silicone band expander as a weakening procedure for brown s yndrome and superior oblique overaction
نویسندگان
چکیده
this article presents a new technique for weakening the superior oblique muscle by lengthening it's tendon. lengthening is accomplished by a nasal superior oblique tenotomy, and by inserting a segment of silicone band 240 between the cut ends of the tendon. this technique is useful for the treatment of brown syndrome and cases with superior oblique overaction.
منابع مشابه
Tendon Expansion with Fascia Lata in Treatment of A-Pattern Strabismus due to Superior Oblique Overaction
Background: In 1991, Wright described a superior oblique expander procedure for browns syndrome and superior overaction with good results. Originally, this procedure has been performed with silicone band expander. The aim of this study was to report the results of treatment of a series of patients with A-pattern strabismus associated with overacting superior oblique muscle using the fascia lata...
متن کاملCommentary on the Outcomes of Inferior Oblique Muscle Weakening in Inferior Oblique Muscle Overaction
289 Soltan Sanjari et al[1] are to be commended on their paper “Surgical treatments in inferior oblique muscle overaction”. They report on a retrospective study of the treatment for inferior oblique overaction (IOOA) performed over a 10‐year period on 122 eyes utilizing three different surgical techniques to weaken the inferior oblique muscle. Disinsertion on 12 eyes, myectomy on 91 eyes, and a...
متن کاملSuperior oblique tendon lengthening for acquired superior oblique overactions.
Two patients who presented with compensatory head postures and diplopia are described. They both had marked unilateral superior oblique overaction, in one patient due to a large, incomitant skew deviation. Each underwent a superior oblique tendon lengthening procedure using a segment of silicone 240 retinal band as an expander, in combination with a contralateral superior rectus recession. Both...
متن کاملTendon Expansion with Fascia Lata in Treatment of A-pattern Strabismus Due to Superior Oblique Overaction
Background: In 1991, Wright described a superior oblique expander procedure for browns syndrome and superior overaction with good results. Originally, this procedure has been performed with silicone band expander. The aim of this study was to report the results of treatment of a series of patients with Apattern strabismus associated with overacting superior oblique muscle using the fascia lata ...
متن کاملOutcomes of Unilateral Inferior Oblique Myectomy Surgery in Inferior Oblique Overaction Due to Superior Oblique Palsy
OBJECTIVES To present the outcomes of unilateral inferior oblique myectomy performed in patients with inferior oblique overaction due to superior oblique palsy. MATERIALS AND METHODS Twenty-seven eyes of 27 patients that underwent inferior oblique myectomy surgery for superior oblique palsy between 2002 and 2008 were included. Inferior oblique overaction scores (between 0-4) at preoperative, ...
متن کاملSurgical Outcomes in Correction of Brown Syndrome
PURPOSE To evaluate the outcomes of surgery for Brown syndrome. METHODS We reviewed the charts of 15 patients who underwent surgery for Brown syndrome. The limitation of elevation in adduction (LEA) ranged from -2 to -4 degrees. A superior oblique muscle (SO) tenotomy was performed in 4 patients, a silicone expander was inserted in the SO of 9 patients, and a SO recession was performed in 2 p...
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عنوان ژورنال:
acta medica iranicaجلد ۳۲، شماره ۱-۲، صفحات ۳۰-۳۴
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