No abstract available.
Enophthalmos* ; Orbit*

No abstract available.
Enophthalmos* ; Transplants*

PURPOSE: To measure the enophthalmos corrective effect after inferior orbital wall reconstruction, we compared preoperative and intraoperative exophthalmometric values with postoperative exophthalmometric values. METHODS: From January 2014 to April 2016, 60 eyes of 60 patients who underwent surgery for inferior orbital wall fracture were included. In Group 1, the exophthalmometric value was measured before surgery, during the operation, and 6 months after surgery using the Naugle exophthalmometer. In Group 2, the value was measured before surgery and 6 months after surgery using the Hertel exophthalmometer. The thickness of implants was determined by preoperative exophthalmometric values and overcorrection of 0.5 mm was performed in Group 1 patients with relatively large fractures. RESULTS: The mean age of the patients was 32.4 years in Group 1 and 34.3 years in Group 2. The mean duration between injury and surgery was 4.2 weeks in Group 1 and 2.3 weeks in Group 2. There was no statistically significant difference between preoperative exophthalmometric values in Group 1 (−1.78 ± 0.31 mm) and Group 2 (−1.81 ± 0.26 mm), but postoperative exophthalmometric values between Group 1 (−0.25 ± 0.78 mm) and Group 2 (−0.53 ± 0.46 mm) were statistically different (p = 0.034). CONCLUSIONS: The exophthalmometric values and wall fracture size are important factors for determining implant thickness of inferior orbital wall reconstruction. Intraoperative measurement of exophthalmometric values should be considered in inferior orbital wall reconstruction for enophthalmos correction.
Enophthalmos* ; Humans ; Orbit*

Generally accepted mechanisms of involutional entropion are as follows: 1. dysfunction of the inferior eyelid retractors, 2. migration of the preseptal orbicularis fibers upward, 3. reduced support of the lower lid against glove due to enophthalmos, 4. reduced horizontal support because of involutional changes in the lateral and medical canthal tendons. Sanford D. Hecht reported that the above four problems could be corrected simply and successfully by a full thickness excision of Bowlegs shape(Pentagon-shape). Five eyelids of involutional entropion were treated by the Boelegs procedure. The results were successful.
Enophthalmos ; Entropion* ; Eyelids ; Tendons

Generally accepted mechanisms of involutional entropion are as follows: 1. dysfunction of the inferior eyelid retractors, 2. migration of the preseptal orbicularis fibers upward, 3. reduced support of the lower lid against glove due to enophthalmos, 4. reduced horizontal support because of involutional changes in the lateral and medical canthal tendons. Sanford D. Hecht reported that the above four problems could be corrected simply and successfully by a full thickness excision of Bowlegs shape(Pentagon-shape). Five eyelids of involutional entropion were treated by the Boelegs procedure. The results were successful.
Enophthalmos ; Entropion* ; Eyelids ; Tendons

When there is disparity between the volume of the bony orbit and its contents, enophthalmos occurs. The frequent cause is traumatic enophthalmos, most commonly blowout fracture. Loss of orbital contents after enucleation or evisceration often results in enophthalmos. Here we reviewed the chart of 10 cases of traumatic enophthalmos and 4 cases of anophthalmic enophthalmos. The surgical procedures were inferior orbital wall reconstruction through subciliary incision, silicone sheet implantation through direct medial canthal approach, silicone beads implantation through lateral approach and secondary silicone beads implantation. Results from these surgical corrections were satisfactory and we propose that enophthalmos can be corrected with appropriate surgical procedure as thir etiology and status of enophthalmos.
Enophthalmos* ; Orbit ; Silicones

When there is disparity between the volume of the bony orbit and its contents, enophthalmos occurs. The frequent cause is traumatic enophthalmos, most commonly blowout fracture. Loss of orbital contents after enucleation or evisceration often results in enophthalmos. Here we reviewed the chart of 10 cases of traumatic enophthalmos and 4 cases of anophthalmic enophthalmos. The surgical procedures were inferior orbital wall reconstruction through subciliary incision, silicone sheet implantation through direct medial canthal approach, silicone beads implantation through lateral approach and secondary silicone beads implantation. Results from these surgical corrections were satisfactory and we propose that enophthalmos can be corrected with appropriate surgical procedure as thir etiology and status of enophthalmos.
Enophthalmos* ; Orbit ; Silicones

No abstract available.
Cartilage* ; Enophthalmos* ; Ribs* ; Transplants*

PURPOSE: To compare 2 surgical techniques, endoscopic transnasal reconstruction and transcaruncular reconstruction in isolated medial orbital wall fractures. METHODS: This study included 79 isolated medial orbital wall fracture patients from January 2011 to December 2012 of Department of Ophthalmology, Inha University Hospital. The authors compared computed tomographic scans, diplopia, extraocular muscle (EOM) movements, and Hertel's exophthalmometer exams pre- and post-surgery. Thirty-five patients received endoscopic transnasal reconstruction and 44 received transcaruncular reconstruction. RESULTS: The 2 surgical methods showed no significant differences in primary gaze diplopia (p = 0.50), restriction of EOM movements (p = 0.48), remaining enophthalmos of more than 2 mm (p = 0.99), and improvement in enophthalmos (p = 0.07) when compared 6 months after surgery. Statistically significant differences were observed in peripheral diplopia (p = 0.04) 6 months after surgery. CONCLUSIONS: The 2 surgical methods present similar effectiveness in postoperative primary gaze diplopia, EOM restriction, and enophthalmos. With respect to postoperative peripheral diplopia, endoscopic transnasal reconstruction method showed advantages. The surgical method should be selected by comparing advantages and disadvantages.
Diplopia ; Enophthalmos ; Humans ; Ophthalmology ; Orbit*

PURPOSE: To determine the relationship of postoperative enophthalmos with preoperative soft tissue herniation, fracuture size, time interval between trauma and surgery in inferior orbital wall fracture. METHODS: 37 patients operated for pure blowout fractures of the orbital floor from March 2001 through August 2002 were reviewed retrospectively. Fractures were classified as either A or B, based on the degree of soft tissue herniation, and also categorized as type I (less than one-fourth floor fractured and trapdoor fracture), type II (between one-fourth and one-half floor fractured) and type III (greater than one-half floor fractured) in preoperative coronal computed tomography. Preoperative and postoperative enophthalmos was quantified by Hertel exophthalmometry. The interval between trauma and surgery was also considered. RESULTS: Among the patients with postoperative enophthalmos less than 0.5 mm, 18 patients were type A and 12 patients were type B. 14 patients were categorized as type II and 16 as type III. Among the patients with postoperative enophthalmos of 1.0 mm , 3 patients were type A and 2 patients were type B. 3 patients were classsified as type II and 2 as type III. Among the patients with postoperative enophthalmos of 1.5 mm, each one patient was type A and type B. 2 patients were categorized as type III, but there was no type II. CONCLUSIONS: The degree of postoperative enophthalmos is not related with the degree of soft tissue herniation and fracture size. However, it is negatively associated with time interval between trauma and surgery(p=0.006).
Enophthalmos* ; Humans ; Orbit* ; Retrospective Studies