Effet sur l'excyclotorsion subjective du plissement de la partie antérieure du tendon du muscle oblique supérieur [Surgical correction of subjective excyclotorsion by tucking the anterior part of the superior oblique muscle tendon]
Details
Serval ID
serval:BIB_D064CCBC8B5C
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Effet sur l'excyclotorsion subjective du plissement de la partie antérieure du tendon du muscle oblique supérieur [Surgical correction of subjective excyclotorsion by tucking the anterior part of the superior oblique muscle tendon]
Journal
Klinische Monatsblatter fur Augenheilkunde
ISSN
0023-2165 (Print)
ISSN-L
0023-2165
Publication state
Published
Issued date
05/2006
Peer-reviewed
Oui
Volume
223
Number
5
Pages
386-389
Language
french
Notes
Publication types: Clinical Trial ; English Abstract ; Journal Article
Publication Status: ppublish
Publication Status: ppublish
Abstract
Asymmetrical folding of the anterior portion of the superior oblique muscle is a simplified variant of the Harada-Ito procedure that is supposed to selectively correct ocular torsion.
This surgical technique was applied to 22 patients suffering from bilateral acquired IV nerve palsy. Ocular torsion was evaluated with the Harms tangent screen. Pre- and post-operative torsional values were compared. Post-operative follow-up was 12 months.
Pre-operatively, mean excyclotropia was 8.8 degrees in primary position and 15.9 degrees in downgaze. Post-operatively, these values decreased to 1.5 degrees and 4.1 degrees, respectively. An enlarged field of binocular single vision, extending beyond 10 degrees inferiorly, was obtained in 17/22 patients.
The selective technique of superior oblique muscle anterior tendon tucking allows one to efficiently correct the ocular torsion induced by acquired bilateral IV nerve palsy.
This surgical technique was applied to 22 patients suffering from bilateral acquired IV nerve palsy. Ocular torsion was evaluated with the Harms tangent screen. Pre- and post-operative torsional values were compared. Post-operative follow-up was 12 months.
Pre-operatively, mean excyclotropia was 8.8 degrees in primary position and 15.9 degrees in downgaze. Post-operatively, these values decreased to 1.5 degrees and 4.1 degrees, respectively. An enlarged field of binocular single vision, extending beyond 10 degrees inferiorly, was obtained in 17/22 patients.
The selective technique of superior oblique muscle anterior tendon tucking allows one to efficiently correct the ocular torsion induced by acquired bilateral IV nerve palsy.
Keywords
Diplopia/etiology, Diplopia/physiopathology, Diplopia/surgery, Female, Humans, Male, Middle Aged, Oculomotor Muscles/physiopathology, Oculomotor Muscles/surgery, Ophthalmologic Surgical Procedures/methods, Suture Techniques, Tendons/surgery, Torsion Abnormality/complications, Torsion Abnormality/surgery, Trochlear Nerve Diseases/complications, Trochlear Nerve Diseases/surgery
Pubmed
Web of science
Create date
06/10/2022 12:06
Last modification date
10/02/2024 8:14
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