[Post-traumatic ocular motility in orbital floor fractures].
OBJECTIVE
The aim of this study was to evaluate post-traumatic ocular motility in orbital floor fractures in relation to the severity of the fracture and concomitant injuries.


METHODS
Over a period of 6 years, data from 435 patients with orbital floor fractures were re-evaluated. Ocular motility was divided into abduction, adduction, upgaze and downgaze movements.


RESULTS
In 54.3% of the cases, there was a reduction in ocular motility. A reduced motility with a movement >20 degrees was found in most of the cases. Concomitant injuries to the eye resulted in a significant increase in the reduction of motility. This reduction depended on the severity of the orbital floor fracture. A reduced upgaze movement was the most common complication in all types of fractures.


CONCLUSIONS
Ocular motility can act as an indication of the severity of the orbital fracture. Concomitant injuries to the eye resulted in a higher incidence of reduced ocular motility.
Jank
S
S
Universitätsklinik für Mund-, Kiefer und Gesichtschirurgie, Universität Innsbruck, Austria. siegfried.jank@gmx.de
Schuchter
B
B
Strobl
H
H
Emshoff
R
R
Baldissera
I
I
Nicasi
A
A
Norer
B
B
D000328:Adult; D005131:Eye Injuries / Q000150:complications / Q000175:diagnosis / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007091:Image Processing, Computer-Assisted; D008297:Male; D015835:Ocular Motility Disorders / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D009887:Ophthalmoscopy; D009917:Orbital Fractures / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D011379:Prognosis; D036542:Tomography, Spiral Computed