Surgical management of large angle congenital esotropia.
نویسندگان
چکیده
Ninety-seven patients with congenital esotropia with deviations of 50 prism dioptres or greater underwent large (6 and 7 mm) bimedial rectus recessions. The overall success rate with one operation was 83.5%. Judgment of final alignment was made at the last follow-up examination, six to 61 months (average 23.4 months) postoperatively. Large bimedial rectus recessions for congenital esotropia are an effective surgical treatment which does not significantly alter adduction.
منابع مشابه
When to treat congenital esotropia.
Nelson: We’re going to discuss when to treat congenital esotropia. A 6-month-old child comes into your office with an esotropia of 65 prism diopters, alternate fixation, and a cycloplegic refraction of +2.50. Dr. Morrison, what is your treatment plan? Morrison: A child who’s clearly alternating fixation has a large angle of deviation that I assume to be an infantile strabismus. My cutoff for pr...
متن کاملRetrospective review of ocular alignment after large-angle congenital esotropia surgery
Results: The study period was from January 1992 to September 2003. Fifty-two patients were included in the study group. The pre-operative angle of deviation ranged from 50∆–85∆. Patient ages ranged from 15 months to 22 years, with a mean of 5.3 years and a median of 4 years. The gender distribution was 42% male (n = 20) and 58% female (n = 28). Surgery was successful (within 10∆ of orthophoria)...
متن کاملSuccessful alignment following multiple surgeries in a child with severe esotropia and a congenital cranial dysinnervation disorder
Aim: To report the alignment, visual outcome and surgical strategy for severe bilateral congenital esotropia caused by a congenital cranial dysinnervation disorder (CCDD). This was successfully treated with a combination of interventions that included alternate occlusion, botulinum toxin, and conventional and augmented transposition procedures. Methods: A girl presented at 2 months of age with ...
متن کاملSuccess Rates of Patients With Infantile Exotropia.
Infantile exotropia generally presents in a similar fashion to congenital esotropia. It typically occurs early in life and presents with a large, constant exodeviation. Patients with infantile exotropia are usually operated on early in life in the same manner as patients with congenital esotropia. In this issue, Rajavi et al. demonstrated that 18.3% of patients with infantile exotropia needed a...
متن کاملLarge bimedial rectus recessions in congenital esotropia.
The success rate of large (6 and 7 mm) bimedial rectus recessions in 45 congenital esotropes with deviations of 50 prism dioptres or greater was found to be 91%. Judgment of final alignment was made six weeks postoperatively, with an average follow-up of 13 months. Large bimedial rectus recessions are an effective surgical treatment for congenital esotropia. This procedure does not significantl...
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ورودعنوان ژورنال:
- The British journal of ophthalmology
دوره 71 5 شماره
صفحات -
تاریخ انتشار 1987