ABSTRACT
The performance of the tucking operation is easy when one compares its technique and method with the same features of resecting an extraocular muscle. This procedure may be performed readily within any surgical setting, with any assistant, without regard for suture composition, and with little doubt of success. The outcome must include a determination on the part of the surgeon to reach a consistently reproducible standard in his surgery. The standard chosen for this study was to achieve orthotropia, with stereoscopic fusion expressible in seconds of arc, if possible. As part of this study, the technique of tucking a horizontal rectus muscle is illustrated and a body of data is discussed in an attempt to correlate and express these goals.
Subject(s)
Oculomotor Muscles/surgery , Strabismus/surgery , Humans , Methods , Random Allocation , Retrospective StudiesABSTRACT
In two children, pyogenic endophthalmitis developed simultaneously with Haemophilus influenzae type b meningitis. The eye of one of the patients recovered fully; the eye of the other became phthisical and was enucleated. Culturable or pathologically identifiable organisms were not found in either eye; nevertheless, it is suggested that these cases represented metastatic H influenzae type b endophthalmitis from a primary site of infection in the meninges.
Subject(s)
Endophthalmitis/etiology , Meningitis, Haemophilus/complications , Chloramphenicol/therapeutic use , Dexamethasone/therapeutic use , Endophthalmitis/drug therapy , Endophthalmitis/surgery , Eye/pathology , Female , Haemophilus influenzae , Humans , Infant , Meningitis, Haemophilus/drug therapy , Ophthalmologic Surgical ProceduresABSTRACT
The results of bilateral lateral rectus recession as the first procedure for the correction of exodeviations were reviewed. Thirty-six charts met the criteria used in this study. There was an overall success rate of 83% by judging satisfactory surgical results as no more than a 10 diopter esodeviation or exodeviation in the primary position at distance. The success rate for patients with an exodeviation of 40 diopters or less was 93% using our criteria. For exodeviations 45 diopters and greater the success rate was 50%. The factor of basic or divergence excess exodeviations did not seem significant in its correlation to satisfactory surgical results.
Subject(s)
Oculomotor Muscles/surgery , Strabismus/surgery , Adolescent , Child , Child, Preschool , Humans , Infant , PrognosisABSTRACT
The findings in three children with ocular palsies are reported in this paper. Two had insulin-requiring diabetes and one demonstrated only an abnormal I.V. glucose tolerance test. In the first patient the condition resolved in four weeks; in the second it had not fully resolved after 21 months, and in the third patient surgery was required for correction after seven months. We suggest that any child who develops a sudden ocular palsy should be examined for diabetes mellitus.
