Management of diplopia in patients with blowout fractures

Indian Journal of Ophthalmology

关键词: Myopia;    prethreshold retinopathy of prematurity;    retinopathy of prematurity;    Retinopathy of prematurity;    screening;    survey;    Anthrax;    community-acquired methicillin-resistant Staphyloccus aureus;    orbital cellulitis;    preseptal cellulitis;    Intrastromal corneal ring segments;    keraring;    post-LASIK ectasia;    Blebitis;    bleb leak;    microbiology;    ocular surface diseases;    risk factors;    Early glaucoma;    retinal nerve fiber layer thickness;    spectral optical coherence tomography / scanning laser ophthalmoscope;    Blowout;    diplopia;    prism;    strabismus;   

DOI  :  10.4103/0301-4738.86313

来源: DOAJ

【 摘 要 】

Purpose: To report the management outcomes of diplopia in patients with blowout fracture. Materials and Methods: Data for 39 patients with diplopia due to orbital blowout fracture were analyzed retrospectively. The inferior wall alone was involved in 22 (56.4%) patients, medial wall alone was involved in 14 (35.8%) patients, and the medial and inferior walls were involved in three (7.6%) patients. Each fracture was reconstructed with a Medpore® implant. Strabismus surgery or prism correction was performed in required patients for the management of persistent diplopia. Mean postoperative follow up was 6.5 months. Results: Twenty-three (58.9%) patients with diplopia underwent surgical repair of blowout fracture. Diplopia was eliminated in 17 (73.9%) patients following orbital wall surgery. Of the 23 patients, three (7.6%) patients required prism glasses and another three (7.6%) patients required strabismus surgery for persistent diplopia. In four (10.2%) patients, strabismus surgery was performed without fracture repair. Twelve patients (30.7%) with negative forced duction test results were followed up without surgery. Conclusions: In our study, diplopia resolved in 30.7% of patients without surgery and 69.2% of patients with diplopia required surgical intervention. Primary gaze diplopia was eliminated in 73.9% of patients through orbital wall repair. The most frequently employed secondary surgery was adjustable inferior rectus recession and <17.8% of patients required additional strabismus surgery.

【 授权许可】

Unknown