scholarly journals Bimedial rectus muscle elongation versus bimedial rectus muscle recession for the surgical treatment of large-angle infantile esotropia

2017 ◽  
Vol Volume 11 ◽  
pp. 1877-1881
Author(s):  
Manar Ghali
Keyword(s):  
Surgical Treatment ◽  
Large Angle ◽  
Rectus Muscle ◽  
Infantile Esotropia

scholarly journals The Results of Modified Hang Back Recession Surgery in Infantile Esotropia

2021 ◽  
Author(s):  
Diğdem BEĞENDİ ◽  
Burçin KAYA ◽  
Yaşar DURANOĞLU
Keyword(s):  
Surgical Treatment ◽  
Refractive Error ◽  
Rectus Muscle ◽  
Oblique Muscle ◽  
Modified Technique ◽  
Inferior Oblique Muscle ◽  
Infantile Esotropia ◽  
Time Of Surgery ◽  
Angle Of Deviation ◽  
The Difference

Abstract PURPOSE:Bimedial rectus recession is one of the surgical treatment options for infantile esotropia. It is mainly performed with the Hang-Back technique, which has undesirable side effects. In this study, this technique has been modified, and its results are discussed.METHODS:The files of 120 patients followed with the diagnosis of infantile esotropia and treated bimedial rectus muscle recession using the modified Hang-Back technique were reviewed retrospectively. Cases were evaluated by the time of surgery, coexistence with inferior oblique muscle weakening surgery, and presence of refractive error. The factors investigated on the results of surgical treatment were determined as age, gender, amount of hyperopic refractive error, application age, amount of horizontal deviation, amount of recession, stereopsis, fusion, age of surgery.RESULTS:When the cases were divided into subgroups which were the time of surgery, the operation performed with inferior oblique weakening surgery and presence of refractive error; the difference between preoperative and postoperative 1st month, 6th month, and 1st-year angle of deviation was statistically significant in all three groups (p < 0.001).CONCLUSION:This novel technique aims to prevent unwanted movement of the muscle in the horizontal and vertical axis and a gap in the middle of the recessed muscle, seen in the classical Hang-Back technique. The difference between the preoperative and postoperative angle of deviation was statistically significant. Also, over and under-correction and the development of alphabetic pattern deviation were less common in our modified technique.

Features of surgical treatment of Brown's syndrome in children

2021 ◽  
pp. 11-16
Author(s):  
N.A. Malinovskaya ◽  
◽  
E.V. Semyonova ◽  
A. Toriya ◽  
P.A. Nikonorova ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Conservative Treatment ◽  
Binocular Vision ◽  
Rectus Muscle ◽  
Oblique Muscle ◽  
Double Vision ◽  
Inferior Rectus ◽  
Inferior Oblique Muscle ◽  
Straight Position ◽  
Third Stage

Purpose. To study the features of surgical treatment of Brown's syndrome in children. Material and methods. 47 children with Brown's syndrome aged from one to 10 years were treated: 4 children had bilateral form, 43 had congenital form and 4 had acquired form. The operation was performed for 44 children. The indications for surgical treatment were double vision in a straight position, forced position of the head, impaired binocular vision. Results. Three children with acquired Brown's syndrome had a positive effect on the background of conservative treatment. Surgical treatment of Brown's syndrome was effective, but often required repeated interventions (31 patients, 70%): the first stage was weakening of the superior oblique muscle (tenotomy, recession, prolongation), the second stage was recession of the inferior oblique muscle, the third stage was recession of the contralateral inferior rectus muscles (4 patients, 9%). In a number of cases (5 children, 11%), at the outcome of surgical treatment, asymmetry of the palpebral fissures was noted due to mild enophthalmos in the operated eye (the result of weakening of the oblique muscles that «pull» the eyes out of the orbit and weakening of the contralateral inferior rectus muscle that «tightens» the eyeball). Conclusion. Surgery for Brown's syndrome is effective, but often requires reoperation. With acquired forms of Brown's syndrome, examination and the first stage of conservative treatment are required. The absolute indications for surgical treatment of Brown's syndrome are forced head position, double vision in a straight position and impaired binocular vision. Keywords: Brown's syndrome, double vision in a straight position, forced position of the head, impaired binocular vision, surgical treatment.

