Plication combined with vertical displacement of horizontal rectus muscles to treat combined horizontal and vertical deviations
To report the results of horizontal rectus muscle recession-plication with vertical displacement in the treatment of combined vertical and horizontal strabismus. From October 2016 to December 2019, 15 patients with horizontal deviation of 15Δ-60Δ, 3 associated with vertical deviation of 8Δ and 12 wi...
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| Published in: | Journal of AAPOS Vol. 26; no. 4; pp. 178.e1 - 178.e4 |
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| Main Authors: | , , , |
| Format: | Journal Article |
| Language: | English |
| Published: |
Elsevier Inc
01-08-2022
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| Online Access: | Get full text |
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| Summary: | To report the results of horizontal rectus muscle recession-plication with vertical displacement in the treatment of combined vertical and horizontal strabismus.
From October 2016 to December 2019, 15 patients with horizontal deviation of 15Δ-60Δ, 3 associated with vertical deviation of 8Δ and 12 with vertical deviation of 10Δ-20Δ, underwent horizontal strabismus surgery (recession-plication) in addition to vertical displacement of both horizontal rectus, half or total muscle width, depending on whether the amount of vertical strabismus was small (8Δ) or large (10Δ-20Δ), respectively.
A total of 15 patients (8 females) were included; average age at surgery was 27 years. All cases showed improvement in alignment of the eyes, with a single case showing a small residual vertical deviation (4Δ).There were no intra- or postoperative complications.
This case series demonstrates the feasibility of this vessel-sparing recession-plication technique in the treatment of combined horizontal and vertical deviations, without the need to operate on vertical muscles. |
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| Bibliography: | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 |
| ISSN: | 1091-8531 1528-3933 |
| DOI: | 10.1016/j.jaapos.2022.04.007 |