Page 112 - Advanced concepts in orbital wall fractures
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Chapter 6
the nonsurgical group was 92.6 (SD 2.7) and 93.8 (SD 10.8), respectively. In the surgical group eight patients had diplopia at their last visit - two in extreme upward gaze (score 1), four in upward gaze (score 1+2) and two in extreme upward and downward gaze. Mean BSV and QoL scores for the surgical group were 88.7 (SD 11.6) and 85.7 (SD 20.4), respectively. For the eight patients with diplopia mean BSV score was 83.0 (SD 10.1) and mean QoL score 78.2 (SD 23.7).
There was a maximum QoL score for 11 of the patients at their last visit. Five of the patients with diplopia in both groups experienced no subjective diplopia.
Mean vertical duction difference was -0.8 (SD 4.6) degrees for the nonsurgical group and -11.5 (SD 11.4) degrees for the surgical group. Mean horizontal duction difference was 0.1 (SD 3.7) degrees for the nonsurgical group and -2.8 (SD 4.3) degrees for the surgical group.
The mean enophthalmos was -0.76 (SD 0.67) mm and -0.58 mm (SD 0.67) for the nonsurgical and surgical group, respectively. Two patients had enophthalmos at first presentation and one patient after 2 weeks. There were no patients with significant enophthalmos at the end of follow-up.
Fifteen of all patients had one or more other complaints at their last control visit. The complications or sequelae were hypesthesia of the infraorbital nerve (eleven patients), pain (five patients), epiphora (one patient), elevated intraocular pressure (one patient) and mydriasis (one patient). Pain was observed in maximum duction or due to hyperesthesia of the infraorbital nerve.
BSV score during follow-up
There was a significant improvement (p=0.00) of BSV scores during follow-up in both nonsurgical and surgical groups (Table 4). There was a significant improvement (p=0.00) between 2-week to 3-month control visits in the nonsurgical group. Minimum score at first presentation was 34 in the nonsurgical group and 0 in the surgical group. Maximum score at first presentation was 100 in the nonsurgical group and 85 in the surgical group.
