title: Silicone spacer repair of medial rectus after iatrogenic orbit fracture.
abstract: A 51-year-old woman underwent endoscopic nasal polypectomy and ethmoidectomy with accidental entry into the right orbit causing enophthalmos and transection of the medial rectus muscle (MR). The repair of a fracture and of a damaged MR is technically challenging, particularly when large portions of bone and muscle are missing. We report a rare case of repair of the bony defect with an implant and reattachment of the MR with a silicone retina band, through a combined transcaruncular and transconjunctival approach. Postoperatively, the patient had residual enophthalmos and strabismus; further surgical options are discussed.
authors.affiliation: Department of Ophthalmology and Visual Sciences, University of Illinois at Chicago, Chicago, Illinois 60612, USA. mkrakauer@hotmail.com
authors.forename: Mark
authors.initials: M
authors.lastname: Krakauer
authors.forename: Vinay K
authors.initials: VK
authors.lastname: Aakalu
authors.forename: Patricia L
authors.initials: PL
authors.lastname: Davis
authors.forename: Amjad Z
authors.initials: AZ
authors.lastname: Ahmad
mesh_terms: D004724:Endoscopy; D015841:Enophthalmos / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery; D005004:Ethmoid Bone / Q000601:surgery; D005260:Female; D006801:Humans; D007049:Iatrogenic Disease; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D009298:Nasal Polyps / Q000601:surgery; D009801:Oculomotor Muscles / Q000000981:diagnostic imaging / Q000293:injuries / Q000601:surgery*; D009917:Orbital Fractures / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D019736:Prostheses and Implants; D012826:Silicone Elastomers; D013536:Suture Techniques; D014057:Tomography, X-Ray Computed
chemical_list: D012826:Silicone Elastomers