Detecting Binocular Diplopia in Orbital Floor Blowout Fractures: Superiority of the Orthoptic Approach
Jazyk angličtina Země Švýcarsko Médium electronic
Typ dokumentu časopisecké články
Grantová podpora
MZCR - RVO - FNOs/2017
Ministerstvo Zdravotnictví Ceské Republiky
PubMed
34577912
PubMed Central
PMC8470445
DOI
10.3390/medicina57090989
PII: medicina57090989
Knihovny.cz E-zdroje
- Klíčová slova
- diplopia, maxillofacial surgery, ocular motility disorder, orbit, orbital blowout fractures, orthoptic examination,
- MeSH
- diplopie diagnóza etiologie MeSH
- fraktury očnice * komplikace diagnóza MeSH
- lidé MeSH
- ortoptika MeSH
- poruchy hybnosti oka * MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
Background and Objectives: In patients with orbital floor blowout fracture (OFBF), accurate diagnosis of ocular motility disorder is important for decisions about conservative or surgical therapy. However, the accuracy of the traditional test for detecting binocular diplopia/ocular motility disorder using a moving pencil or finger (hereinafter, "finger test") has been generally accepted as correct and has not been subject to scrutiny so far. Hence, its accuracy relative to full orthoptic examination is unknown. Materials and Methods: In this paper, the results of the "finger test" were compared with those derived from a complex examination by orthoptic tests (considered "true" value in patients with OFBF). Results: "Finger test" detected ocular motility disorder in 23% of patients while the full orthoptic examination proved much more efficient, detecting ocular motility disorder in 65% of patients. Lancaster screen test and test with color filters were the most important tests in the battery of the orthoptic tests, capable of identifying 97.7% and 95.3% of patients with ocular motility disorder, respectively. Still, none of the tests were able to correctly detect all patients with ocular motility disorder in itself. Conclusions: As the presence of ocular motility disorder/binocular diplopia is an important indication criterion for the surgical solution of the orbital floor blowout fracture, we conclude that a complex orthoptic evaluation should be always performed in these patients.
Center for Health Research Faculty of Medicine University of Ostrava 703 00 Ostrava Czech Republic
Clinic of Oral and Maxillofacial Surgery University Hospital Ostrava 708 52 Ostrava Czech Republic
Department of Forensic Medicine University Hospital Ostrava 708 52 Ostrava Czech Republic
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