I would see an ophthalmologist pronto. You need to rule-out inferior rectus
and fat entrapment. By 1 week, swelling would go down enough to be able to
determine this. And, yes, 2 weeks is the optimum limit on starting to repair
these, as once siginificant scarring occurs, it is a bear to try to fix it.
From your description, this may be a blowout fracture, but could be a tripod
fx with associated floor fracture causing an entrapment, without it being a
real "blowout" fracture. The plastics specialist who recommended waiting
ANOTHER 6 weeks is outside of the norm, I think.
The general ophthalmologist should be able to determine this. If unsure, you
need to see an orbital specialist, an oculo-plastics ophthalmologist. While
these are repaired by the specialties of plastic surgery, head and neck
surgery , and oculoplastics, the one which seem to be able to pay more
attention to the double vision problems, rather than just appearance, is the
oculoplastics.
If the repair is done correctly, some double vision may remain anyway. This
is occasionally treatable with prism glasses by optometry or ophthalmology.
Worse cases require eye muscle surgery, usually by a strabismus specialist
(also called pediatric ophthalmology and adult strabismus specialty,
commonly).
David Robins, MD
Board certified Ophthalmologist
Pediatric ophthalmology and adult strabismus subspecialty
On 11/19/06 11:39 PM, in article
1164008358.875479.145100@h54g2000cwb.googlegroups.com,
> Hey everyone,
>
[quoted text clipped - 29 lines]
> Thanks,
> Duane
duanestorey@gmail.com - 26 Nov 2006 08:55 GMT
Thanks for the email. I did get a second opinion, and it was
determined I did have a floor fracture. I was scheduled for surgery
two days later, and have since had it repaired.
I think the results are quite good so far (in terms of my eye position
and double vision), but they chose not to do the transconjunctival or
subcilary approach for some reason, and instead incised directly along
the orbital rim line along my cheek. Hopefully this doesn't scar too
much.
Duane
> I would see an ophthalmologist pronto. You need to rule-out inferior rectus
> and fat entrapment. By 1 week, swelling would go down enough to be able to
[quoted text clipped - 58 lines]
> > Thanks,
> > Duane