The surgical treatment of strabismus and diplopia after repair of orbital fracture

Objective To observe the effective of surgical treatment of strabismus and diplopia after repair of orbital fracture.Method 14 patients with strabismus and diplopia who had accepted surgical repair of orbital fracture bypass 6 months were offered strabismus surgery.Result 4 patients with restrictive strabismus were removed the frontal and downward diplopia by secondary ocular muscle surgery to release the restricted extraocular muscles,recess the restricted muscle and/or resect the antagonistic muscle;among the 10 patients with non-restrictive strabismus, 9 patients' diplopia amended obviously, the vertical and horizontal degree of strabismus in frontal and downward visual field were less than 10△ and 15△ by surgery to recess the antagonistic muscle and/or resect the restricted muscle.One patient with residual squint need wear prism to abate diplopia.Conelusion To analysis the reasons of strabismus and diplopia after repair of orbital fracture rightly and choice proper surgery methods, the better effect can be gained. Key words: Orbital fracture; Strabismus; Diplopia