Impact of surgical timing of postoperative ocular motility in orbital blowout fractures

Abstract

Objectives: The aim of the current study was to determine whether, using the Hess area ratio for an objective measurement of ocular motility, orbital blowout fractures should be surgically repaired. Methodology: 200 consecutive patients with ocular fractures were involved in this retrospective analysis (mean age: 27.0 years; range: 7-65 years; 150 males; 50 females). Between March 2009 and September 2017, all patients received an orbital fracture diagnosis at the Zia Uddin Hospital in Karachi, Pakistan's Department of Maxillofacial Surgery. All patients had surgery to correct the problem within 30 days of their diagnoses, and they were all monitored for at least three months afterward (mean follow-up time: 7.3 months; range: 4-60 months). Results: Out of the 200 instances, 155 patients (77.5%) had fractures of the orbital floor, 31 (15.5%) had fractures of the medial orbital wall, and 14 (7%) had fractures of both the medial and lateral orbital walls. In addition, 132 patients had fractures of the orbital depressed fragment, 58 had fractures of the orbital trap-door with imprisoned tissue, and 10 had fractures of the orbital trap-door with muscle entrapment.