| Clinical Study of Orbital Wall Fracture. |
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Moon Shin Lee, Jae Hong Ahn, Hye Young Kim, Sang Yeul Lee |
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Department of Ophthalmology, Yonsei University College of Medicine, The Institute of Vision Research, Seoul, Korea. |
| 안와골절의 임상양상 |
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이문신(Moon Shin Lee),안재홍(Jae Hong Ahn),김혜영(Hye Young Kim),이상렬(Sang Yeul Lee) |
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| Abstract |
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The authors studied 229 patients (236 eyes) diagnosed with orbital wall fracture from April 1991 to December 1995 at Severance hospital with retrospective reviewing of the charts and orbital computed tomographs. Orbital wall fracture occurred most frequently between the ages of 20 and 29 years (mean age 25.7 years). It was more common in male (81.7%) than female (18.3%), about 4.5 times. Most patients were seen for management within 7 days after injury (66.4%). The causes of orbital wall fractures were violence (54.1%), traffic accidents (14.8%), falling down (7.9%) and others in order. Most common coexisting intraocular disease was hyphema (13.5%) and extraocular disease was eyelid laceration (15.3%). The difference between two eyes in initial exophthalmometry was 1.4 mm on average, and the patients with 1mm or less difference between two eyes allowed for the largst proportion of patients (57.2%). The number of patients with the presentation of binocular diplopia was 181 (79.0%), and the most of the complained of mild binocular diplopia (46.3%). As to the location of fracture, inferior wall fractures were most common, followed by fractures of medial (21.6%), inferior and medial (18.6%) and others in order. The number of patients operated for orbital wall fracture was 107 (47.0%), and the most common indication for surgical intervention was binocular diplopia caused by limitation of extraocular motor movement (49 cases, 45.8% of operated case). |
| Key Words:
Orbital wall fracture;violence;hyphema;inferior wall fractures;diplopia |
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