Management of diplopia in patients with blowout fractures.

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 Ophthalmol

authors

Ceylan OM,Uysal Y,Mutlu FM,Tuncer K,Altinsoy HI

doi

10.4103/0301-4738.86313

subject

Has Abstract

pub_date

2011-11-01 00:00:00

pages

461-4

issue

6

eissn

0301-4738

issn

1998-3689

pii

IndianJOphthalmol_2011_59_6_461_86313

journal_volume

59

pub_type

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