Clinical analysis on surgical treatments of Helveston syndrome / 国际眼科杂志(Guoji Yanke Zazhi)

ABSTRACT

·AIM: To investigate single step combined surgical treatments of Helveston syndrome. ·METHODS: A retrospective clinical analysis of 7 cases (14 eyes) with Helveston syndrome in our hospital. There were 14 eyes underwent single step combined surgical treatments, according to the degree of patients with superior oblique overaction and strabismus. A-pattern, dissociated vertical deviation (DVD), function of superior oblique and binocular visual function were examined and analyzed preoperatively and postoperatively. · RESULTS: Bilateral superior oblique intrathecal tenectomy combined bilateral rectus recession were performed in 3 cases (6 eyes). Bilateral superior oblique tenectomy combined unilateral rectus recession were performed in 4 cases (4 eyes). The follow-up was 6mo;14 eyes of 7 patients attained normal ocular alignment. A-pattern and DVD disappeared. Binocular vision and stereoscopic vision were recovered in 6 eyes of 3 children. ·CONCLUSION: Helveston syndrome can be treated with single step combined surgery, and early surgical treatments can help the recovery of binocular visual function.