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Controlled correction of diplopia and eye muscle imbalance in orbital and zygomatic fractures

1958; Elsevier BV; Volume: 96; Issue: 6 Linguagem: Inglês

10.1016/0002-9610(58)90990-5

1879-1883

Rudolph H. Pelzer, William J. Garvin,

Traumatic Ocular and Foreign Body Injuries

Abstract 1. 1. Fractures of the orbital floor may occur clinically without fracture of the orbital rim or zygomatic compound. 2. 2. Diagnosis of isolated orbital floor fracture involves a history of trauma, x-ray findings and visual dysfunction. 3. 3. Treatment is best undertaken with the patient under local anesthesia and the assistance of an ophthalmologist to check the vision and muscle balance before, during and after the procedures. In this manner both undercorrection and overcorrection can be avoided. 4. 4. Elevation of the orbital floor to a proper level for vision is feasible by antral packing if the primary attention is focused on achieving correction in vision and facial contour at the operating table. The need for early bone grafting and antral devices should be re-evaluated. 5. 5. If the fracture of the orbital border is associated with fracture of the zygomatic compound, even late reduction without an antral approach may give satisfactory vision.