Effect of Epinephrine in Reconstruction of an Orbital Wall Fracture.

Ryu, Seong Kwang; Ahn, Min

doi:2011.52.6.653

J Korean Ophthalmol Soc > Volume 52(6); 2011 > Article

Original Article

Journal of the Korean Ophthalmological Society 2011;52(6):653-657.
DOI: https://doi.org/10.3341/jkos.2011.52.6.653 Published online June 15, 2011.

Effect of Epinephrine in Reconstruction of an Orbital Wall Fracture.

Seong Kwang Ryu, Min Ahn

Department of Ophthalmology, Chonbuk National University Medical School, Jeonju, Korea. ahnmin@jbnu.ac.kr

안와골절정복술 시 사용된 에피네프린이 동공크기에 미치는 영향에 대한 고찰

유성광⋅안 민

Department of Ophthalmology, Chonbuk National University Medical School, Jeonju, Korea

Abstract

PURPOSE
To evaluate the effect of epinephrine on pupil size in reconstruction of an orbital wall fracture. METHODS: The authors of the present study describe 27 patients (27 eyes) who had reconstruction of an orbital wall fracture from January to July of 2009. Patients were divided into two groups according to the use of epinephrine during surgery. Preoperative and postoperative pupil sizes, operation times, and epinephrine dosages were collected. RESULTS: Preoperative pupil sizes were 1.80 +/- 0.37 mm, 1.74 +/- 0.36 mm and postoperative pupil sizes were 1.97 +/- 0.43 mm (p = 0.042), 2.18 +/- 0.52 mm (p = 0.003) in the group with of epinephrine and the group without epinephrine, respectively. Postoperative pupil size significantly increased in all groups. However, no significant difference was found regarding change in pupil size after surgery (p = 0.258). In the group with epinephrine, change in pupil size did not show a significant association with operation time (p = 0.228), nor did change in pupil size and epinephrine dosage (p = 0.922). CONCLUSIONS: The use of epinephrine is an effective modality for bleeding control and securing a clear view in orbital wall fracture reconstruction.

Key Words: Epinephrine;Orbital wall reconstruction;Pupil