Is there any option for me after two orbital floor fracture surgeries?
Doctor Answers 5
First and foremost, I would suggest re-imaging to evaluate the position of the implant(s) and the eye muscles. Is the double vision new since the most recent surgery, or has it been present all along? You can certainly have surgery to remove the implant at any time - as more time passes, it becomes harder to do particularly with MedPor because scar tissue grows into the implant, but it can still certainly be removed. I would suggest seeing an orbital surgeon with extensive experience in fracture repair and revision.
Orbital floor fracture
Thanks for your question and I'm sorry to hear that you've been struggling since your orbital fracture. If you continue to have double vision at 5-6 months after surgery, I would consider additional imaging (CT scan) to re-evaluate your orbit and the hardware that was placed. Depending on the amount of exophthalmos, a third surgery should be considered if there is significant cosmetic asymmetry or any issues with exposure of your cornea. Even after a year, augmentation of a Medpor implant should still be possible. Additional surgery on the eye muscles may also be required to fix your double vision.
I would recommend you seek an evaluation with a skilled oculoplastic surgeon in your area.
Double Vision And Lid Retraction After Orbital Fracture Surgeries
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