Superior oblique tuck: evaluation of surgical outcomes
| Autor: | Ian B. Marsh, Rahul Dwivedi |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Adult
Male medicine.medical_specialty Time Factors Adolescent Ophthalmologic Surgical Procedures 03 medical and health sciences Young Adult 0302 clinical medicine Ocular Motility Disorders Medicine Humans 030212 general & internal medicine Postoperative Period Strabismus Aged Retrospective Studies Diplopia Aged 80 and over business.industry Oblique case Middle Aged Surgery Trochlear Nerve Diseases Ophthalmology Single centre Treatment Outcome Oculomotor Muscles 030221 ophthalmology & optometry Female medicine.symptom business Follow-Up Studies |
| Zdroj: | Strabismus. 27(1) |
| ISSN: | 1744-5132 |
| Popis: | To report the surgical outcomes of the superior oblique tuck procedure in the management of superior oblique palsies performed at a single centre over a 25-year period.A retrospective study of superior oblique tuck performed as a primary and secondary procedure by a single surgeon over a 25-year period between 1992 and 2016. We evaluated patient demographics, the angle of deviation pre- and post-surgery in prism dioptres (PD), amount of muscle tuck surgery performed (mm), complications (iatrogenic Brown's Syndrome) and improvement of diplopia post-operatively.162 eyes from 162 patients were identified. Gender = 108 male patients (66.67%). Mean age at the time of surgery = 45.94 years; laterality = 85 left eyes (52.47%). 110 patients (67.90%) = congenital superior oblique palsy. Mean post-op follow-up time = 7.5 months. Mean pre-operative angle of deviation = 15.88 PD (range = 4-35 PD); mean post-operative angle of deviation = 5.09 PD (range = 0-20 PD; p 0.0001). 157 patients (96.91%) displayed a reduction in angle of deviation post-operatively. Overall mean reduction in the angle of deviation = 10.79 PD (range = 0-34 PD). Mean amount of muscle tucking = 9.75 mm (range = 3-20 mm). 24 patients (14.82%) experienced post-operative iatrogenic Brown's syndrome but only two of these required further corrective surgery. 138 patients (85.19%) experienced improvement of diplopia post-operatively. Overall, 54 patients (33.33%) required additional extraocular muscle surgery to reduce diplopia further.This large series of superior oblique tuck procedures performed over a 25-year period, displays excellent surgical outcomes with regards to reduction of the angle of deviation, diplopia and limited complications. |
| Databáze: | OpenAIRE |
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