[Principles of treatment of traumatic orbit deformations during the late period (a 40-year experience)]

The treatment results of 1000 patients with traumatic orbit deformations covering a 40-year experience gathered by personnel of the chair for eye diseases of Sechenov's Moscow Medical Academy are presented. The authors define the key clinical symptoms of orbit trauma during the late period, i.e. enophthalmos, hypophthalmos and diplopia; pathogenetic motivations for the onset of the above symptoms are described. A scheme of complex treatment is suggested for patients with fractures in the orbit walls, including, with respect to individual indications, conservative therapy, restoration of the osseous orbit skeleton and myoplastic correction of residual diplopia. It is pointed out that, provided the scope and peculiarities of surgical treatment are correctly determined, the efficiency of treatment of patients with traumatic orbit deformations reaches 99.7%. Subsequent methods of optimizing the complex treatment of patients with fractures in the orbit walls are defined.