안와골절 환자에서 수술 전후의 복시와 안구회선의 비교

다국어 초록 (Multilingual Abstract)

Purpose: We compared ocular torsion rates in blow-out fracture patients before and after blowout fracture repair by analyzingmean disc foveal angles.
Methods: The study participants were divided into 2 groups: blow-out fracutre repair patients (n = 36) and controls (n = 36). We measured ocular torsion rates by analyzing mean disc foveal angle. The angle was composed of 2 imaginary horizontal lines which crossed the optic disc center and fovea. We compared statistically ocular torsion rates in blow-out fracture patients based on subsided diplopia, continued diplopia, or absence of diplopia before and after blow-out fracture repair using paired t-test.
Results: In the patient group, ocular torsion rates were statistically significantly decreased. In the blow-out fracture repair group with subsided diplopia, ocular torsion rates were decreased statistically from 7.74 ± 3.48 degrees before blow-out fracture repair to 5.02 ± 3.11 degrees after blow-out fracture repair. In the blow-out fracture repair group with continued diplopia or absence of diplopia before surgery, ocular torsion rates did not change statistically significantly from 6.36 ± 2.80 degrees before blow-out fracture repair to 6.51 ± 3.24 degrees after blow-out fracture repair.
Conclusions: Subsided diplopia after blow-out fracture repair and ocular torsion rate changes were significantly related in blow-out fracture patients. Further research which on the correlation of intraorbital change and movement of orbital position after blow-out fracture repair with ocular torsion rates are necessary.

참고문헌 (Reference)

1 이현주, "집단검진 환자에서 측정한 안구회선의 범위" 대한안과학회 46 (46): 1684-1689, 2005

2 김은희, "안저사진촬영시 주시 유무에 따른 안구 회선의 차이" 대한안과학회 47 (47): 449-17, 2006

3 김형은, "안와골절정복술 후 전산화단층촬영으로 측정한 외안근의 크기에 관한 연구" 대한안과학회 50 (50): 1447-1454, 2009

4 황중혁, "안와골절복원술 후의 복시와 안구함몰" 대한안과학회 44 (44): 1-1965, 2003

5 이승재, "안와골절 환자에서 수술 전 임상 양상과 수술 후 안구운동 회복과의 관계" 대한안과학회 42 (42): 1202-1209, 2001

6 강효정, "복시가 동반된 안와골절 환자의 임상양상" 대한안과학회 50 (50): 969-975, 2009

7 박가희, "변형된 하라다-이토 수술 후 안구회선의 교정효과" 대한안과학회 53 (53): 565-571, 2012

8 Pearl RM., "Treatment of enophthalmos" 19 : 99-111, 1992

9 Iliff NT., "The ophthalmic implications of the correction of late enophthalmos following severe midfacial trauma" 89 : 477-548, 1991

10 Kim SK., "The clinical study of treatment of blowout fracture" 36 : 1629-1635, 1995

11 Burres SA., "Repair of orbital blowout fractures with Marlex mesh and Gelfilm" 91 : 1881-1886, 1981

12 Joseph JM., "Orbital fractures : a review" 5 : 95-, 2011

13 Converse JM., "Orbital blowout fractures : a ten-year survey" 39 : 20-36, 1967

14 Kushner BJ., "Observations about objective and subjective ocular torsion" 116 : 2001-2010, 2009

15 Thiagarajah C., "Medial wall fracture : an update" 2 : 135-139, 2009

16 Ceylan OM., "Management of diplopia in patients with blowout fractures" 59 : 461-464, 2011

17 Poeschl PW., "Functional outcome after surgical treatment of orbital floor fractures" 16 : 1297-1303, 2012

18 Kim HW., "Clinical analysis of blow-out fracture with ocualr motion limitation : comparison of surgical and conservative treatment" 40 : 632-638, 1999

19 Kothari MT., "Can ocular torsion be measured using the slitlamp biomicroscope?" 53 : 43-47, 2005

20 Bixenman WW., "Apparent foveal displacement in normal subjects and in cyclotropia" 89 : 58-62, 1982

21 Cha MB., "Analysis of ocular motility disturbance remained after open reduction in orbital wall fracture" 38 : 1885-1891, 1997