title: Resolution of diplopia after repair of the deep orbit.
abstract: The degree of resolution of diplopia after repair of a blow-out fracture of the orbital floor varies and depends on many factors. We present six patients, each of whom had extensive fractures of the floor of the orbit that extended posteriorly to its anatomical limit. The mean (range) time for the resolution of diplopia after reconstruction was 4.4 (1-7) months. We think that its slow resolution in these patients may require preoperative counselling, and also the postoperative management of patients with extensive disruptions of the floor of the orbit posterior to the anterior limit of the inferior orbital fissure (within the deep orbit) must be carefully planned.
authors.affiliation: Department of Ophthalmology, Torbay General Hospital NHS Trust, Lawes Bridge, Torquay TQ2 7AA, UK. tamsinsleep@doctors.org.uk
authors.forename: T J
authors.initials: TJ
authors.lastname: Sleep
authors.forename: B T
authors.initials: BT
authors.lastname: Evans
authors.forename: A A C
authors.initials: AA
authors.lastname: Webb
mesh_terms: D000328:Adult; D000368:Aged; D001860:Bone Plates; D016025:Bone Transplantation; D004172:Diplopia / Q000628:therapy*; D015841:Enophthalmos / Q000209:etiology; D005099:Exotropia / Q000209:etiology; D005133:Eye Movements / Q000502:physiology; D005500:Follow-Up Studies; D018460:Fractures, Comminuted / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D009917:Orbital Fractures / Q000601:surgery*; D010292:Paresthesia / Q000209:etiology; D010347:Patient Care Planning; D011183:Postoperative Complications; D019651:Plastic Surgery Procedures / Q000379:methods; D013285:Strabismus / Q000209:etiology; D014057:Tomography, X-Ray Computed; D014182:Transplantation, Autologous; D015051:Zygomatic Fractures / Q000601:surgery