*Department of Orbit, Oculoplasty, and Oncology, and †Department of Pediatric Ophthalmology and Strabismus, Aravind Eye Hospital, Madurai, Tamil nadu, India.
Ophthalmic Plast Reconstr Surg. 2014 Mar-Apr;30(2):e26-8. doi: 10.1097/IOP.0b013e31829164b2.
Pediatric orbital trauma with fracture involving the junction of roof and medial wall leading to superior oblique entrapment is rare. Here the authors report a case of orbital fracture at the junction of roof and medial wall with entrapment of the superior oblique muscle presenting clinically as canine tooth syndrome which was surgically released. Postoperatively, the ocular motility improved, and the patient was relieved of diplopia. They recommend early surgical exploration in such cases, which lead to successful resolution of diplopia.
小儿眶壁骨折,累及顶壁和内侧壁交界处,导致上斜肌嵌顿,较为罕见。作者报告了一例眶壁顶壁和内侧壁交界处骨折,伴有上斜肌嵌顿的病例,临床表现为犬齿综合征,手术松解。术后,眼球运动改善,患者复视症状缓解。他们建议对此类病例进行早期手术探查,这有助于成功解决复视问题。