Leone C R, Lloyd W C, Rylander G
Am J Ophthalmol. 1984 Mar;97(3):349-56. doi: 10.1016/0002-9394(84)90635-4.
We treated ten patients with medial wall fractures, five of whom had concomitant floor fractures. The most consistent preoperative findings were restriction in abduction with retraction of the globe and limitation in adduction. A direct medial canthal surgical approach provided adequate exposure for removing incarcerated tissue as well as covering the defect with a thin silicone implant. There were no surgical complications or evidence of implant migration, the longest follow-up being two years. Of the ten patients, six had satisfactory results with full or nearly full ductions, one was orthophoric in the primary position but still had significant restriction in abduction, and three had persistent diplopia in the primary position.
我们治疗了10例内侧壁骨折患者，其中5例伴有眶底骨折。最一致的术前表现是眼球外展受限并伴有眼球后缩以及内收受限。直接的内眦部手术入路能提供足够的暴露，以去除嵌顿组织并使用薄硅胶植入物覆盖缺损。没有手术并发症或植入物移位的迹象，最长随访时间为两年。10例患者中，6例结果满意，眼球运动完全或几乎完全正常；1例在第一眼位为正位，但外展仍有明显受限；3例在第一眼位持续存在复视。
