دورية أكاديمية
Clinical correlations of extraocular motility limitation pattern in orbital fracture cases: a retrospective cohort study in a level 1 trauma centre.
| العنوان: | Clinical correlations of extraocular motility limitation pattern in orbital fracture cases: a retrospective cohort study in a level 1 trauma centre. |
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| المؤلفون: | Alsaleh F; Department of Ophthalmology & Visual Sciences, McGill University, Montreal, Quebec, Canada., Dhillon J; Faculty of Medicine and Health Sciences, McGill University, Montreal, Quebec, Canada., Nassrallah EIB; Department of Pathology, McGill University, Montreal, Quebec, Canada., Gaffar J; Département d'Ophthalmologie, Université de Montréal, Montréal, Quebec, Canada., Kondoff M; Department of Family Medicine, McGill University, Montreal, Quebec, Canada., Nassrallah GB; Department of Ophthalmology & Vision Sciences, University of Toronto, Toronto, Ontario, Canada., Ross M; Department of Ophthalmology, University of British Columbia, Vancouver, British Columbia, Canada., Deschenes J; Department of Ophthalmology & Visual Sciences, McGill University, Montreal, Quebec, Canada. |
| المصدر: | Orbit (Amsterdam, Netherlands) [Orbit] 2023 Oct; Vol. 42 (5), pp. 487-495. Date of Electronic Publication: 2022 Sep 21. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Informa Healthcare Country of Publication: England NLM ID: 8301221 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1744-5108 (Electronic) Linking ISSN: 01676830 NLM ISO Abbreviation: Orbit Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: London : Informa Healthcare Original Publication: Amsterdam : Aeolus Press, [1982- |
| مواضيع طبية MeSH: | Orbital Fractures*/diagnostic imaging , Orbital Fractures*/epidemiology , Orbital Fractures*/complications , Eye Injuries*/epidemiology , Eye Injuries*/complications, Humans ; Trauma Centers ; Retrospective Studies ; Diplopia/etiology ; Eye Movements |
| مستخلص: | Purpose: Ocular pathology (OP) following orbital fracture can vary vastly in complexity and severity. Extra-ocular motility (EOM) limitations are frequently present in orbital trauma cases, with patterns of duction limitations being symmetrical or asymmetrical. The aim of this study was to identify if there was any association between increased OP following orbital fracture cases based on the pattern of EOM deficits. Methods: This is a retrospective cohort study of patients with fractured orbits presenting with or without EOM limitations to a level 1 trauma center between August 2015 to January 2018. All pertinent elements of the ophthalmic examination were recorded. Outcome measures: Chi-square analyses assessed for association between symmetrical or asymmetrical EOM limitation and OP. Odds ratios were calculated with 95% confidence interval. Results: 278 orbits with wall fractures were included in this study. A significant correlation between EOM limitation and increased OP following orbital trauma was found (p = 0.000081). Cases with symmetrical and asymmetrical EOM limitation were 7.9 (95%CI: 2.3-27.2) and 5.22 (95%CI: 1.9-13.9) times more likely to have OP than cases with no EOM limitation, respectively. With extraocular muscle entrapment excluded, cases with symmetrical limitations had a significantly higher incidence of OP than cases with asymmetrical limitations (p = 0.0161). Conclusions: OP is frequently observed in cases of orbital fracture. While any EOM limitations should prompt the clinicians to anticipate OP, intra-ocular injury may be more likely in cases of symmetrical EOM limitation. Future prospective studies are needed to further elucidate the relationship between EOM symmetricity and OP following orbital trauma. |
| فهرسة مساهمة: | Keywords: Extra-ocular motility; ocular pathology; orbital fracture |
| تواريخ الأحداث: | Date Created: 20220921 Date Completed: 20231023 Latest Revision: 20231023 |
| رمز التحديث: | 20240829 |
| DOI: | 10.1080/01676830.2022.2125536 |
| PMID: | 36128974 |
| قاعدة البيانات: | MEDLINE |
PDF full text from Publisher | تدمد: | 1744-5108 |
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| DOI: | 10.1080/01676830.2022.2125536 |