Tactics and timing of surgical treatment in a child with congenital essential esotropia: clinical case

2021 ◽  
pp. 56-59
Author(s):  
D.R. Mamulat ◽  
◽  
I.L. Plisov ◽  
N.G. Antsiferova ◽  
M.A. Sharokhin ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Key Words ◽  
Clinical Case ◽  
Rectus Muscle ◽  
Premature Baby ◽  
Medial Rectus ◽  
Subsequent Increase ◽  
Congenital Esotropia ◽  
Progressive Course ◽  
Spectacle Correction

Purpose. To evalute the effective of the proposed volume of surgical treatment for the progressive course of infant esotropia. Material and мethods. A premature baby with congenital esotropia, which was diagnosed at the sith month of life. The patient was assigned a spectacle correction taking into account the par of ametropia and constant alternating occlusion. In connection with the subsequent increase in horizontal esodeviation and the appearance of a paretic component, a bilateral recession of the internal rectus muscle by 5mm was carried out in combination with an injection of Botox in a volume of 2.0. IU. Results and discussion. After the first stage of surgical treatment, a stable decrease of horizontal esodeviation and an increase of the amount of abduction were achieved. Conclusion. Bilateral combined weakening of medial rectus muscles (classical recession and chemorecession) allows to achieve predicted good results in case of large strabismus angles, combined with limi of abduction. Key words: congenital esotropia, chemodenervation, chemorecession.

Botulinum toxin–augmentation of strabismus surgery in large-angle, infantile esotropia

2018 ◽  
Vol 22 (4) ◽  
pp. e44
Author(s):  
Michael J. Wan ◽  
Aubrey Gilbert ◽  
Melanie Kazlas ◽  
Carolyn Wu ◽  
Iason S. Mantagos ◽  
...  
Keyword(s):  
Botulinum Toxin ◽  
Large Angle ◽  
Strabismus Surgery ◽  
Infantile Esotropia

Medial rectus muscle elongation, a technique to treat very large-angle esotropia

2015 ◽  
Vol 253 (7) ◽  
pp. 1005-1011 ◽  
Author(s):  
Ahmad Ameri ◽  
Mohammad Reza Akbari ◽  
Ali Reza Keshtkar Jaafari ◽  
Masoud Aghsaei Fard ◽  
Bahram Eshraghi ◽  
...  
Keyword(s):  
Large Angle ◽  
Rectus Muscle ◽  
Medial Rectus

Medium-Term Outcomes of Three Horizontal Muscle Surgery in Large-Angle Infantile Esotropia

2014 ◽  
Vol 51 (3) ◽  
pp. 160-164 ◽  
Author(s):  
Hüseyin Bayramlar ◽  
Remzi Karadag ◽  
Aydin Yildirim ◽  
Ayse Öçal ◽  
Ünsal Sari ◽  
...  
Keyword(s):  
Large Angle ◽  
Medium Term ◽  
Infantile Esotropia

scholarly journals Three horizontal muscle surgery for large-angle infantile esotropia: validation of a table of amounts of surgery

Eye ◽  
2011 ◽  
Vol 25 (11) ◽  
pp. 1435-1441 ◽  
Author(s):  
J E Camuglia ◽  
M J Walsh ◽  
G A Gole
Keyword(s):  
Large Angle ◽  
Infantile Esotropia

Binocular function after surgical treatment of infantile esotropia

2001 ◽  
Vol 26 (4) ◽  
pp. 235-246
Author(s):  
Yoshiko Takihata ◽  
Maki Mukaisho ◽  
Kazutaka Kani
Keyword(s):  
Surgical Treatment ◽  
Infantile Esotropia ◽  
Binocular Function
Sign in / Sign up

Export Citation Format

Share Document