Inferior oblique muscle recession with and without superior oblique tendon tuck for treatment of unilateral congenital superior oblique palsy
Purpose: To compare the surgical results in patients with congenital superior oblique palsy treated with inferior oblique recession (IOR) versus those treated additionally with superior oblique tendon tuck (IOR+SOT). Methods: A consecutive, nonrandomized series of patients with congenital superior o...
Gespeichert in:
| Hauptverfasser: | , , |
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| Dokumenttyp: | Article (Journal) |
| Sprache: | Englisch |
| Veröffentlicht: |
25 February 2012
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| In: |
Journal of the American Association for Pediatric Ophthalmology and Strabismus
Year: 2012, Jahrgang: 16, Heft: 1, Pages: 26-31 |
| ISSN: | 1528-3933 |
| DOI: | 10.1016/j.jaapos.2011.08.012 |
| Online-Zugang: | Verlag, Volltext: http://dx.doi.org/10.1016/j.jaapos.2011.08.012 Verlag, Volltext: http://www.sciencedirect.com/science/article/pii/S1091853112000080 |
| Verfasserangaben: | Pierre-François Kaeser, Georges Klainguti, Gerold H. Kolling |
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| 245 | 1 | 0 | |a Inferior oblique muscle recession with and without superior oblique tendon tuck for treatment of unilateral congenital superior oblique palsy |c Pierre-François Kaeser, Georges Klainguti, Gerold H. Kolling |
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| 520 | |a Purpose: To compare the surgical results in patients with congenital superior oblique palsy treated with inferior oblique recession (IOR) versus those treated additionally with superior oblique tendon tuck (IOR+SOT). Methods: A consecutive, nonrandomized series of patients with congenital superior oblique palsy with vertical deviations in adduction between 10° and 20° were retrospectively reviewed. In the first series, patients were treated with IOR; in the second series, patients were treated with IOR+SOT. We examined the effects of surgery on binocular alignment and on the field of binocular single vision. Results: Each group consisted of 20 patients. Preoperative ocular deviations were similar in both groups. Postoperative residual vertical deviations were not different in the primary position or in downgaze; however, significantly better alignment was achieved in the IOR+SOT group in adduction and downgaze in adduction. Consecutive Brown pattern occurred in 18 of 20 patients who underwent IOR+SOT versus 5 of 20 who underwent IOR. Residual torsion was not statistically different. The field of binocular single vision improved to 92% (range, 28%-100%) after IOR and to 96% (range, 64%-100%) after IOR+SOT (P = 0.20). Conclusions: IOR alone is a suitable procedure for most congenital superior oblique palsies with a moderate-to-large vertical deviation in adduction, resulting in a lower incidence of consecutive Brown pattern than with IOR+SOT. | ||
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