Clinical Characteristics and Treatment of Esotropia Following Bare Sclera Pterygium Surgery
Journal of the Korean Ophthalmological Society
;
: 771-776, 2013.
Article
in Korean
| WPRIM
| ID: wpr-185827
ABSTRACT
PURPOSE:
The clinical features of esotropia after bare scleral pterygium surgery and dipolpia treatment results were evaluated in the present study.METHODS:
Twenty eyes of 12 patients who had esotropia after bare sclera pterygium surgery from 2008 to 2011 were retrospectively investigated.RESULTS:
Diplopia occurred at 2.8 +/- 1.6 months (1-6 months) after pterygium surgery. The mean pre-operative angle of esotropia was 19.4 +/- 8.9 PD (8-40 PD) at distance and 16 +/- 7.3 PD (0-30 PD) at near. All patients showed limitation of abduction in the pterygium operated eye. Two patients were prescribed prism glasses, 2 patients underwent conjunctiva surgery, and medial rectus recession with simultaneous intraoperative adjustment surgery was performed in 8 patients. An additional strabismus operation was required for 2 patients who received conjunctival surgery due to diplopia recurrence. Seven patients (70%) showed orthotropia at 3 months.CONCLUSIONS:
In this study, diplopia following postoperative adhesion caused by bare sclera pterygium surgery technique was observed. Conjunctiva-perimuscular scar tissue removal and medial rectus recession were effective methods in eliminating diplopia.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Recurrence
/
Sclera
/
Pterygium
/
Esotropia
/
Strabismus
/
Retrospective Studies
/
Cicatrix
/
Conjunctiva
/
Diplopia
/
Eye
Type of study:
Observational study
Limits:
Humans
Language:
Korean
Journal:
Journal of the Korean Ophthalmological Society
Year:
2013
Type:
Article
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