Management of diplopia on down-gaze following orbital trauma

• Published in: Eye (London) Vol. 4; no. 4; pp. 535 - 537
• Main Authors: LIPTON, J. R, PAGE, A. B, LEE, J. P
• Format: Journal Article
• Language: English
• Published: Basingstoke Nature Publishing Group 01-01-1990
• Subjects: Adolescent; Adult; Biological and medical sciences; Child; Diplopia - etiology; Diplopia - surgery; Female; Humans; Injuries of the orbit. Foreign bodies of the eye. Diseases due to physical agents; Male; Medical sciences; Middle Aged; Oculomotor Muscles - surgery; Orbital Fractures - complications; Traumas. Diseases due to physical agents; Visual Fields; Human; Eye disease; Treatment; Surgery; Diplopia; Technique; Oculomotor syndrome; Orbit(eye); Trauma
• ISSN: 0950-222X; 1476-5454
• DOI: 10.1038/eye.1990.73

Diplopia in the inferior field due to orbital trauma is a notoriously difficult and disabling problem. Even if a blow-out fracture is repaired by current methods, patients may still have diplopia. There also exists another group in whom no demonstrable radiological fracture can be found, and yet there is a severe down gaze deficit. The possible mechanisms of this phenomenon are discussed and the results of horizontal muscle transposition surgery in a series of nine patients is reported. The authors conclude that this procedure is a valuable method of increasing the useful field of binocular single version in these patients.