The Effect of Superior Rectus Recession for Dissociated Vertical Deviation(DVD)

Dissociated vertical deviation(DVD) is a peculiar clinical entity consisting of an upward and extortional drift of a nonfixating eye. Many different surgical procedures have been advocated for its treatment, but the best approach is still debated. The authors performed superior rectus recession for treatment of DVD in 13 eyes of 8 patients. All patients were followed up for average 15 months after operation. In the vast majority cases, unilateral or bilateral superior rectus recession of graded amounts(7-8 mm) was performed. The amount of preoperative DVD was ranged from 10 to 25 delta and the mean effect of surgery was 11 delta After operation, 46% of the eyes were aligned within good to excellent categories(0-9 prism diopters), and 12 of 13 eyes within fair to excellent results(0-14 prism diopters).

The Effect of Superior Rectus Recession for Dissociated Vertical Deviation (DVD)

Dissociated vertical deviation (DVD) is a peculiar clinical entity consisting of an upward and extortional drift of a nonfixating eye. Many different surgical procedures have been advocated for its treatment, but the best approach is still debated. The authors performed superior rectus recession for treatment of DVD in 13 eyes of 8 patients. All patients were followed up for average 15 months after operation. In the vast majority cases, unilateral or bilateral superior rectus recession of graded amounts (7-8mm) was performed. The amount of preoperative DVD was ranged from 10 to 25.6. and the mean effect of surgery was 11 delta. After operation, 46% of the eyes were aligned within good to excellent categories (0-9 prism diopters), and 12 of 13 eyes within fair to excellent results (0-14 prism diopters).

Surgical Treatment of Upper and Lower Eyelid Retraction

A combined technique for lid retraction, that includes recession of retractors and Mullerectomy with or without spacers was presented, Twenty two procedures on eleven patients were reviewed, Of 22 procedures, 14 were for upper eyelid retraction and 8 for lower eyelid retration. Preserved sclera as a spacer was used on 5 upper eyelids and 6 lower eyelids in selected cases, Eight patients with lid retraction had hyperthyroidism, two patients showed lid retraction due to previous lid or orbital syrgery and one patient revealed lagophthalmos caused by facial palsy, All patients showed excellent cosmetic appearance during the follow-up period of 6 to 32 months (average 15months), but two patients required reoperation with happy results.