Diplopia After Orbital Floor Repair

Finally after attempting two revisions the surgeon referred the patient to dr.

Diplopia after orbital floor repair. After the initial surgery the patient had diplopia hyperglobus and cicatricial entropion. We retrospectively studied 54 patients who underwent repair of an orbital blowout fracture. 1 eye plastics and orbit service new england eye center tufts university school of medicine boston massachusetts usa. There was also a numbness in my left nostril and top lip.

Despite recent advances such as individually shaped titanium mesh implants 6 diplopia continues to affect 37 to 52 of. Patients were followed for a mean period of 10 5 months range 6 12 months. Nineteen 45 2 patients had orbital floor two 4 8 patients. All patients referred during a 2 year period because of persistent diplopia after surgical repair of orbital fracture were categorized according to the degree and pattern of ocular motility impairment on the basis of orthoptic examination 3 4 weeks postoperatively.

The eye may be proptotic or enophthalmic depending on the amount of edema causing proptosis and the size of the fracture larger fractures leading to enophthalmos. Tial postoperative complication the incidence of diplopia after surgical repair of orbital blowout fractures has not been well studied. In the management of orbital fractures surgical treatment is indicated in cases of severe diplopia enophthalmos or massive destruction of the orbital floor 1 2 3 fracture type 4 the timing of surgery 1 5 and the reconstructive material used6 7 affect outcome. Double vision after orbital floor fracture repair surgery.

She had an incarcerated inferior rectus muscle in the fracture causing diplopia in upgaze. To evaluate the incidence of residual diplopia and enophthalmos and the possible risk factors leading to their occurrence in patients who had orbital blowout fracture repair. An implant was put underneath the left eye. Double vision was apparent immediately upon waking up.

Immediately after an orbital floor fracture the affected eye may have impaired motility resulting in double vision. Forty two patients with pure orbital blowout fracture who had at least 6 months postoperative follow up were included in the study group. Cho who determined that the patient probably had not needed the orbital floor fracture repair in the first place. This video illustrates the use of porous polyethylene implant stabilized with cyanoacrylate glue to repair an orbital floor fracture by the transconjunctival technique in a 10 year old child who had sustained a facial trauma.

Diplopia after surgical repair of orbital floor fractures. All patients referred during a 2 year period because of persistent diplopia after surgical repair of orbital fracture were categorized according to the degree and pattern of ocular motility impairment on the basis of orthoptic examination 3 4 weeks postoperatively. This technique has many advantages including simplicity of continue reading. Repair surgery took place ten days after the assault.

Blowout fractures of the orbit are common sequelae to blunt facial trauma. Biesman bs 1 hornblass a lisman r kazlas m. A total of 47 of 54 86 patients had clinically significant diplopia.