Plication combined with vertical displacement of horizontal rectus muscles to treat combined horizontal and vertical deviations.

Autor: Meireles-Teixeira JA; College of Medicine, Federal University of Maranhão, Brazil., Mesquita MJTAM; College of Medicine, Federal University of Maranhão, Brazil., Terra Demachki N; Ophthalmology Department, Paulista School of Medicine, Federal University of São Paulo, Brazil. Electronic address: nabilademachki@gmail.com., Scalamandré Mendonça TF; Ophthalmology Department, Paulista School of Medicine, Federal University of São Paulo, Brazil.
Jazyk: angličtina
Zdroj: Journal of AAPOS : the official publication of the American Association for Pediatric Ophthalmology and Strabismus [J AAPOS] 2022 Aug; Vol. 26 (4), pp. 178.e1-178.e4. Date of Electronic Publication: 2022 Jul 16.
DOI: 10.1016/j.jaapos.2022.04.007
Abstrakt: Purpose: To report the results of horizontal rectus muscle recession-plication with vertical displacement in the treatment of combined vertical and horizontal strabismus.
Methods: From October 2016 to December 2019, 15 patients with horizontal deviation of 15 Δ -60 Δ , 3 associated with vertical deviation of 8 Δ and 12 with vertical deviation of 10 Δ -20 Δ , underwent horizontal strabismus surgery (recession-plication) in addition to vertical displacement of both horizontal rectus, half or total muscle width, depending on whether the amount of vertical strabismus was small (8 Δ ) or large (10 Δ -20 Δ ), respectively.
Results: A total of 15 patients (8 females) were included; average age at surgery was 27 years. All cases showed improvement in alignment of the eyes, with a single case showing a small residual vertical deviation (4 Δ ).There were no intra- or postoperative complications.
Conclusions: This case series demonstrates the feasibility of this vessel-sparing recession-plication technique in the treatment of combined horizontal and vertical deviations, without the need to operate on vertical muscles.
(Copyright © 2022 American Association for Pediatric Ophthalmology and Strabismus. Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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