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Is It Common to Have Restricted Eye Movement Up After an Eye Orbit Fracture, Entrp Muscle?
asked 1 year ago by Skylar P. in Castle rock, co
Latest answer by Basil Pakeman, MD
Question viewed 377 times
Tags: female, 1 week post-op, double vision, movement, restriction
my daughter had an injury to her eye and had surgery 9 days ago, lower orbital fracture and entrapped muscle. The fracture was repaired and the muscle released. The surgery was 7 hours after the incident. She has no exterior symptoms, headaches or bruising now. However, she can't move that eye all the way up or down still and has double vision when she does that with both eyes. Is it normal to still have loss of movement after surgery? Could the muscle have died or other concern?
5 answers to Is It Common to Have Restricted Eye Movement Up After an Eye Orbit Fracture, Entrp Muscle?
+2
Blow-out fracture strabismus
Dr. Crosby's note is correct. You should ask the managing ophthalmologist whether adding steroids might be helpful to reduce swelling associated with the original trauma and the subsequent surgery. This might shorten the healing time. Occasionally, the surgeon may place a "plate" over the fracture site. While this is often necessary if the fracture is sufficiently large, there may be additional resultant swelling, scarring, and restricted eye movement....
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Benjamin Ticho, MD
Chicago Ophthalmologist
Chicago Ophthalmologist
+2
Restricted Eye Movement & Double Vision After Fracture
Trapdoor fractures are more common in children. Trapdoor fracture will cause the bones under the eye to swing down and immediately back up which entraps extraocular muscles that restricts eye movement and cause the double vision. The healing process you describe is normal and the symptoms are due to the swelling. If the movement and vision of your daughter's eyes do not improve in the next few weeks, you should take her back to the surgeon who treated her or go & get a second...
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William A. Boothe, MD
Plano Oculoplastic Surgeon
Plano Oculoplastic Surgeon
+2
Double Vision after Orbital Fracture
A fracture of the bones around the eye can cause double vision for two reasons:
1. Entrapment of the muscle within the broken bone fragments.
2. Swelling of the muscle, fat and connective tissue within the orbit due to bleeding or inflammation.
If a muscle is entrapped, surgery is indicated to release the muscle as was done with your daughter. However, the residual swelling within the orbit or possibly a residual blood clot within the previously trapped muscle may be limiting her eye...
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Michelle Crosby, MD, PhD
Encinitas Ophthalmologist
Encinitas Ophthalmologist
+1
Restricted Eye Movement Following Orbit Fracture
Following a orbit floor fracture, the eye muscles and/or connective tissues can become entrapped within the fracture, especially the inferior rectus muscle. In this situation, surgery is indicated the release the muscle or tissues. Following the surgery, the eye movement can resticted for many reasons; edema(most common), and inflammation. These conditions improve with time.
Basil Pakeman, MD
New York Ophthalmologist
New York Ophthalmologist
+1
Most likely the muscles are still swollen
Most likely the muscles are still swollen and mobility and double vision will improve over the next few weeks. Discuss with your surgeon.
