tereza Miškechová

Anotace

V originále

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.

Citovat

TIMKOVIČ, Juraj, Jiří STRÁNSKÝ, Kateřina JANUROVÁ, Petr HANDLOS a Jan ŠTEMBÍREK. Role of orthoptics and scoring system for orbital floor blowout fracture: surgical or conservative treatment. International Journal of Ophthalmology. 2021, roč. 14, č. 12, s. 1928-1934. ISSN 2222-3959. Dostupné z: https://dx.doi.org/10.18240/ijo.2021.12.18.

@article{1811117,
   author = {Timkovič, Juraj and Stránský, Jiří and Janurová, Kateřina and Handlos, Petr and Štembírek, Jan},
   article_number = {12},
   doi = {http://dx.doi.org/10.18240/ijo.2021.12.18},
   keywords = {orbital floor blowout fracturescoring systemorthopticsocular motilitydiplopiaconservative treatmentsurgical treatment},
   language = {eng},
   issn = {2222-3959},
   journal = {International Journal of Ophthalmology},
   note = {Bez afiliace k MU.},
   title = {Role of orthoptics and scoring system for orbital floor blowout fracture: surgical or conservative treatment},
   volume = {14},
   year = {2021}
}

TY  - JOUR
ID  - 1811117
AU  - Timkovič, Juraj - Stránský, Jiří - Janurová, Kateřina - Handlos, Petr - Štembírek, Jan
PY  - 2021
TI  - Role of orthoptics and scoring system for orbital floor blowout fracture: surgical or conservative treatment
JF  - International Journal of Ophthalmology
VL  - 14
IS  - 12
SP  - 1928-1934
EP  - 1928-1934
SN  - 22223959
N1  - Bez afiliace k MU.
KW  - orbital floor blowout fracturescoring systemorthopticsocular motilitydiplopiaconservative treatmentsurgical treatment
N2  - 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.
ER  -

TIMKOVIČ, Juraj, Jiří STRÁNSKÝ, Kateřina JANUROVÁ, Petr HANDLOS a Jan ŠTEMBÍREK. Role of orthoptics and scoring system for orbital floor blowout fracture: surgical or conservative treatment. \textit{International Journal of Ophthalmology}. 2021, roč.~14, č.~12, s.~1928-1934. ISSN~2222-3959. Dostupné z: https://dx.doi.org/10.18240/ijo.2021.12.18.

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