Abstract:
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.
journal_name
Indian J Ophthalmoljournal_title
Indian journal of ophthalmologyauthors
Ceylan OM,Uysal Y,Mutlu FM,Tuncer K,Altinsoy HIdoi
10.4103/0301-4738.86313subject
Has Abstractpub_date
2011-11-01 00:00:00pages
461-4issue
6eissn
0301-4738issn
1998-3689pii
IndianJOphthalmol_2011_59_6_461_86313journal_volume
59pub_type
杂志文章abstract::The case report incorporates a Fourier-domain optical coherence tomography (OCT) examination for demonstration of the existence of pre-Descemet's layer (PDL; Dua's layer) overlying a descemetocele and demonstrates predescemetocele as a separate clinical entity. The prospective analysis was done in two cases that had d...
journal_title:Indian journal of ophthalmology
pub_type: 杂志文章
doi:10.4103/ijo.IJO_492_17
更新日期:2017-11-01 00:00:00
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journal_title:Indian journal of ophthalmology
pub_type: 杂志文章
doi:10.4103/ijo.IJO_1030_17
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journal_title:Indian journal of ophthalmology
pub_type: 杂志文章
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更新日期:2020-12-01 00:00:00
abstract:BACKGROUND:Nonmydriatic digital imaging (NMDI) is ideal for screening diabetic retinopathy (DR), but its use in Indian eyes has not been evaluated. AIM:The aim was to evaluate the sensitivity and specificity of NMDI as a screening tool in detecting DR in Indian eyes. DESIGN:A prospective, nonrandomized, noncomparativ...
journal_title:Indian journal of ophthalmology
pub_type: 杂志文章
doi:10.4103/0301-4738.141039
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journal_title:Indian journal of ophthalmology
pub_type: 杂志文章
doi:
更新日期:1996-03-01 00:00:00
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journal_title:Indian journal of ophthalmology
pub_type:
doi:10.4103/ijo.IJO_1434_19
更新日期:2020-10-01 00:00:00
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更新日期:2008-03-01 00:00:00
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journal_title:Indian journal of ophthalmology
pub_type: 杂志文章
doi:10.4103/ijo.IJO_819_17
更新日期:2018-03-01 00:00:00
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journal_title:Indian journal of ophthalmology
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更新日期:2015-10-01 00:00:00
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pub_type: 杂志文章,随机对照试验
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更新日期:2019-03-01 00:00:00
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journal_title:Indian journal of ophthalmology
pub_type: 杂志文章,评审
doi:
更新日期:2001-03-01 00:00:00
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pub_type: 杂志文章,评审
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pub_type: 杂志文章,评审
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更新日期:2008-09-01 00:00:00
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pub_type: 杂志文章,多中心研究
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pub_type: 杂志文章
doi:10.4103/0301-4738.73730
更新日期:2011-01-01 00:00:00
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journal_title:Indian journal of ophthalmology
pub_type: 杂志文章
doi:
更新日期:2004-09-01 00:00:00
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更新日期:2019-08-01 00:00:00
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abstract:: ...
journal_title:Indian journal of ophthalmology
pub_type: 评论,信件
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journal_title:Indian journal of ophthalmology
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更新日期:1998-09-01 00:00:00
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更新日期:2000-03-01 00:00:00
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doi:
更新日期:2003-03-01 00:00:00
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journal_title:Indian journal of ophthalmology
pub_type: 杂志文章
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更新日期:2019-08-01 00:00:00
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journal_title:Indian journal of ophthalmology
pub_type: 杂志文章
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pub_type: 杂志文章
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更新日期:2010-05-01 00:00:00