Van Eeckhoutte L, Apers R, De Clippeleir L, Van Lammeren M, Janssens H
Dpt. of ophthalmology, Katholieke Universiteit Leuven.
Bull Soc Belge Ophtalmol. 1992;245:53-9.
We analyzed the files of 61 patients presenting with diplopia due to orbital fractures. Thirty-four patients needed a primary orbital reconstruction and this diminished the complaints of diplopia in most cases. In only 5 cases additional ocular surgery on the extra-ocular muscles was indicated. Of the 27 patients who did not require orbital surgery, 5 underwent extra-ocular muscle surgery to diminish diplopia. We present our guidelines for treatment, based on forced duction testing, ocular motility, primary position and field of binocular single vision.
我们分析了61例因眼眶骨折出现复视的患者档案。34例患者需要进行一期眼眶重建，多数情况下这减轻了复视症状。仅5例患者需要额外进行眼外肌手术。在27例不需要眼眶手术的患者中，5例接受了眼外肌手术以减轻复视。我们根据强迫牵拉试验、眼球运动、原在位和双眼单视野提出了治疗指南。
