[Capabilities of physiotherapy for orbital trauma]

Area of Science:

• Ophthalmology
• Traumatology

Background:

• Injuries to the ocular adnexa, including orbital wall fractures and eyelid deformities, can result from blunt trauma.
• Conservative management strategies are employed for these conditions, but their efficacy requires thorough evaluation.

Purpose of the Study:

• To evaluate the effectiveness of conservative treatment for ocular adnexa injuries.
• To assess the resolution of orbital hemorrhage and improvement in binocular vision post-treatment.

Main Methods:

• Ophthalmological assessment in early and late periods post-trauma.
• Orbital computed tomography (CT) for fracture characterization.
• Physiotherapy using endonasal electrophoresis with proteolytic enzymes for hemorrhage.
• Binocular vision evaluation, measuring diplopia extent and area.

Main Results:

• Conservative treatment, including physiotherapy, was effective in managing orbital hemorrhage.
• Significant improvements in binocular vision were observed, indicated by reduced diplopia.
• Standard ophthalmological assessment and orbital CT provided comprehensive data on fracture and healing.

Conclusions:

• Conservative treatment is a viable option for ocular adnexa injuries, leading to positive functional outcomes.
• Physiotherapy plays a crucial role in resolving orbital hemorrhage and restoring visual function.
• Objective measurements of diplopia confirm treatment efficacy in patients with orbital trauma.