La myopexie rétroéquatoriale oblique [Oblique retro-equatorial myopexy]

Détails

ID Serval
serval:BIB_5356
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
La myopexie rétroéquatoriale oblique [Oblique retro-equatorial myopexy]
Périodique
Klinische Monatsblätter für Augenheilkunde
Auteur⸱e⸱s
Klainguti G.
ISSN
0023-2165
Statut éditorial
Publié
Date de publication
1996
Volume
208
Numéro
5
Pages
348-351
Langue
français
Notes
Publication types: English Abstract ; Journal Article
Résumé
BACKGROUND: The mechanical principle of Cüppers' Fadenoperation consists in reducing the lever arm and in lengthening the arc of contact. We describe herein a surgical procedure that abides by this principle but creates an oblique line of adherence of the muscle to the sclera. PATIENTS AND METHODS: Five patients were operated on (3 for oblique superior palsy, 1 for orbital floor fracture, 1 for partial IIIrd cranial nerve palsy). Oblique retroequatorial fixation was applied on 4 inferior recti and on 1 superior rectus. Fixation was achieved with 5.0 prolene, the temporal suture being placed 14 mm behind the original insertion and the nasal one 12 mm behind the original insertion. RESULTS: In 4 patients, Fadenoperation of the inferior rectus muscle placed in an oblique way satisfactorily reduced the vertical deviation. The amount of reduction was comparable to what could be expected of a classic posterior fixation at 13 mm behind insertion. In addition, a slight reduction of excyclotropia in downgaze was noted. CONCLUSION: No anatomical fact seems to speak against an oblique setting of sutures when performing Fadenoperation of the inferior rectus, and this procedure can be applied to cases with incomitant vertical deviation and slight excyclotropia in downgaze.
Mots-clé
Adolescent, Adult, Convergence, Ocular, Exotropia/etiology, Exotropia/physiopathology, Female, Follow-Up Studies, Humans, Male, Middle Aged, Oculomotor Muscles/physiopathology, Oculomotor Muscles/surgery, Ophthalmoplegia/etiology, Ophthalmoplegia/physiopathology, Strabismus/etiology, Strabismus/physiopathology, Sutures
Pubmed
Web of science
Création de la notice
19/11/2007 13:41
Dernière modification de la notice
20/08/2019 15:08
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