Change in eye position after cranio-facial surgery

J Maxillofac Surg. 1984 Apr;12(2):47-55. doi: 10.1016/s0301-0503(84)80211-8.


Twenty-nine patients have undergone major subtotal orbital translocation surgery between 1976 and 1980. Extra-ocular muscle function has been studied before and after orbital surgery. Medial orbital translocation, like sagittal orbital translocation, produces a decrease of exotropia; sometimes there is no change which proves the importance of well-established binocular vision. Orbital osteotomy in the three planes can produce a modification of the primary position of a vertical imbalance but it has no action on the vertical movements. The ophthalmologist can predict the post-operative result when he knows what type of ocular abnormality exists and what type of orbital surgery will be performed. He can also discuss the timing of strabismus surgery.

MeSH terms

  • Craniofacial Dysostosis / surgery
  • Eye / anatomy & histology*
  • Humans
  • Oculomotor Muscles / surgery
  • Orbit / abnormalities
  • Orbit / surgery*
  • Osteotomy / methods
  • Skull / abnormalities
  • Strabismus / surgery