Management of diplopia on down-gaze following orbital trauma.
Diplopia in the inferior field due to orbital trauma is a notoriously difficult and disabling problem. Even if a blow-out fracture is repaired by current methods, patients may still have diplopia. There also exists another group in whom no demonstrable radiological fracture can be found, and yet there is a severe down gaze deficit. The possible mechanisms of this phenomenon are discussed and the results of horizontal muscle transposition surgery in a series of nine patients is reported. The authors conclude that this procedure is a valuable method of increasing the useful field of binocular single version in these patients.
Lipton
J R
JR
Moorfields Eye Hospital, London.
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A B
AB
Lee
J P
JP
D000293:Adolescent; D000328:Adult; D002648:Child; D004172:Diplopia / Q000209:etiology / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009801:Oculomotor Muscles / Q000601:surgery*; D009917:Orbital Fractures / Q000150:complications*; D014794:Visual Fields