COORDIMETRY IN DIAGNOSIS OF OCULOMOTOR DISORDERS IN PATIENTS WITH ‘BLOW-UP’ ORBITAL FRACTURES: CASE REPORTS

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Abstract

We report three cases of ‘blow-up’ orbital fractures before and after the surgery. Differential diagnosis of consequences and complications of orbital fractures as well as detection of oculomotor muscles damage are discussed. Restoration of function of oculomotor muscles was monitored after the surgery. To detect the causes of restricted motion of eye bulb and diplopia, coordimetry was used. Coordimetric method was useful in determining nature and localization of oculomotor muscles damage. Repeated coordimetry allowed monitoring of restoration of oculomotor muscles function during treatment and rehabilitation periods in patients with consequences and complications of mid-facial trauma.

About the authors

V. Yu. Kokorev

Moscow Regional Research and Clinical Institute (MONIKI)

Email: fake@neicon.ru

MD, PhD, Physician, Ophthalmology Department

Russian Federation

A. A. Ryabtseva

Moscow Regional Research and Clinical Institute (MONIKI)

Email: fake@neicon.ru

MD, PhD, Professor, the Head of the Ophthalmology Department

Russian Federation

V. A. Stuchilov

Moscow Regional Research and Clinical Institute (MONIKI)

Author for correspondence.
Email: va-stuchilov@yandex.ru

MD, PhD, Professor, Chief Research Associate, Oral and Maxillofacial Surgery Department

Russian Federation

K. S. Larionov

Moscow Regional Research and Clinical Institute (MONIKI)

Email: fake@neicon.ru

MD, PhD, Senior Research Associate, Physical Therapy and Rehabilitation Department

Russian Federation

A. S. Grishin

District Hospital No. 2

Email: fake@neicon.ru

MD, Oral and Maxillofacial Surgery

Russian Federation

References

  1. Груша ОВ, Луцевич ЕЭ, Груша ЯО. Принципы лечения травматических деформаций орбиты в позднем периоде (40-летний опыт). Вестник офтальмологии. 2003;(4):33–5. (Grusha OV, Lutsevich EE, Grusha YaO. [Principles of delayed treatment of traumatic orbital deformations]. Vestnik oftal’mologii. 2003;(4):33–5. Russian).
  2. Калачев ИИ, Гончаренко СА, Плосконос ГА. Объективная коордиметрия. Офтальмологический журнал. 1980;(5):32–5. (Kalachev II, Goncharenko SA, Ploskonos GA. [Objective coordimetry]. Oftal’mologicheskiy zhurnal. 1980;(5):32–5. Russian).
  3. Ипполитов ВП, Мариничева ИГ. Анализ отдаленных результатов хирургического лечения посттравматических деформаций лобно-носо-глазничного комплекса. В: Материалы VII Международной конференции челюстно-лицевых хирургов и стоматологов. Санкт-Петербург, 28–30 мая 2012 г. СПб.;2002:69. (Ippolitov VP, Marinicheva IG. Analysis of the long-term results of surgical correction of post-traumatic deformations of frontal-nasalorbital complex. In: Proceedings of the VII International Conference of Oral and Maxillofacial Surgeons and Dentists. Saint Petersburg; 2002:69. Russian).
  4. Николаенко ВП, Астахов ЮС. Орбитальные переломы: руководство для врачей. СПб.: Эко-вектор; 2012. 436 с . (Nikolaenko VP, Astakhov YuS. Orbital facial fractures: physician guidance. Saint Petersburg: Eko-vektor; 2012. 436 p. Russian).
  5. Weaver AA, Loftis KL, Tan JC, Duma SM, Stitzel JD. CT Based Three-Dimensional Measurement of Orbit and Eye Anthropometry. Invest Ophthalmol Vis Sci. 2010;51(10):4892–7.
  6. Burnstine MA. Clinical recommendations for repair of orbital facial fractures. Curr Opin Ophthalmol. 2003;14(5):236–40.
  7. Ploder O, Klug C, Voracek M, Burggasser G, Czerny C. Evaluation of computer-based area and volume measurement from coronal computed tomography scans in isolated blowout fractures of the orbital floor. J Oral Maxillofac Surg. 2002;60(11):1267–72; discussion 1273–4.

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Copyright (c) 2015 Kokorev V.Y., Ryabtseva A.A., Stuchilov V.A., Larionov K.S., Grishin A.S.

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