Bilateral superior oblique temporal tenectomy for the treatment of A-pattern strabismus
| Autor: | Ana Letícia Fornazieri Darcie, Mariza Polati, Iara Debert |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Ophthalmologic Surgical Procedures Tendons 03 medical and health sciences 0302 clinical medicine Ophthalmology Superior oblique overaction medicine Humans Single institution Strabismus Retrospective Studies business.industry Outcome measures Oblique case medicine.disease Treatment Outcome A pattern strabismus Oculomotor Muscles Pediatrics Perinatology and Child Health 030221 ophthalmology & optometry Exotropia business Clinical record |
| Zdroj: | Journal of American Association for Pediatric Ophthalmology and Strabismus. 24:222.e1-222.e4 |
| ISSN: | 1091-8531 |
| DOI: | 10.1016/j.jaapos.2020.04.012 |
| Popis: | Purpose To assess the efficacy of superior oblique temporal tenectomy 6.0 mm from its insertion to treat A-pattern strabismus of all magnitudes. Methods The clinical records of patients with A-pattern eso- or exotropia associated with bilateral superior oblique overaction who underwent bilateral superior oblique 6.0 mm temporal tenectomy at a single institution over a 17-year period were reviewed retrospectively. Outcome measures were change in the A pattern and correlation with preoperative A pattern. Results A total of 102 patients were included. The mean preoperative A-pattern deviation was 21Δ ± 9Δ, with a postoperative pattern collapse of 18Δ ± 10Δ. Change in A pattern was significantly correlated with the preoperative A pattern (r = 0.70; P Conclusions In our study cohort, bilateral superior oblique temporal tenectomy was an effective and self-adjusting procedure for A-pattern strabismus associated with superior oblique overaction. Larger preoperative A patterns did not show a significant trend toward larger residual postoperative deviations compared with smaller preoperative patterns. A uniform dose of bilateral superior oblique temporal tenectomy collapses A patterns of all magnitudes. |
| Databáze: | OpenAIRE |
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