title: Vertical orbital dystopia.
abstract: Many pathologic processes may lead to vertical orbital dystopia. We reviewed 47 consecutive cases seen over a 13-year period. Twenty-nine patients underwent eye leveling procedures to improve cosmesis, 2 of these by camouflage procedures and 27 by orbital translocation. Ten patients had 16 secondary operations. There was one death, serious complications occurred in 3 patients, and nuisance complications occurred in 20 others. Seven patients developed diplopia postoperatively, and in 6 patients it was troublesome. In these, it resolved fully in 2 patients, improved to be of no consequence in 2, and in the remaining 2 troublesome symptoms persisted requiring inferior oblique muscle recession in 1. Binocular vision was never restored when not present preoperatively, and in 3 patients temporary loss occurred. There was an overall modest but significant improvement in appearance after surgery. It is concluded that vertical orbital translocation is rewarding and worthwhile.
authors.affiliation: Oxford Craniofacial Unit, Radcliffe Infirmary, England.
authors.forename: S T
authors.initials: ST
authors.lastname: Tan
authors.forename: G
authors.initials: G
authors.lastname: Ashworth
authors.forename: S
authors.initials: S
authors.lastname: Czypionka
authors.forename: M D
authors.initials: MD
authors.lastname: Poole
authors.forename: M
authors.initials: M
authors.lastname: Briggs
mesh_terms: D000015:Abnormalities, Multiple; D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D003394:Craniofacial Dysostosis / Q000601:surgery*; D005260:Female; D006053:Goldenhar Syndrome / Q000601:surgery; D006801:Humans; D007223:Infant; D008297:Male; D008875:Middle Aged; D009915:Orbit / Q000002:abnormalities* / Q000601:surgery*; D011183:Postoperative Complications; D013518:Surgery, Plastic / Q000379:methods; D014786:Vision Disorders / Q000209:etiology