title: [The role of orthoptic assessment in outcome prognosis in patients undergoing reconstruction surgery for orbital blow-out fracture].
abstract: OBJECTIVE
  The aim of this study is to analyze the results of orthoptic examination in patients with orbital blow-out fractures, who underwent reconstruction surgery and to determine which preoperative factors influence the outcome prognosis.
  
  
  METHODS
  113 patients after orbital injury were examined. 78 subjects after reconstruction surgery for orbital floor or floor and medial wall fracture, with or without orbital rim involvement, were included in further analysis. All subjects underwent the orthoptic assessment at baseline and at 3 months after the surgery.
  
  
  RESULTS
  Ordinal regression model was utilized in order to determine which orthoptic parameters significantly affect the surgical outcome of a reconstructive procedure. We have found that the following factors were associated with less favourable treatment outcomes: the large field of binocular single vision, the large angle of deviation in upgaze and downgaze, the positive forced duction test and the concomitant inferior rectus paresis.
  
  
  CONCLUSIONS
  The thorough orthoptic assessment and identifying the potential oculomotor dysfunction prior to reconstructive surgery enables proper outcome prognosis in patients with orbital blow-out fractures.
authors: Piotr
authors: P
authors: Loba
authors: Katarzyna
authors: K
authors: Sokalska
authors: Piotr
authors: P
authors: Arkuszewski
authors: Anna
authors: A
authors: Broniarczyk-Loha
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D057605:Natural Orifice Endoscopic Surgery / Q000379:methods*; D009917:Orbital Fractures / Q000000981:diagnostic imaging* / Q000601:surgery*; D011300:Preoperative Care / Q000379:methods*; D011379:Prognosis; D019651:Plastic Surgery Procedures / Q000379:methods*; D012307:Risk Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014787:Vision Tests; D014792:Visual Acuity