Surgery on the extra-ocular muscles after orbital fracture.
We analyzed the files of 61 patients presenting with diplopia due to orbital fractures. Thirty-four patients needed a primary orbital reconstruction and this diminished the complaints of diplopia in most cases. In only 5 cases additional ocular surgery on the extra-ocular muscles was indicated. Of the 27 patients who did not require orbital surgery, 5 underwent extra-ocular muscle surgery to diminish diplopia. We present our guidelines for treatment, based on forced duction testing, ocular motility, primary position and field of binocular single vision.
Dpt. of ophthalmology, Katholieke Universiteit Leuven.
L
L
Van Eeckhoutte
R
R
Apers
L
L
De Clippeleir
M
M
Van Lammeren
H
H
Janssens
D004172:Diplopia / Q000209:etiology* / Q000601:surgery*; D005133:Eye Movements; D006801:Humans; D009801:Oculomotor Muscles / Q000601:surgery*; D009917:Orbital Fractures / Q000150:complications*