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.
Van Eeckhoutte
L
L
Dpt. of ophthalmology, Katholieke Universiteit Leuven.
Apers
R
R
De Clippeleir
L
L
Van Lammeren
M
M
Janssens
H
H
D004172:Diplopia / Q000209:etiology* / Q000601:surgery*; D005133:Eye Movements; D006801:Humans; D009801:Oculomotor Muscles / Q000601:surgery*; D009917:Orbital Fractures / Q000150:complications*