Y-Split Recession vs Isolated Recession of the Lateral Rectus Muscle in the Treatment of Vertical Shooting in Exotropic Duane Retraction Syndrome

Autor: Mohamed F. Farid
Rok vydání: 2016
Předmět:
Zdroj: European Journal of Ophthalmology. 26:523-528
ISSN: 1724-6016
1120-6721
DOI: 10.5301/ejo.5000746
Popis: PurposeTo compare the results of 2 surgical procedures in the management of vertical shooting in exotropic Duane retraction syndrome (XT-DRS).MethodsThis was a prospective, interventional study of consecutive patients with XT-DRS with vertical shooting on adduction operated on from August 2012 to January 2015. A total of 25 patients were identified and were divided into 2 groups: the Y-split (Y) group, which included 12 patients, who underwent Y-splitting with recession of the lateral rectus muscle (LR); and the isolated recession (R) group, which included 13 patients, who underwent isolated LR recession. Surgical outcomes in both groups were compared in terms of improvements in vertical shoots, ocular deviation, and face turn.ResultsUpshoot, downshoot, XT, and face turn showed significant postoperative improvement in both groups (pConclusionsIn our series, both procedures achieved comparable results in the correction of XT and face turn. The combined Y-split recession procedure attained a more significant improvement of upshoot and downshoot but with higher incidence of postoperative complications.
Databáze: OpenAIRE