The Results of Delayed Repair for Orbital Wall Fracture

ABSTRACT

We studied the therapeutic effects on delayed reduction of orbital wall fracture. From December 1991 to December 1996, 20 patients with orbital fracture were delayed repaired at Severance hospital. The common indications for reduction of orbital bone fractures were enophthalmos and critical diplopia. The difference of preoperative exophthalmometry between both eyes was 3.2mm on average, and that of postoperative exophthal-rnometry was 1.4mm on average. Most of the patients showed improveinent of diplopia with good motility except I patient with upward gaze diplopia and 3 patients with downward gaze diplopia. We drew conclusion that delayed reduction of orbital wall fracture would improve syniptoms, even if performed, delayed surgical intervention as late as 2 month after trauma.