Strabisme convergent accommodatif partiel avec et sans excès de convergence. Traitement chirurgical [Partly accommodative convergent strabismus with and without excess convergence. Surgical treatment]

Details

Serval ID
serval:BIB_5357
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Strabisme convergent accommodatif partiel avec et sans excès de convergence. Traitement chirurgical [Partly accommodative convergent strabismus with and without excess convergence. Surgical treatment]
Journal
Klinische Monatsblätter für Augenheilkunde
Author(s)
Klainguti G., Strickler J., Presset C.
ISSN
0023-2165
Publication state
Published
Issued date
1996
Volume
208
Number
5
Pages
352-355
Language
french
Notes
Publication types: Comparative Study ; English Abstract ; Journal Article
Abstract
BACKGROUND: Partly accommodative esotropia typically shows a persistent convergent angle after correction of hypermetropia. This condition can-or cannot-be accompanied by an accommodative convergence excess. PATIENTS AND METHODS: Fifty patients were examined, operated on and followed up by the same team, and were separated into 2 groups: Group 1: partly accommodative esotropia without convergence excess (N = 20); Group 2: partly accommodative esotropia with convergence excess (N = 30). The operations of the first group consisted of 11 posterior fixations (Fadenoperations) on both internal recti (IR), and 9 combined horizontal operations or recessions of both IR. The operations of group 2 consisted of 23 Fadenoperations and 7 classic procedures. RESULTS: Comparison of angle reductions after a 6-month follow-up showed that posterior fixation was more effective in reducing esotropia when measured without glasses (p = 0.003), whereas both techniques produced similar effects when angles were considered with correction of hypermetropia. In group 2, the effects of posterior fixation on residual angles at near were significantly higher than on angles measured at distance fixation (p < 0.001). Objective refraction (median) was S + 3.60 for group 1 and S + 1.75 for group 2. CONCLUSION: Fadenoperation appeared to satisfactorily reduce convergence excess in our group of 30 patients with partly accommodative esotropia. In our series of 20 patients with accommodative strabismus without convergence excess, Fadenoperation was more effective only when angles were considered without glasses.
Keywords
Accommodation, Ocular/physiology, Adolescent, Adult, Child, Child, Preschool, Convergence, Ocular/physiology, Esotropia/physiopathology, Esotropia/surgery, Female, Follow-Up Studies, Humans, Male, Oculomotor Muscles/physiopathology, Oculomotor Muscles/surgery, Postoperative Complications/etiology, Postoperative Complications/physiopathology, Refraction, Ocular, Sutures, Treatment Outcome
Pubmed
Web of science
Create date
19/11/2007 12:41
Last modification date
20/08/2019 14:08
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