The Effect of Graded Recession and Anteriorization on Unilateral Superior Oblique Palsy
Korean Journal of Ophthalmology
; : 188-191, 2006.
Article
em En
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| ID: wpr-74693
Biblioteca responsável:
WPRO
ABSTRACT
PURPOSE: We wanted to examine the effect of graded recession and anteriorization of the inferior oblique muscle on patients suffering from unilateral superior oblique palsy. METHODS: Inferior oblique muscle graded recession and anteriorization were performed on twenty-two patients (22 eyes) with unilateral superior oblique palsy. The recession and anteriorization were matched to the degree of inferior oblique overaction and hypertropia. The inferior oblique muscle was attached 4 mm posterior to the temporal border of the inferior rectus muscle in six eyes, 3 mm posterior in five eyes, 2 mm posterior in five eyes, 1 mm posterior in five eyes, and parallel to the temporal border in one eye. RESULTS: The average angle of vertical deviation prior to surgery was 11.3+/-3.9 prism diopters (PD). The total average correction in the angle of vertical deviation after surgery was 10.8+/-3.8 PD. In the parallel group, the average reduction was 14 PD. After surgery, normal inferior oblique muscle action was seen in eighteen of twenty-two eyes (81.8%). CONCLUSIONS: Graded recession and anteriorization of the inferior oblique muscle is thought to be an effective surgical method to treat unilateral superior oblique palsy of less than 15 PD.
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Assunto principal:
Procedimentos Cirúrgicos Oftalmológicos
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Doenças do Nervo Oculomotor
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Estudos Retrospectivos
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Seguimentos
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Resultado do Tratamento
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Movimentos Oculares
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Músculos Oculomotores
Tipo de estudo:
Observational_studies
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Prognostic_studies
Limite:
Adolescent
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Adult
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Child
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Child, preschool
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Female
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Humans
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Male
Idioma:
En
Revista:
Korean Journal of Ophthalmology
Ano de publicação:
2006
Tipo de documento:
Article