Gradual oculomotor training in blow-out orbital fracture reconstruction recovery. Issue 4 (October 2020)

• Record Type: Journal Article
• Authors: Zeng, Changjuan; Fan, Chengjing; Liu, Jinlin; Xiao, Qiong; Zhu, Yiwen; Song, Xuefei; Chen, Huifang
• Is Part Of: Journal of international medical research. Volume 48:Issue 4(2020)
• Publication Date: 2020-10
• Subjects: Oculomotor training -- diplopia -- reconstruction -- blow-out orbital fracture -- personal satisfaction -- pain management -- pain -- ophthalmologic surgical procedures -- postoperative period -- wound healing; Medicine -- Periodicals; Pharmacology -- Periodicals; 610.5
• DOI: 10.1177/0300060519893846
• Languages: English
• ISSNs: 0300-0605

Abstract

Objective: This study compared the impact of gradual oculomotor training (GOT) in blow-out orbital fracture (BOF) reconstruction recovery with the impact of high-intensity trainings. Methods: In total, 120 patients with BOF requiring orbital reconstruction surgery were randomly divided into four groups; all groups performed postoperative oculomotor training four times per day. Patients in Groups 1, 2, 3, and 4 performed 10, 20, 30, and 50 sets of all-direction movement per training on the first 3 days, respectively; they performed 10 additional sets per training on the following 4 days. Patients in all groups performed 50 sets per training from 8 days to 3 months postoperatively. Incision healing, pain, and satisfaction rate, as well as degree of diplopia, were recorded during follow-up. Results: At 7 days postoperatively, more patients in Group 1 had no/mild swelling and no/mild pain, compared with patients in Group 4. Patients in Groups 1 and 2 had higher satisfaction rates than patients in Group 4. The degree of diplopia did not significantly differ among the groups. Conclusions: For patients with BOF, GOT after reconstruction surgery was more beneficial for wound healing, pain relief, and satisfaction; the degree of diplopia did not significantly differ, compared with high-intensity trainings.