Residual Diplopia and Enophthalmos after Reconstruction of Orbital Wall Fractures.

Hwang, Jung Hyuk; Kwak, Mi Seon

Original Article

Journal of the Korean Ophthalmological Society 2003;44(9):1959-1965.
Published online September 1, 2003.

Residual Diplopia and Enophthalmos after Reconstruction of Orbital Wall Fractures.

Jung Hyuk Hwang, Mi Seon Kwak

Department of Ophthalmology, Daegu Fatima Hospital, Daegu, Korea. MSKWAK66@orgio.net

안와골절복원술 후의 복시와 안구함몰

황중혁 ( Hwang Jung Hyeog ) , 곽미선 ( Gwag Mi Seon )

Abstract

PURPOSE
We evaluated the risk factors and related results of residual diplopia and enophthalmos in patients who had orbital wall fracture repair. METHODS: 50 patients with orbital wall fracture who were followed up for at least 6 months postoperatively were included in this study. We analyzed effects of the patient age, timing of surgery, size and location of fracture on development of postoperative diplopia and enophthalmos. RESULTS: 32 patients had diplopia and 16 patients had enophthalmos greater than 2 mm. Among 32 patients with preoperative diplopia, 9 patients experienced postoperative diplopia. Among 16 patients with preoperative enophthalmos, 5 patients experienced postoperative enophthalmos. Delayed timing of surgery was a significant factor for development of postoperative diplopia and enophthalmos. Age of the patients and fracture size were not significant factors for development of postoperative diplopia and enophthalmos. CONCLUSIONS: Early surgical repair of orbital wall fractures decreases the incidence of residual diplopia and enophthalmos. Preoperative assessment of multiple variables could help to achieve cosmetical and functional better results.

Key Words: Blowout fractures;Diplopia;Enophthalmos