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Abstracts: Commentary
January 2002

Correlation of Preoperative Computed Tomography and Postoperative Ocular Motility in Orbital Blowout Fractures

Author Affiliations

Los Angeles, Calif


Los Angeles, Calif

Arch Facial Plast Surg. 2002;4(1):61-62. doi:

Harris GJ, Garcia GH, Logani SC, Murphy MLOphthal Plast Reconstr Surg. 2000;16:179-187

Purpose: To determine a relationship between preoperative soft tissue disruption and postoperative ocular motility in orbital blowout fractures.

Methods: This retrospective cohort study reviewed 30 patients who met all criteria: retrievable coronal computed tomography (CT) scans; internal fractures of the orbital floor, with or without medial wall extension; preoperative diplopia; repair by a single surgeon; complete release of entrapped tissues; and postoperative binocular visual fields (BVFs). Motility outcomes were quantified by one group of the authors, who measured the vertical fusion within BVFs. Other authors analyzed CT scans, designating each fracture as either A or B, based on lesser or greater soft tissue distortion relative to the configuration of bone fragments. The interval between trauma and surgery was also determined.

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