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Posttraumatic enophthalmos and diplopia.

R H Mathog, K F Archer, F A Nesi

    Otolaryngology--Head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery
    |January 1, 1986
    PubMed
    Summary
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    Orbital injuries can cause globe malposition and double vision. Strategic autogenous bone grafting improved these conditions in most patients, with vision maintained or enhanced in many.

    Area of Science:

    • Ophthalmology
    • Plastic Surgery
    • Reconstructive Surgery

    Background:

    • Late-occurring complications of orbital injury include globe malposition and impaired visual fusion.
    • Specific sequelae such as enophthalmos, hypophthalmos, and diplopia can significantly impact patient quality of life.

    Purpose of the Study:

    • To review the causes of late orbital injury complications.
    • To describe a surgical technique using autogenous bone grafts for correction.
    • To evaluate the efficacy of this surgical procedure.

    Main Methods:

    • Review of causes for specific orbital sequelae.
    • Description of a strategic autogenous bone graft implantation procedure.
    • Quantifiable assessment of globe position and motility pre- and post-operatively.

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    Main Results:

    • Significant improvement in globe position and motility in 18 out of 19 patients.
    • Vision remained unchanged or improved in 13 of the sighted patients.
    • Case examples with photographic analysis demonstrating surgical outcomes.

    Conclusions:

    • Strategic autogenous bone grafting is an effective method for correcting late-developing globe malposition and related complications after orbital injury.
    • The procedure offers a viable option with favorable outcomes regarding ocular motility and position.
    • Further comparison with alternative surgical techniques is warranted.