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Effects of orthoptic training for residual diplopia after surgical repair of blowout fractures

Purpose To investigate the effects of orthoptic training for residual diplopia after blowout fracture (BOF) surgery. Methods We retrospectively reviewed the medical records of 14 (average age, 22.9 ± 13.1 years) patients with residual diplopia, who had undergone orthoptic training after BOF surgery...

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Bibliographic Details
Published in:Graefe's archive for clinical and experimental ophthalmology 2022-04, Vol.260 (4), p.1395-1404
Main Authors: Narita, Ikumi, Wakayama, Akemi, Shiraishi, Yukari, Tanabe, Fumi, Kusaka, Shunji
Format: Article
Language:English
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Summary:Purpose To investigate the effects of orthoptic training for residual diplopia after blowout fracture (BOF) surgery. Methods We retrospectively reviewed the medical records of 14 (average age, 22.9 ± 13.1 years) patients with residual diplopia, who had undergone orthoptic training after BOF surgery at the Department of Ophthalmology, Kindai University Hospital, between August 2013 and September 2019. The orthoptic training included exercises for eye movement, convergence, and fusional area expansion. We assessed the training effects by scoring patients’ Hess screen (Hess) test results and fields of binocular single vision (BSV). The scores obtained before/after surgery and after training were compared. We also investigated the factors that influenced patients’ BSV scores after training. p   0.05, the Steel–Dwass test). Compared to the postoperative (i.e., before training) scores, both Hess and BSV scores significantly improved after training ( p  
ISSN:0721-832X
1435-702X
DOI:10.1007/s00417-021-05414-7