title: A clinical analysis of bilateral orbital fracture.
abstract: Although bilateral orbital fracture can cause serious eyeball and facial skeletal problems, few reports have been issued on the topic. We analyzed the clinical features of bilateral orbital fracture by reviewing the medical records of 147 patients and compared bilateral and unilateral fractures by reviewing the literature.Bilateral orbital fracture was most common in men aged between 50 and 59 years. A traffic accident was the leading cause of trauma, and average time between trauma and surgery was 12.2 days. Bilateral medial fracture accompanied by nasal fracture accounted for the overwhelming majority, and impure blowout fracture in at least 1 eye occurred in 69.4% of the 147 patients. Associated ocular injuries seemed to be similar for bilateral and unilateral fracture. Thirty-five patients (23.8%) had other multiple traumas affecting other than the eyes, and this significantly increased the need for surgery (P < 0.05). Of the 48 patients who underwent surgery, including 4 cases of bilateral surgery, 21 patients who had ocular motility restriction with central diplopia within 30 degrees almost completely recovered. No significant relation between the timing of surgery and improvement was found. Although unilateral surgery was performed in most cases, facial asymmetry related to enophthalmos was unclear at 6 months postoperatively.In summary, bilateral orbital fracture was found to be clinically distinguishable from unilateral fracture in several aspects. We hope these findings provide a reference guide to the approach and management of bilateral orbital fracture.
authors: From the *Department of Ophthalmology, Eulji University Hospital, Daejeon; †Fine Eye Center, Osan, and ‡Department of Ophthalmology, Gachon University Gil Hospital, Incheon, Korea.
authors: Joon Ho
authors: JH
authors: Roh
authors: Jee Woong
authors: JW
authors: Jung
authors: Mijung
authors: M
authors: Chi
mesh_terms: D000293:Adolescent; D000328:Adult; D017677:Age Distribution; D019468:Disease Management; D005131:Eye Injuries / Q000150:complications; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009104:Multiple Trauma / Q000150:complications; D009917:Orbital Fractures / Q000150:complications / Q000000981:diagnostic imaging* / Q000453:epidemiology / Q000601:surgery; D011183:Postoperative Complications; D012189:Retrospective Studies; D012307:Risk Factors; D017678:Sex Distribution; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D055815:Young Adult