Diplopia secondary to orbital surgery

David I. Silbert, Noelle S. Matta, Eric L. Singman

Research output: Contribution to journalArticlepeer-review

Abstract

Diplopia may occur following any type of ocular or periocular surgery. The surgeries most frequently associated with postoperative diplopia include: repair of orbital fracture, endoscopic sinus surgery (from inadvertent orbital penetration), and orbital decompression for thyroidrelated immune orbitopathy (TRIO). Postoperative diplopia after orbital tumor resection has been reported-e.g., after excision of fibrous dysplasia and osteoma.1 However, a recent case series suggests diplopia after orbital tumor resection is uncommon and transient.2 Surgical intervention for orbital trauma carries the highest risk of postoperative diplopia and will be the focus of this review. We will also present a case report of worsening diplopia following repair of orbital floor fracture to highlight potential motility issues that can arise when implants are employed to treat orbital floor fractures.

Original languageEnglish (US)
Pages (from-to)22-28
Number of pages7
JournalAmerican Orthoptic Journal
Volume62
Issue number1
DOIs
StatePublished - Oct 23 2012
Externally publishedYes

Keywords

  • Orbital adherance syndrome
  • Orbital floor fracture
  • Orbital surgery
  • Postoperative diplopia

ASJC Scopus subject areas

  • Ophthalmology

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