Reoperation in esotropic Duane retraction syndrome: Long-term motor outcome of superior rectus transposition
| Autor: | Paolo Esposito Veneruso, Luca Rombetto, Adriano Magli |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Adult
Male medicine.medical_specialty Time Factors Adolescent Eye Movements Duane retraction syndrome genetic structures reoperation Ophthalmologic Surgical Procedures Transposition procedure Duane Retraction Syndrome surgery Transposition (music) Young Adult 03 medical and health sciences 0302 clinical medicine esotropia transposition Humans Duane dysinnervation syndrome superior rectus transposition Medicine In patient Child Retrospective Studies business.industry General Medicine medicine.disease eye diseases Surgery Ophthalmology Oculomotor Muscles Residual esotropia Disease Progression 030221 ophthalmology & optometry Female sense organs business Esotropia 030217 neurology & neurosurgery Follow-Up Studies |
| Zdroj: | European Journal of Ophthalmology. 31:722-726 |
| ISSN: | 1724-6016 1120-6721 |
| DOI: | 10.1177/1120672119897889 |
| Popis: | Aim: The aim was to evaluate the long-term motor outcome of superior rectus transposition procedure in patients affected by unilateral esotropic Duane retraction syndrome with residual esotropia and anomalous head position. Methods: A retrospective analysis of medical records of patients affected by esotropic Duane retraction syndrome who underwent superior rectus transposition procedure as reoperation for residual esotropia and/or residual anomalous head position. Amount of deviation, anomalous head position, duction limitation, globe retraction, presence of upshoot/downshoot, and vertical deviation were analyzed before and after superior rectus transposition procedure. Results: Twenty patients were selected. All patients underwent unilateral medial rectus recession or bilateral medial rectus recession, for unilateral esotropic Duane retraction syndrome at least 2 years before superior rectus transposition reoperation. Mean age at surgery (superior rectus transposition) was 12 ± 6.8 years, and the follow-up period was 2.7 ± 0.6. Mean deviations at distance and near before surgery were 19.5 ± 5.7 and 15.2 ± 6.8, respectively. Two patients showed upshoot. Head turn was 11.4 ± 5.1°; abduction limitation was −2.6 ± 0.9. After superior rectus transposition, all patients showed an improvement of esotropia at distance and near (8.1 ± 5.7 and 5.1 ± 5.6, respectively; p Conclusion: Superior rectus transposition procedure is an effective procedure in esotropic Duane retraction syndrome patients who previously undergone unilateral/bilateral medial rectus recession, with residual esotropia and anomalous head position. It allows improvement of esotropia, head turn, and partial recovery of abduction in a significant percentage of patients (30%) with no vertical complications. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|