眼眶骨折对双眼单视功能的影响及治疗

Orbital fracture： Consequen on binocular visual function and treatment

正常双眼单视是人类现代生活不可或缺的功能。近年来，交通事故、拳击伤等造成的眼眶骨折发病率逐年增加，严重损害患者双眼单视功能，主要表现为斜视、复视和眼球运动障碍，眼球移位和内陷。保守治疗作用有限，眶壁骨折手术治疗可使多数患者恢复双眼单视，少数残留复视可通过眼肌手术消除。

Normal binocular vision is important to the human modern life. In recent years, traumatic orbital fracture incidence increased year by year because of traffic accidents or boxing injuries. Binocular vision could be altered in orbital wall fractures because of strabismus, diplopia, eye movement disorders, eyeball displacement and enophthalmos. The effect of a conservative treatment is limited, and most of patients may recover their binocular vision with surgical treatment. Few postoperative diplopia could be treated with muscle surgery. The mechanisms and treatments of orbital wall fractures in relation to binocular vision are discussed.