Antielevation Syndrome after Unilateral Anteriorization of the Inferior Oblique Muscle
Korean Journal of Ophthalmology
; : 118-123, 2006.
Artículo
en Inglés
| WPRIM (Pacífico Occidental)
| ID: wpr-152034
Biblioteca responsable:
WPRO
ABSTRACT
PURPOSE:
To report antielevation syndrome with restriction of elevation on abduction in the operated eye and overaction (OA) of the inferior oblique muscle (IO) of the contralateral eye after unilateral IO anteriorization (AT).METHODS:
Medical records were reviewed retrospectively in 8 of 24 patients who underwent unilateral IOAT. Four patients were referred from other hospitals after the same surgery.RESULTS:
Four patients had infantile esotropes. The rest showed accommodative esotropia, superior oblique palsy, exotropia, and consecutive exotropia. The mean amount of hyperdeviation was 16.3 PD (10~30). The mean restriction of elevation on abduction in the operated eye was -1.6 (-1~-4) and IOOA of the contralateral eye was +2.7 (+2~+3). IOAT of nonoperated eyes in 4 patients, IO weakening procedure of anteriorized eyes in 2 patients, and IO myectomy on an eye with IOAT in 1 patient were performed. Ocular motility was improved after surgery in all patients.CONCLUSIONS:
Unilateral IOAT may result in antielevation syndrome. Therefore bilateral IOAT is recommended to balance antielevation in both eyes. A meticulous caution is needed when performing unilateral IOAT.
Texto completo:
Disponible
Base de datos:
WPRIM (Pacífico Occidental)
Asunto principal:
Complicaciones Posoperatorias
/
Reoperación
/
Procedimientos Quirúrgicos Oftalmológicos
/
Síndrome
/
Trastornos de la Motilidad Ocular
/
Esotropía
/
Exotropía
/
Estudios Retrospectivos
/
Estudios de Seguimiento
/
Movimientos Oculares
Tipo de estudio:
Estudio observacional
/
Estudio pronóstico
Límite:
Adulto
/
Niño
/
Niño, preescolar
/
Femenino
/
Humanos
/
Lactante
Idioma:
Inglés
Revista:
Korean Journal of Ophthalmology
Año:
2006
Tipo del documento:
Artículo