Management of diplopia in patients with blowout fractures.
Indian J Ophthalmol
;
2011 Nov; 59(6): 461-464
Article
in English
| IMSEAR
| ID: sea-136228
ABSTRACT
Purpose:
To report the management outcomes of diplopia in patients with blowout fracture. Materials andMethods:
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.
Full text:
Available
Index:
IMSEAR (South-East Asia)
Main subject:
Orbital Fractures
/
Ophthalmologic Surgical Procedures
/
Aged
/
Humans
/
Male
/
Child
/
Child, Preschool
/
Retrospective Studies
/
Follow-Up Studies
/
Adolescent
Type of study:
Observational study
/
Prognostic study
/
Risk factors
Language:
English
Journal:
Indian J Ophthalmol
Year:
2011
Type:
Article
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