Change in eye position after cranio-facial surgery

doi:10.1016/S0301-0503(84)80211-8

Journal of Maxillofacial Surgery

Volume 12, 1984, Pages 47-55

https://doi.org/10.1016/S0301-0503(84)80211-8 Get rights and content

Summary

Twenty-nine patients have undergone major subtotal orbital translocation surgery between 1976 and 1980. Extra-ocular muscle function has been studied before and after orbital surgery.

Medial orbital translocation, like sagittal orbital translocation, produces a decrease of exotropia; sometimes there is no change which proves the importance of well-established binocular vision.

Orbital osteotomy in the three planes can produce a modification of the primary position of a vertical imbalance but it has no action on the vertical movements. The ophthalmologist can predict the post-operative result when he knows what type of ocular abnormality exists and what type of orbital surgery will be performed.

He can also discuss the timing of strabismus surgery.

References (8)

DiamondG.R. et al.
Ocular Alignment after craniofacial reconstruction
Amer. J. Ophthal.
(1980)
ChoyA.E. et al.
Analysis of preoperative and postoperative extraocular muscle function in surgical translocation of bony orbits: a preliminary report
GobinM.H.
Sagittalization of the oblique muscles as a possible cause for the “A”, “V”, and “X” phenomena
B. R. J. Ophthal.
(1968)
Ortiz MonasterioF. et al.
Mechanism and correction of V syndrome in cranio-facial dysostosis

There are more references available in the full text version of this article.

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Review of clinical records with documentation of patient age, gender, visual acuity, refractive error, diagnosis of amblyopia, squint, eye movement dysfunction, nystagmus, fundus examination, examination of the anterior segment, interpupillary distance, and intercanthal distance.
The frequency of ophthalmic signs and visual impairment, defined as a visual acuity of 6/12 or less.
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^*: Presented at the International Course on “Present Status of Cranio-facial Surgery”, Rome, March 1982.

¹: Serge Morax M. D. Fondation Ophtalmologique Adolphe de Rothschild 25 à 29, Rue Manin F-75940 Paris Cedex 10 France

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Change in eye position after cranio-facial surgery*

Summary

Amer. J. Ophthal.

Analysis of preoperative and postoperative extraocular muscle function in surgical translocation of bony orbits: a preliminary report

Sagittalization of the oblique muscles as a possible cause for the “A”, “V”, and “X” phenomena

B. R. J. Ophthal.

Mechanism and correction of V syndrome in cranio-facial dysostosis