眼眶爆裂性骨折重建前后复视的相关因素

IF 3.7 2区医学 Q1 OPHTHALMOLOGY

British Journal of Ophthalmology Pub Date : 2025-05-02 DOI:10.1136/bjo-2025-327299

Hiroaki Oku, Akihide Watanabe, Saul N Rajak, Tomomichi Nakayama, Akiko Yoneda, Kengo Yoshii, Chie Sotozono

{"title":"眼眶爆裂性骨折重建前后复视的相关因素","authors":"Hiroaki Oku, Akihide Watanabe, Saul N Rajak, Tomomichi Nakayama, Akiko Yoneda, Kengo Yoshii, Chie Sotozono","doi":"10.1136/bjo-2025-327299","DOIUrl":null,"url":null,"abstract":"Background/Aims To ascertain factors associated with persistent diplopia after orbital fracture reconstruction. Methods In this retrospective study, we reviewed 798 cases with depressed fragment fracture at the Department of Kyoto Prefectural University of Medicine Hospital between January 2009 and November 2023. The restriction of extraocular movements and diplopia was assessed using the Hess area ratio (HAR). The factors for HAR% ≥85% before surgery and 6 months after surgery were assessed. Results Of the 798 cases in this study, 437 cases (54.8%) had an HAR% of ≥85%, and 361 cases (45.2%) had an HAR% of <85% before surgery. Age ≤18 years old (p=0.017), orbital tissue herniation volume <median (p=0.001), absence of extra-ocular muscle deviation (p<0.001) and medial wall (vs medial wall and orbital floor with strut fracture; p<0.001) were found to be associated with HAR% ≥85% before surgery. Of the 332 cases treated with surgery, 272 cases (81.9%) were HAR% ≥85%, and 60 cases (18.1%) were HAR%<85% after surgery. Age ≤18 years old (p=0.011), male (p=0.014), absence of extra-ocular muscle deviation (p=0.002) and medial wall (vs medial wall and orbital floor with strut fracture; p=0.002) were found to be associated with HAR% ≥85% at 6 months post surgery. Conclusion Patients of younger age, male and those with absence of extraocular muscle deviation have better eye movements in the affected eye (increased HAR%) 6 months after surgery. Data sharing not applicable as no datasets generated and/or analysed for this study. No data are available.","PeriodicalId":9313,"journal":{"name":"British Journal of Ophthalmology","volume":"22 1","pages":""},"PeriodicalIF":3.7000,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Factors associated with diplopia before and after orbital blowout fracture reconstruction\",\"authors\":\"Hiroaki Oku, Akihide Watanabe, Saul N Rajak, Tomomichi Nakayama, Akiko Yoneda, Kengo Yoshii, Chie Sotozono\",\"doi\":\"10.1136/bjo-2025-327299\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Background/Aims To ascertain factors associated with persistent diplopia after orbital fracture reconstruction. Methods In this retrospective study, we reviewed 798 cases with depressed fragment fracture at the Department of Kyoto Prefectural University of Medicine Hospital between January 2009 and November 2023. The restriction of extraocular movements and diplopia was assessed using the Hess area ratio (HAR). The factors for HAR% ≥85% before surgery and 6 months after surgery were assessed. Results Of the 798 cases in this study, 437 cases (54.8%) had an HAR% of ≥85%, and 361 cases (45.2%) had an HAR% of <85% before surgery. Age ≤18 years old (p=0.017), orbital tissue herniation volume <median (p=0.001), absence of extra-ocular muscle deviation (p<0.001) and medial wall (vs medial wall and orbital floor with strut fracture; p<0.001) were found to be associated with HAR% ≥85% before surgery. Of the 332 cases treated with surgery, 272 cases (81.9%) were HAR% ≥85%, and 60 cases (18.1%) were HAR%<85% after surgery. Age ≤18 years old (p=0.011), male (p=0.014), absence of extra-ocular muscle deviation (p=0.002) and medial wall (vs medial wall and orbital floor with strut fracture; p=0.002) were found to be associated with HAR% ≥85% at 6 months post surgery. Conclusion Patients of younger age, male and those with absence of extraocular muscle deviation have better eye movements in the affected eye (increased HAR%) 6 months after surgery. Data sharing not applicable as no datasets generated and/or analysed for this study. No data are available.\",\"PeriodicalId\":9313,\"journal\":{\"name\":\"British Journal of Ophthalmology\",\"volume\":\"22 1\",\"pages\":\"\"},\"PeriodicalIF\":3.7000,\"publicationDate\":\"2025-05-02\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"British Journal of Ophthalmology\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1136/bjo-2025-327299\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"OPHTHALMOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"British Journal of Ophthalmology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1136/bjo-2025-327299","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"OPHTHALMOLOGY","Score":null,"Total":0}

引用次数: 0

摘要

背景/目的探讨眼眶骨折重建术后持续性复视的相关因素。方法回顾性分析京都府立医科大学附属医院2009年1月至2023年11月收治的798例凹陷性碎片骨折患者。采用赫斯面积比（Hess area ratio， HAR）评价眼外运动受限和复视情况。评估术前和术后6个月HAR%≥85%的因素。结果本组798例患者中，437例（54.8%）术前HAR%≥85%，361例（45.2%）术前HAR% <85%。年龄≤18岁（p=0.017），眶组织突出体积<中位数（p=0.001），无眼外肌偏曲（p<0.001）和内侧壁（vs内侧壁和眶底伴柱状骨折）；p<0.001)与术前HAR%≥85%相关。332例手术患者中，术后HAR%≥85% 272例（81.9%），术后HAR%<85% 60例（18.1%）。年龄≤18岁（p=0.011），男性（p=0.014），无眼外肌偏曲（p=0.002）、内侧壁(vs内侧壁、眶底伴支柱性骨折；p=0.002)与术后6个月HAR%≥85%相关。结论年轻、男性和无眼外肌偏曲的患者术后6个月患眼眼球运动较好（HAR%）。数据共享不适用，因为没有为本研究生成和/或分析数据集。无数据。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

Factors associated with diplopia before and after orbital blowout fracture reconstruction

Background/Aims To ascertain factors associated with persistent diplopia after orbital fracture reconstruction. Methods In this retrospective study, we reviewed 798 cases with depressed fragment fracture at the Department of Kyoto Prefectural University of Medicine Hospital between January 2009 and November 2023. The restriction of extraocular movements and diplopia was assessed using the Hess area ratio (HAR). The factors for HAR% ≥85% before surgery and 6 months after surgery were assessed. Results Of the 798 cases in this study, 437 cases (54.8%) had an HAR% of ≥85%, and 361 cases (45.2%) had an HAR% of <85% before surgery. Age ≤18 years old (p=0.017), orbital tissue herniation volume

求助全文

通过发布文献求助，成功后即可免费获取论文全文。去求助

来源期刊

British Journal of Ophthalmology 医学-眼科学

CiteScore

10.30

自引率

2.40%

发文量

213

审稿时长

3-6 weeks

期刊介绍： The British Journal of Ophthalmology (BJO) is an international peer-reviewed journal for ophthalmologists and visual science specialists. BJO publishes clinical investigations, clinical observations, and clinically relevant laboratory investigations related to ophthalmology. It also provides major reviews and also publishes manuscripts covering regional issues in a global context.

京公网安备 11010802042870号

Book学术文献互助群
群号：604180095