Single Muscle Transposition in the Management of Monocular Elevation Deficiency
Autor: | Sheetal Shirke, Louis J Stevenson, Lionel Kowal, Elaine Y.H. Wong |
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Rok vydání: | 2019 |
Předmět: |
Male
Inferior rectus recession Novel technique medicine.medical_specialty Adolescent Eye Movements genetic structures Monocular elevation deficiency Visual Acuity Transposition (telecommunications) Ophthalmologic Surgical Procedures Ocular Motility Disorders Physical medicine and rehabilitation Anterior Segment Ischemia Blepharoptosis Humans Medicine Strabismus business.industry Magnetic Resonance Imaging eye diseases Ophthalmology Treatment Outcome Single muscle Oculomotor Muscles sense organs business Primary gaze |
Zdroj: | Journal of Binocular Vision and Ocular Motility. 70:29-32 |
ISSN: | 2576-1218 2576-117X |
DOI: | 10.1080/2576117x.2019.1702396 |
Popis: | Monocular elevation deficiency is characterized by the inability to elevate one eye in abduction, adduction, and primary gaze. To date, various operations, including Knapp's procedure, have been used in the management of hypotropia associated with this condition. However, single muscle transposition has only recently been described as a feasible alternative, offering a number of advantages over other techniques. In particular, it reduces the risk of anterior segment ischemia and allows for an inferior rectus recession to occur simultaneously as is often required, thus avoiding the need for staged operations. It also facilitates a wider range of management options to correct for associated horizontal deviation. We present a case detailing the use of single muscle transposition in the management of monocular elevation deficiency and in doing so confirm the utility of this novel technique. |
Databáze: | OpenAIRE |
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