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Ophthalmologists interpreting the radiographs appeared to be guided by the presence or absence of physical signs. No patient in whom they overlooked a fracture which was not evident clinically was subsequently referred for surgery. All patients who did have surgery for complications of a blow-out fracture underwent pre-operative computed tomography. Neither referral for orthoptic treatment nor administration of systemic antibiotics was consistently influenced by the presence or absence of a fracture. Given these findings, and the observation that the decision to operate was guided exclusively by clinical rather than radiological criteria, we recommend that only patients with well-defined indications for surgery (enophthalmos of more than 2 mm at any time within the first 6 weeks following the injury, and\/or diplopia in the primary and\/or downgaze reading positions not showing evidence of resolving within 2 weeks of the injury) should undergo radiography.<\/jats:p>","DOI":"10.1259\/bjr.70.829.9059291","type":"journal-article","created":{"date-parts":[[2014,6,13]],"date-time":"2014-06-13T01:58:54Z","timestamp":1402624734000},"page":"29-33","source":"Crossref","is-referenced-by-count":15,"title":["The role of plain radiography in the management of suspected orbital blow-out fractures."],"prefix":"10.1093","volume":"70","author":[{"given":"J","family":"Bhattacharya","sequence":"first","affiliation":[{"name":"Departments of Radiology"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"I F","family":"Moseley","sequence":"additional","affiliation":[{"name":"Departments of Radiology"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P","family":"Fells","sequence":"additional","affiliation":[{"name":"Departments of Ocular Motility, Moorfields Eye Hospital, City Road , London EC1V 2PD, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2014,1,28]]},"reference":[{"key":"p_2","first-page":"24","volume":"17","author":"Wynick D","year":"1985","journal-title":"Health Trends"},{"key":"p_3","volume-title":"Making the Best Use of a Department of Clinical Radiology. 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