Müller-Jensen K, Schneider H U
Klin Monbl Augenheilkd. 1975 Oct;167(4):596-600.
Blunt trauma can lead to intra-orbital haemorrhage, which cause motility and sensibility disturbances typically found also in orbit-floor fracture. When there is also a fracture present, it can be problematic to give the function deficiencies their right causes. Spontaneous improvement of the defiencies can be expected in a reasonable percentage of cases. Operative revision therefore should not be performed in cases of doubt, or in any case not earlier than 14 days after the injury. In a severe stove-in orbit with enophthalmos and double vision the operation should be preformed within the first week. In some cases, however, residual diplopia can be expected in spite of optimal early therapy.
钝性创伤可导致眶内出血，这会引起通常在眶底骨折中也会出现的眼球运动和感觉障碍。当同时存在骨折时，明确功能缺陷的真正病因可能会有困难。在相当一部分病例中，功能缺陷有望自发改善。因此，在存在疑问的情况下不应进行手术修复，或者无论如何都不应在受伤后14天内进行。在严重的凹陷性眼眶伴有眼球内陷和复视的情况下，手术应在第一周内进行。然而，在某些情况下，尽管早期进行了最佳治疗，仍可能会残留复视。
