Postoperative Mydriasis After Repair of Orbital Floor Fracture

Abnormal Pupil Finding After an Orbital Floor Fracture in a Child

“…[1][2][3][4] However, there is only one article that reported damage to the pupillary fibers from the fracture alone and before repair. 1 Hornblass reported 3 cases of preoperative mydriasis secondary to an orbital floor fracture.…”

“…In addition, all the previous reported cases had resolution of the anisocoria over a period of hours to months. [1][2][3][4] However, after a year and a half, the patient still had residual anisocoria.…”

Transient internal ophthalmoplegia after inferior oblique myectomy

“…2,3 Trauma and surgery in proximity to the ciliary ganglion or short ciliary nerves can inflict an internal ophthalmoplegia, for example orbital fractures and their repair, endoscopic sinus surgery, and inferior oblique myectomy. [2][3][4][5] The sequelae depend on the nature of the injury. Most clinical reports suggest near complete recovery of pupil constriction and accommodation in the majority of patients, particularly where neuropraxia from perineural edema, contusion, or traction has occurred.…”

“…2,3 Trauma and surgery in proximity to the ciliary ganglion or short ciliary nerves can inflict an internal ophthalmoplegia, for example orbital fractures and their repair, endoscopic sinus surgery, and inferior oblique myectomy. [2][3][4][5] The sequelae depend on the nature of the injury. Most clinical reports suggest near complete…”

Outcomes of Orbital Blow-Out Fracture Repair Performed Beyond 6 Weeks After Injury

“…The surgical risks associated with blow-out fracture repair including blindness, mydriasis, worsening diplopia, epiphora, implant infection or migration, may even be greater in late repair. [4][5][6][7][8] In this study, the authors retrospectively reviewed the functional and aesthetic outcomes of patients with delayed presentation of blow-out fractures, who underwent surgical repair in 3 tertiary care centers over a 6-year period (2008-2014). For this study, the authors define late orbital blow-out fracture repair as beyond 6 weeks from the time of injury.…”