Need Serious Help

I recently asked a question about how i injured my face and got double vision when looking downward. I recently got an x-ray done and it showed that i was ok and nothing was broken. Today (Dec.29,2008) i took a CT Scan to figure out whats wrong and the doctor at the ER told me that i had some fat stuck in the fracture below my eye. My question is how can this affect my eye getting double vision? The doctor told me that i would be receiving a phone call tomorrow from a specialist and have him take a look at that. So if you have any information considering this i would highly appreciate it since its really bothering me and i cant get the thought out of my mind that i might be stuck with double vision.SO PLEASE PLEASE give me some feedback

[Michael J Kutryb, MD]

You might have a fracture of the floor of the bony orbit or eye socket.  The eye and the extraocular muscles have a lot of fatty and connective tissue around them. It is common for this tissue to get caught up in the fracture and this keeps the muscle from working well.  Since the muscle below the eye (inferior rectus muscle) works mostly when looking down that is one time when you might see vertical double vision. You can also get double vision when looking up because the eye cannot move up properly due to entrapment of the inferior rectus muscle.  Surgery to repair the fracture and free up the entrapment should help the double vision to some degree in many cases and I've seen several patients with complete improvement but definitely no gaurantee for you.

MJK MD