title: [When should an orthoptic evaluation be prescribed in the management of orbital floor fracture? A prospective study of 47 fractures].
abstract: BACKGROUND
  We evaluated the indication of orthoptic evaluation for the management of orbital floor fractures in a prospective series.
  
  
  METHODS
  Forty-seven patients presenting with an orbital floor fracture were included in our prospective study. Consultations in orthoptics and maxillo-facial surgery were regularly carried out. Diplopia and motility were systematically assessed as well as a coordimetric examination according to Hess-Lees's technique.
  
  
  RESULTS
  Nineteen percent of coordimetric motility disorders were observed among asymptomatic patients, after trauma. No diplopia or clinical motility disorder were observed 1 and 2 months after trauma, and coordimetric examinations came back to normal 2 and 3 months after trauma respectively for non-operated (26) and operated (21) patients.
  
  
  CONCLUSIONS
  An orthoptic evaluation is necessary for the management of orbital floor fractures to diagnose the type of diplopia, motility disorders, and to indicate a coordimetric examination if diplopia is present. We suggest this orthoptic evaluation for patients presenting with diplopia between 5 and 10 days following trauma, 1 month after trauma for non-surgical treatment and 2 months after trauma for surgical treatment.
authors: Service de chirurgie maxillo-faciale, centre François-Xavier-Michelet, groupe hospitalier Pellegrin, CHU de Bordeaux, place Amélie-Raba-Léon, 33076 Bordeaux cedex, France. Electronic address: mathieu.laurentjoye@yahoo.fr.
authors: M
authors: M
authors: Laurentjoye
authors: Service de chirurgie maxillo-faciale, centre François-Xavier-Michelet, groupe hospitalier Pellegrin, CHU de Bordeaux, place Amélie-Raba-Léon, 33076 Bordeaux cedex, France.
authors: M
authors: M
authors: Bondaz
authors: Service de chirurgie maxillo-faciale, centre François-Xavier-Michelet, groupe hospitalier Pellegrin, CHU de Bordeaux, place Amélie-Raba-Léon, 33076 Bordeaux cedex, France.
authors: C
authors: C
authors: Majoufre-Lefebvre
authors: Service d'ophtalmologie, centre François-Xavier-Michelet, groupe hospitalier Pellegrin, CHU de Bordeaux, place Amélie-Raba-Léon, 33076 Bordeaux cedex, France.
authors: V
authors: V
authors: Huslin
authors: Service de chirurgie maxillo-faciale, centre François-Xavier-Michelet, groupe hospitalier Pellegrin, CHU de Bordeaux, place Amélie-Raba-Léon, 33076 Bordeaux cedex, France.
authors: P
authors: P
authors: Caix
authors: Service de chirurgie maxillo-faciale, centre François-Xavier-Michelet, groupe hospitalier Pellegrin, CHU de Bordeaux, place Amélie-Raba-Léon, 33076 Bordeaux cedex, France.
authors: A S
authors: AS
authors: Ricard
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D015331:Cohort Studies; D003941:Diagnostic Techniques, Ophthalmological / Q000706:statistics & numerical data; D004172:Diplopia / Q000175:diagnosis / Q000453:epidemiology / Q000209:etiology; D005133:Eye Movements / Q000502:physiology; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D009917:Orbital Fractures / Q000150:complications / Q000175:diagnosis* / Q000453:epidemiology / Q000628:therapy*; D009988:Orthoptics / Q000379:methods; D055815:Young Adult
keywords: Diplopia; Diplopie; Fractures orbitaires; Ocular motility disorders; Orbital fractures; Troubles de la motilité oculaire