Buscar en
Archivos de la Sociedad Española de Oftalmología (English Edition)
Toda la web
Inicio Archivos de la Sociedad Española de Oftalmología (English Edition) Diplopia secondary to orbital fracture in adults
Journal Information
Vol. 93. Issue 4.
Pages 174-181 (April 2018)
Share
Share
Download PDF
More article options
ePub
Visits
2
Vol. 93. Issue 4.
Pages 174-181 (April 2018)
Original article
Diplopia secondary to orbital fracture in adults
Diplopía secundaria a fractura orbitaria en adultos
Visits
...
I. Pérez-Floresa,
Corresponding author
inespf00@yahoo.es

Corresponding author.
, E. Santos-Armentiab, J. Fernández-Sanrománc, A. Costas-Lópezc, M. Fernández-Ferroc
a Servicio de Oftalmología, Hospital POVISA, Vigo, Pontevedra, Spain
b Servicio de Radiodiagnóstico, Hospital POVISA, Vigo, Pontevedra, Spain
c Servicio de Cirugía Maxilofacial, Hospital POVISA, Vigo, Pontevedra, Spain
Article information
Abstract
Full Text
Bibliography
Download PDF
Statistics
Figures (2)
Tables (4)
Table 1. Characteristics and incidence of diplopia in acute phase.
Table 2. Group 1: patients with diplopia and follow-up ≥1 week.
Table 3. Evolution of diplopia in group 1 patients.
Table 4. Group 2: patients without diplopia and follow-up ≥1 week.
Show moreShow less
Abstract
Objective

To evaluate the incidence and evolution of diplopia as a complication of orbital fractures in adults.

Patients and methods

A review was conducted on medical records of all consecutive adults with orbital fracture referred between January 2014 and December 2015. An analysis was made of the incidence of diplopia secondary to fracture in the acute phase and its evolution. A descriptive study was performed on the variables related to patients, fractures, and fracture and diplopia treatment.

Results

The study included 39 patients with a mean age of 48 years (17–85). Of all the patients, 17 (43.6%) presented with diplopia in the acute phase. Differences were found between the groups with and without diplopia in relation to muscle entrapment diagnosed by orbital computed tomography, duction limitation, and fracture surgery ≤1 week (p=0.02, p=0.00, p=0.04, respectively). Out of the 17 patients with diplopia, 12 had a mean follow-up of 18 weeks (1–72), and in 10 (83.3%) diplopia was resolved in a mean time of 10 weeks (1–72). There were spontaneous resolution in 4 (33.3%) patients, and resolution after fracture surgery in 4 (57%) of the 7 that underwent surgery. In 4 cases (33.3%) prisms were prescribed, and 2 (16.6%) required strabismus surgery.

Conclusions

Diplopia secondary to orbital fracture in adults is frequent, but it is resolved in most cases spontaneously or after fracture surgery. A few patients will require prisms and/or strabismus surgery.

Keywords:
Diplopia
Restrictive strabismus
Orbital fracture in adults
Prisms
Computerized tomography
Resumen
Objetivo

Evaluar la incidencia y evolución de la diplopía como complicación de las fracturas orbitarias en adultos.

Pacientes y métodos

Estudio retrospectivo de los adultos con fractura orbitaria remitidos entre enero de 2014 y diciembre de 2015. Analizamos la incidencia de diplopía secundaria a la fractura en la fase aguda y su evolución. Realizamos un estudio descriptivo de las variables relativas a los pacientes, las fracturas, y el tratamiento de la fractura y de la diplopía.

Resultados

Se estudiaron un total de 39pacientes con edad media de 48años (17-85). Del total, 17 pacientes (43,6%) presentaron diplopía en la fase aguda. Se encontraron diferencias entre los grupos con y sin diplopía para el atrapamiento muscular diagnosticado mediante TC orbitario, la limitación en las ducciones y la cirugía de la fractura ≤1semana (p=0,02; p=0,00; p=0,04, respectivamente). De los 17pacientes con diplopía, 12 tuvieron seguimiento medio de 18semanas (1-72) y de ellos en 10 (83,3%) la diplopía se resolvió en un tiempo medio de 10semanas (1-72). Se produjo resolución espontánea en 4pacientes (33,3%), y resolución tras cirugía de la fractura en 4 (57%) de los 7 que fueron intervenidos. En 4casos (33,3%) se prescribieron prismas, y 2 (16,6%) precisaron cirugía de estrabismo.

Conclusiones

La diplopía secundaria a fractura orbitaria en adultos es frecuente pero se resuelve en la mayoría de los casos espontáneamente o tras cirugía de la fractura; una minoría de pacientes precisarán prismas y/o cirugía de estrabismo.

Palabras clave:
Diplopía
Estrabismo restrictivo
Fractura orbitaria en adultos
Prismas
Tomografía computarizada

Article

These are the options to access the full texts of the publication Archivos de la Sociedad Española de Oftalmología (English Edition)
Subscriber
Subscriber

If you already have your login data, please click here .

If you have forgotten your password you can you can recover it by clicking here and selecting the option “I have forgotten my password”
Subscribe
Subscribe to

Archivos de la Sociedad Española de Oftalmología (English Edition)

Purchase
Purchase article

Purchasing article the PDF version will be downloaded

Price 19.34 €

Purchase now
Contact
Phone for subscriptions and reporting of errors
From Monday to Friday from 9 a.m. to 6 p.m. (GMT + 1) except for the months of July and August which will be from 9 a.m. to 3 p.m.
Calls from Spain
932 415 960
Calls from outside Spain
+34 932 415 960
E-mail
Article options
Tools
es en pt

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?

Você é um profissional de saúde habilitado a prescrever ou dispensar medicamentos