Novel technique for treating extraocular muscle adherence after fracture repair.

After release from adhesions at the site of prior fracture repair(s), fat-wrapping of the outer surface of the inferior rectus muscle can markedly improve binocular single vision fields, ocular ductions and deviations.

Restoration of a viable extraconal fat layer appears to provide a 'fluid' medium between freed muscle and the orbital wall and block further adhesion between the two raw surfaces but the technique has limited results where prior surgery has caused adhesions involving the lower fornix or pre-equatorial tissues.