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Orbital Floor Implant Causing Loss of Parasympathetic Lacrimal Gland Innervation
Nayasha S Madhan1, Raymond I Cho
1Department of Ophthalmology and Visual Science, The Ohio State University Wexner Medical Center and The Ohio State University Comprehensive Cancer Center - James Cancer Hospital and Solove Research Institute, Columbus, Ohio, U.S.A.
Abstract:
Many postoperative complications are known to occur as a result of orbital floor fracture repair, but loss of lacrimal gland function has not been reported. The authors present a patient who lost reflex tearing after undergoing orbital floor fracture repair by an outside surgeon. CT scan showed placement of the posterolateral edge of the implant through the inferior orbital fissure, which presumably transected the parasympathetic fibers innervating the lacrimal gland.
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