Abstract
Diplopia in the inferior field due to orbital trauma is a notoriously difficult and disabling problem. Even if a blow-out fracture is repaired by current methods, patients may still have diplopia. There also exists another group in whom no demonstrable radiological fracture can be found, and yet there is a severe down gaze deficit.
The possible mechanisms of this phenomenon are discussed and the results of horizontal muscle transpositon surgery in a series of nine patients is reported.
The authors conclude that this procedure is a valuable method of increasing the useful field of binocular single version in these patients.
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Lipton, J., Page, A. & Lee, J. Management of diplopia on down-gaze following orbital trauma. Eye 4, 535–537 (1990). https://doi.org/10.1038/eye.1990.73
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DOI: https://doi.org/10.1038/eye.1990.73