ABSTRACT
This interventional case series presents a novel surgical procedure involving double interlacing for the correction of esotropia in individuals with sixth cranial nerve palsy. The technique involves first splitting the tendons of the superior rectus, inferior rectus, and lateral rectus muscles. Subsequently, the superior half of the lateral rectus muscle is passed through the undisinserted superior rectus muscle, and the inferior half of the lateral rectus muscle is passed through the undisinserted inferior rectus muscle. Finally, the two halves of the lateral rectus muscle are sutured together and reattached at the original insertion point. The surgical outcomes demonstrate a significant improvement in alignment, abduction, and binocular vision. [J Pediatr Ophthalmol Strabismus. 2023;60(5):e58-e64.].
Subject(s)
Abducens Nerve Diseases , Esotropia , Humans , Ophthalmologic Surgical Procedures/methods , Oculomotor Muscles/surgery , Esotropia/surgery , Vision, Binocular/physiology , Abducens Nerve Diseases/surgery , Retrospective StudiesABSTRACT
This interventional case series describes a new surgical interlacing procedure for esotropia correction in patients with high myopia. The technique consists of superior and lateral rectus tendon splitting, lateral rectus superior half passage within the undisinserted superior rectus muscle, and its reattachment at the original insertion. Surgical results showed marked improvement in alignment and abduction. [J Pediatr Ophthalmol Strabismus. 2022;59(1):e1-e6.].
Subject(s)
Esotropia , Myopia , Strabismus , Esotropia/etiology , Esotropia/surgery , Humans , Myopia/complications , Myopia/surgery , Oculomotor Muscles/surgery , Ophthalmologic Surgical Procedures , Strabismus/etiology , Strabismus/surgeryABSTRACT
Congenital anomalies of extraocular muscles are rare and few cases have been described, most occurring in patients with craniosynostosis and chromosomal abnormalities. However, these anatomical abnormalities of extraocular muscles can occur in healthy individuals and should be suspected especially in cases of atypical strabismus. We report a patient with strabismus and anatomical anomalies involving superior oblique and superior rectus muscles of both eyes associated with mirrored movements of the hands.
Subject(s)
Craniosynostoses , Strabismus , Eye , Humans , Oculomotor Muscles/surgery , Strabismus/surgeryABSTRACT
Os autores estudaram 79 casos de pacientes portadores de anisometropia e relacionaram severidade da anisometropia com graus de ambliopia, tipos de erros refrativos, posiçäo dos olhos e os resultados finais do tratamento. Foi observado um maior número de pacientes com ausência de ambliopia 11 (33,3/100) nos casos de anisometropia pequena. Como resultado relacionado à acuidade visual, tivemos: 17 (21,5/100) com resultado classificado como ótimo, 25 (31,6/100) como melhor, 1 (1,3/100) como pior e 11 (13,9/100) como inalterado. Os autores enfatizaram a necessidade da detecçäo precoce da ambliopia e da orientaçäo aos pais
Subject(s)
Humans , Male , Female , Infant , Child, Preschool , Child , Amblyopia/classification , Anisometropia/classification , Vision Tests/statistics & numerical data , Amblyopia/diagnosis , Anisometropia/diagnosisSubject(s)
Amblyopia , Vision Disorders , Child Development , Amblyopia , Vision Disorders , Child DevelopmentABSTRACT
Foram estudados 50 pacientes com hipermetropia maior ou igual a + 4.00 DE e observou-se que 12 pacientes apresentaram acuidade visual de 20/40 ou pior, com a melhor correçäo óptica, sendo diagnosticados com ambliopia bilateral e tratados com prescriçäo de lentes. A acuidade visual inicial na metade de nossos pacientes amblíopes era menor ou igual a 20/100 e atingiram acuidades visuais finais de 20/20 a 20/100. O valor da hipermetropia e o início do tratamento óptico influenciaram nos resultados da acuidade visual final
