J Korean Ophthalmol Soc.  2002 Jul;43(7):1256-1260.

Transcaruncular Approach for Reconstruction of Old Medial Orbital wall Fracture

• Cheon HW
• Bae J
• Lee TS

Abstract

PURPOSE: The purpose of this study was to identify the therapeutic effect of orbital reconstruction by transcaruncular approach on old medial orbital wall fracture.
METHODS
We performed retrospective study on 23 eyes of 23 patients, who underwent orbital reconstruction with transcaruncular approach over six weeks after injury from July 1999 to August 2001.
RESULTS
Nineteen cases had enophthalmos, preoperatively; five cases; 2 mm, seven cases; 3 mm, six cases; 4 mm, and one case; 5 mm, respectively. Postoperatively, we obtained enophthalmos less than 1 mm in 17 cases(89%). The exophthalmometry revealed that enophthalmos improved from 3.2+/-0.9 mm, preoperatively to 0.9+/-0.7 mm, postoperatively. Twelve cases had diplopia on the primary and downgaze, preoperatively. However, ten cases of them(83%) disappeared diplopia, postoperatively. Of the remaining two cases, one had persistent diplopia on the downgaze and the other had paralytic strabismus.
CONCLUSIONS
We believe that the medial orbital wall repair through transcaruncular approach was a good way to correct enophthalmos and diplopia on old medial orbital wall fracture.

Keyword

Diplopia; Enophthalmos; Medial wall fracture; Transcaruncular approach

MeSH Terms

Diplopia
Enophthalmos
Humans
Orbit*
Retrospective Studies
Strabismus