Management of Superior Oblique Palsy After Surgery for True Brown's Syndrome
| Autor: | C O'Reilly, J S Crawford, H S Eustis |
|---|---|
| Rok vydání: | 1987 |
| Předmět: |
Male
medicine.medical_specialty Eye disease medicine.medical_treatment Tenotomy Tendons Postoperative Complications Humans Medicine Child Ophthalmoplegia Palsy business.industry Brown's syndrome Oblique case Syndrome General Medicine medicine.disease Surgery Strabismus Ophthalmology Increased risk El Niño Oculomotor Muscles Child Preschool Pediatrics Perinatology and Child Health Female business Follow-Up Studies Strabismus surgery |
| Zdroj: | Journal of Pediatric Ophthalmology & Strabismus. 24:10-16 |
| ISSN: | 1938-2405 0191-3913 |
| DOI: | 10.3928/0191-3913-19870101-04 |
| Popis: | Thirty patients requiring surgery for true Brown's syndrome were examined postoperatively. Follow-up ranged from three months to 20 years. Eight-five percent of patients demonstrated some degree of superior oblique palsy, with 54% having a decompensated condition and 30% requiring a second surgical procedure. Patients with marked preoperative restriction appear to be at increased risk for developing a decompensated superior oblique palsy postoperatively. Solutions to this problem are suggested: 1) perform tenotomy at insertion and preserve the adjacent intermuscular septum so a less crippling effect is seen; 2) combine tenotomy with inferior oblique weakening initially in those patients with marked preoperative restriction. |
| Databáze: | OpenAIRE |
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