Korean J Otorhinolaryngol-Head Neck Surg.  2011 Aug;54(8):570-572. 10.3342/kjorl-hns.2011.54.8.570.

Delayed Onset Diplopia due to Minimal Orbital Floor Fractures 16 Months Previously

• Noh W
• Park T
• Kwon J
• Moon J

• KMID: 2074189
• DOI: http://doi.org/10.3342/kjorl-hns.2011.54.8.570

Abstract

Ocular symptoms related to orbital fracture occur immediately after the fracture in most cases. However, authors experienced a delayed onset diplopia occurred 16 months after orbital floor fracture. A 19-year-old man, who had right orbital floor fracture 16 months ago, presented with diplopia of upward gaze. At the time of the fracture, no surgery was performed because the fracture was minimal and there were no particular symptoms. Physical examinations revealed a minor ocular motility restriction of upward gaze, but orbital floor showed no definite interval change on computed tomography. Severe adhesion between the orbital fat tissue and orbital floor was noted intraoperatively and the adhesion was dissected. After the operation, the patient showed remarkable improvement in diplopia and restriction of the ocular motility.

Keyword

Orbital floor fracture; Diplopia

MeSH Terms

Diplopia
Floors and Floorcoverings
Humans
Orbit
Orbital Fractures
Physical Examination
Young Adult