Cigánek L, Voldrich Z, Lesták J
Ocní oddĕlení Ustrední vojenské nemocnice, Praha.
Cesk Oftalmol. 1990 Mar;46(2):139-44.
Based on their own experience with surgical treatment of 43 patients with fractures of the orbital floor, the authors discuss the problem of early operation in relation to the development of residual diplopia. They evaluate the functional result by the size of the visual field where diplopia occurred. In confirmed fractures of the orbit they recommend operation as early as possible after the injury. All patients were operated by the method of transantral reposition of the orbital floor. Satisfactory functional results were achieved in all operated patients. None of them had diplopia in the primary position of the eyes. The best results were achieved in patients operated early (residual diplopia in 10%), where none of the patients had diplopia in the visual field beneath 30 degrees.
基于对43例眶底骨折患者手术治疗的自身经验，作者探讨了早期手术与残余复视发生的关系问题。他们通过复视发生视野的大小来评估功能结果。对于确诊的眼眶骨折，他们建议伤后尽早手术。所有患者均采用经鼻窦眶底复位法进行手术。所有接受手术的患者均取得了满意的功能结果。他们在眼球原在位时均无复视。早期手术的患者取得了最佳效果（残余复视率为10%），其中在30度以下视野范围内无患者出现复视。
