Orbital blowout fractures. The prognostic significance of computed tomography

Nineteen patients with orbital floor fractures were examined and underwent computed tomography of both orbits. By evaluating the amount of orbital expansion and soft tissue herniation, we were able to identify a group of patients at high risk for developing enophthalmos (3/7 in the group with the la...

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Bibliographic Details
Published inOphthalmology (Rochester, Minn.) Vol. 92; no. 11; p. 1523
Main Authors Gilbard, S M, Mafee, M F, Lagouros, P A, Langer, B G
Format Journal Article
LanguageEnglish
Published United States 01.11.1985
Subjects
Diplopia - epidemiology
Diplopia - etiology
Eye - pathology
Female
Humans
Male
Oculomotor Muscles - diagnostic imaging
Orbital Fractures - complications
Orbital Fractures - diagnostic imaging
Orbital Fractures - pathology
Prognosis
Skull Fractures - diagnostic imaging
Tomography, X-Ray Computed
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Summary:Nineteen patients with orbital floor fractures were examined and underwent computed tomography of both orbits. By evaluating the amount of orbital expansion and soft tissue herniation, we were able to identify a group of patients at high risk for developing enophthalmos (3/7 in the group with the largest amount vs. 0/7 and 0/5 in the two other groups). By studying the appearance of the inferior rectus muscle, we were also able to identify a group of patients at high risk for developing persistent diplopia (5/5 with entrapped muscles, 0/2 with hooked muscles and 0/12 of patients with free inferior rectus positions).
ISSN:0161-6420
1549-4713
DOI:10.1016/s0161-6420(85)33826-5