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G. Coppola, A. Capobianco, M.C. Savastano, A. Angrisani, G. Gasparini, B. Ricci; Adjuvant Rehabilitation Treatment in Patients With Orbital Fracture and Restrictive Syndrome With Diplopia After Maxillofacial Surgery . Invest. Ophthalmol. Vis. Sci. 2006;47(13):2481.
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We suggest guidelines for adjuvant rehabilitation treatment in patients with restrictive strabismus after maxillofacial surgery. Orbital facial fractures are common results of facial trauma. Enophthalmos and diplopia, resulting from extraocular muscles dysfunction, could persist after orbital surgery. Diplopia is often the major discomfort for the patient after orbital reconstruction. Orthoptic rehabilitation treatment allows to reduce surgical indication in some cases of diplopia.
Twelve patients with restrictive syndrome and diplopia after maxillofacial surgery were evaluated between December 2003 and January 2005. A complete ophthalmological exam and orthoptic valuation were performed.
The binocular vision was brought back in all twelve patients. Six patients needed prismatic lents and orthoptic treatment; four only orthoptic rehabilitation and two required surgery procedure because angle strabismus was more than twenty diopters. One surgery patient required orthoptic therapy too.
In the orbital facial fractures management is required the cooperation of ophthalmologists, maxillofacial surgeons and orthoptists. Orthoptic rehabilitation treatment allows to re–establish binocular vision in all patients with persistent restrictive syndrome and small–angle strabismus.
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