Journal of The Korean Ophthalmological Society (대한안과학회지)

The Korean Ophthalmological Society (대한안과학회)
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A Clinical Feature of the Patients of Orbital Wall Fracture With Diplopia

복시가 동반된 안와골절 환자의 임상양상

Kang, Hyo-Jeong;Ha, Myung-Sook
강효정;하명숙

  • Published : 2009.07.15
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Abstract

Purpose: To analyze the clinical features of orbital wall fracture with diplopia between the surgical treatment group and the conservative treatment group. Methods: The study comprised of 109 eyes of 109 patients with orbital wall fracture and diplopia. The patients were divided into two groups: the surgical treatment group (59 cases) and the conservative treatment group (50 cases). The groups were analyzed retrospectively according to age, gender, cause, CT, the period and severity of diplopia, and enophthalmos with time. Results: In the conservative treatment group, 38 cases (64.4%) had medial wall fracture, and the average fracture size was 26% of the inferior wall and 33% of the medial wall. In addition, at the first visit, the patients showed diplopia within 45.5 degrees, and diplopia disappeared completely within 17 days on average (57 cases, 96.6%). In the group that underwent the reconstruction of orbital wall fracture, 27 cases (54.0%) had inferior wall fracture, and the average fracture size was 41% of the inferior wall and 35% of the medial wall. Additionally, in the first visit, the patients showed diplopia within 20.3 degrees. The muscle incarceration occurred in 12 cases (24%). In the surgical treatment group, diplopia disappeared completely within 30 days on average (45 cases, 90.0%). Conclusion: In the group of conservative treatment, they showed diplopia within 45.5 degrees at the first visit. Diplopia disappeared completely within 17 days on average (57 cases, 96.6%). In the group of surgical treatment, they showed diplopia within 20.3 degrees at the first visit. Diplopia disappeared completely within 30 days on average (45 cases, 90.0%).

목적: 복시가 동반된 안와골절 환자에서의 수술적 치료와 보존적 치료를 시행한 경우의 임상양상을 각각 분석하고자 한다. 대상과 방법: 복시가 동반된 안와골절 환자 중 보존적 치료를 시행한 59명 59안과 수술적 치료를 시행한 50명 50안에 대해 나이, 성별, 발생원인, 전산화단층촬영 소견 및 시간에 따른 복시의 변화를 후향적으로 각각 분석하였다. 결과: 보존치료군은 내벽골절이 38명(64.4%)이고 평균 하벽의 26%, 내벽의 33% 크기의 골절을 보였고 초진 시 평균 45.5도의 복시를 보였으며 57명(96.6%)에서 평균 17일 이내 복시의 완전소실을 보였다. 수술치료군은 하벽골절이 27명(54.0%)이었으며 하벽의 41%, 내벽의 35% 크기의 골절을 보였고 초진 시 평균 20.3도의 복시를 보였다. 외안근 감돈은 12명(24%)이었고 45명(90%)의 환자에서 평균 30일 후 복시의 완전소실을 보였다. 결론: 보존치료군의 초기 복시각은 45.5도, 복시의 소실시기는 17일, 6개월 후 96.6%의 환자에서 복시의 회복을 보였고 수술치료군은 초기 복시각 35.0도, 복시의 소실시기 30일, 6개월 후 90%에서 복시가 회복되었다.

Keywords

References

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