Journal of the Korean Ophthalmological Society 2002;43(7):1256-1260.
Published online July 1, 2002.
Transcaruncular Approach for Reconstruction of Old Medial Orbital wall Fracture.
Hye Won Cheon, Jaehyong Bae, Tae Soo Lee
1Department of Ophthalmology, Kim's Eye Hospital, Korea. happysh@hotmail.com
2Department of Ophthalmology, College of Medicine, Korea University, Korea.
누구 접근법을 이용한 오래된 안와 내벽 골절의 치료
전혜원 ( Hye Won Cheon ) , 배재형 ( Jae Hyong Bael ) , 이태수 ( Tae Soo Lee )
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.
Key Words: Diplopia;Enophthalmos;Medial wall fracture;Transcaruncular approach


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