Vertical and torsional correction in congenital superior oblique palsy by inferior oblique recession.

Details

Serval ID
serval:BIB_6ACCFF1713ED
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Vertical and torsional correction in congenital superior oblique palsy by inferior oblique recession.
Journal
European journal of ophthalmology
Author(s)
Mataftsi A., Strickler J., Klainguti G.
ISSN
1120-6721 (Print)
ISSN-L
1120-6721
Publication state
Published
Issued date
2006
Peer-reviewed
Oui
Volume
16
Number
1
Pages
3-9
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
Inferior oblique recession (Fink's technique) is one of various surgical procedures to manage congenital superior oblique muscle palsy. The authors aimed to determine the effectiveness of this operation in reducing vertical deviation and torsional deviation, and to assess the dose-effect relationship.
Fifty-eight patients presenting with unilateral congenital superior oblique palsy had an inferior oblique recession of 6 mm, 8 mm, or 10 mm (16, 35, and 7 patients, respectively). Vertical deviation and torsional deviation were measured before and after surgery by means of the dark red glass dissociation in front of Harms'tangent screen and the data were analyzed retrospectively.
A cure rate of 88% was achieved, with no complications, and no overcorrections. For the 34 patients for whom long-term follow-up was possible (mean 2.8 years), final median postoperative vertical deviations and torsional deviations were 0.5 degrees and 0 degrees, respectively, both in primary position and in adduction upgaze.
Inferior oblique weakening by recession proves to be an efficient and safe procedure for congenital superior oblique palsy, and its effect on vertical deviation can be predicted on the extent of recession. The operation can therefore be adapted to the patient, depending on the degree of the preoperative deviation.
Keywords
Adolescent, Adult, Aged, Aged, 80 and over, Child, Diplopia/surgery, Eye Movements, Female, Head Movements, Humans, Male, Middle Aged, Oculomotor Muscles/innervation, Oculomotor Muscles/surgery, Ophthalmologic Surgical Procedures, Strabismus/congenital, Strabismus/surgery, Treatment Outcome, Trochlear Nerve Diseases/congenital, Trochlear Nerve Diseases/surgery, Vision, Binocular
Pubmed
Web of science
Create date
06/10/2022 12:04
Last modification date
10/02/2024 8:14
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