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Role of orthoptics and scoring system for orbital floor blowout fracture:surgical or conservative treatment

International Journal of Ophthalmology(English edition) 2021年第12期14卷 1928-1934页

作者： Juraj Timkovic jiri stransky Katerina Janurova Petr Handlos Jan Stembirek Clinic of Ophthalmology University Hospital Ostrava17.Listopadu 1790/5Ostrava 70852Czech Republic Department of Craniofacial Surgery Faculty of MedicineOstrava UniversitySyllabova 19Ostrava 70300Czech Republic Clinic of Oral and Maxillofacial Surgery University Hospital Ostrava17.Listopadu 1790/5Ostrava 70852Czech Republic IT4Innovations VSB-Technical University of OstravaStudentská6231Ostrava 70833Czech Republic Department of Forensic Medicine University Hospital Ostrava17.Listopadu 1790/5Ostrava 70852Czech Republic Laboratory of Molecular Morphogenesis Institute of Animal Physiology and Genetics CASVeveří97Brno 60200Czech Republic

AIM:To assess the role of orthoptics in referring patients with orbital floor blowout fracture(OFBF)for conservative or surgical treatment and based on the results,to propose a scoring system for such decision making.METHODS:A retrospective analysis of 69 patients with OFBF was performed(35 treated conservatively,34 surgically).The role of orthoptics in referring to surgery or conservative treatment was retrospectively evaluated,the factors with the highest significance for decision making were identified,and a scoring system proposed using Logistic regression.RESULTS:According to defined criteria,the treatment was unsuccessful in 2(6%)surgically treated and only in one(3%)conservatively treated patient.The proposed scoring system includes the defect size and several values resulting from the orthoptic examination,the elevation of the eyebulb measured on Lancaster screen being the most significant.CONCLUSION:The study demonstrates the benefits of orthoptic examination when making decisions on conservative or surgical treatment and for diagnosing ocular motility disorder(with or without binocular diplopia)in OFBF patients.The proposed scoring system could,following verification in a prospective study,become a valuable adjunctive tool.

关键词： orbital floor blowout fracture scoring system orthoptics ocular motility diplopia conservative treatment surgical treatment

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疯狂英语（阅读版） 2011年第7期 4-8页

作者： Tanner stransky 小肥羊

娱乐圈讲究“折腾”。能一步到位的事情绝对要来个“九曲十八弯”——这样才能满足平凡大众“猎奇”的心理。身为“圈内人”首要具备的就是“娱乐精神”，也就是“娱人”——身世要离奇，经历要跌宕，如《西游记》的主角们那般经历九九... 详细信息

娱乐圈讲究“折腾”。能一步到位的事情绝对要来个“九曲十八弯”——这样才能满足平凡大众“猎奇”的心理。身为“圈内人”首要具备的就是“娱乐精神”，也就是“娱人”——身世要离奇，经历要跌宕，如《西游记》的主角们那般经历九九八十一难之后“风凰涅榘，浴火重生”就堪称“娱人”经典了。若按此标准，克里斯蒂娜·阿奎莱拉则显得太过“普通”。其实，她不是没有过“娱人”行径、耍过性感、玩过出位，但是与同时期的布兰妮·斯皮尔斯相比，她的娱乐精神却总抓不住最多人的关注目光。今天，布兰妮·斯皮尔斯重新出发，而克里斯蒂娜·阿奎莱拉却跌至谷底。俗语说：“福无重至，祸不单行。”接连犯错，克里斯蒂娜·阿奎莱拉成为了“公众敌人”，有人预言她“大限将至”，有人却力挺她会渡过难关。而我对此抱乐观态度，因为“劫后余生”这种戏码最是励志，也最具有“娱乐精神”。毕竞，身处这个圈子，“娱乐大家”才是“圈内人”的工作。

关键词：克里斯蒂娱乐精神《西游记》乐观态度娱乐圈皮尔斯布兰妮娱人

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