Traitement chirurgical de l'excès de convergence accommodative. Etude de 50 cas opérés [Surgical treatment of accommodative convergence access esotropia. Study of 50 operated cases]

Details

Serval ID
serval:BIB_8546
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Traitement chirurgical de l'excès de convergence accommodative. Etude de 50 cas opérés [Surgical treatment of accommodative convergence access esotropia. Study of 50 operated cases]
Journal
Klinische Monatsblätter für Augenheilkunde
Author(s)
Klainguti G., Strickler J., Presset C.
ISSN
0023-2165
Publication state
Published
Issued date
1998
Volume
212
Number
5
Pages
291-293
Language
french
Notes
Publication types: Comparative Study ; English Abstract ; Journal Article
Abstract
BACKGROUND: Convergence excess esotropia (EC) can be an additional component in all forms of strabismus. The most favourable prognosis is found in those cases where EC is associated with microtropia or bifoveal fusion, due to a better binocular potential. METHODS: 50 non selected cases were entered into the study and divided into two groups (Group A: EC with microtropia; Group B: EC with bifoveal fusion). All the patients were followed at the Lausanne Strabismus Unit and all cases underwent a bilateral medial rectus posterior fixation (Cüppers' Faden operation) placed at 13 mm from the original insertion. RESULTS: In Group A, the average reduction of angle of strabismus was 25 delta for near fixation, 20 delta in Group B. In both groups, the average decrease in angle for distance fixation was 6 delta. In Group A, 75% of cases gained some binocularity post-operatively, not only for distance but also for near fixation. In Group B, all the patients showed a normal response on the Lang stereotest post-operatively. CONCLUSIONS: In both groups of this study, a bilateral medial rectus retroequatorial myopexy was a satisfactory alternative for those patients who refused to wear bifocal glasses.
Keywords
Accommodation, Ocular/physiology, Convergence, Ocular/physiology, Esotropia/physiopathology, Esotropia/surgery, Follow-Up Studies, Humans, Oculomotor Muscles/physiopathology, Oculomotor Muscles/surgery, Postoperative Complications/physiopathology, Refraction, Ocular, Sutures, Treatment Outcome, Vision, Binocular/physiology
Pubmed
Web of science
Create date
19/11/2007 12:46
Last modification date
20/08/2019 14:44
Usage data