Monocular elevation deficit management
Aim The aim of the study is to study cases of monocular elevation deficit (MED), and find an appropriate procedure to follow in management. Patients and methods This prospective study included 21 patients presenting with MED, complete ocular examination including ocular motility examination in all d...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2024-05-01
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| Series: | Journal of the Egyptian Ophthalmological Society |
| Subjects: | |
| Online Access: | https://journals.lww.com/10.4103/ejos.ejos_74_23 |
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| _version_ | 1841560335046148096 |
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| author | Karim Gaballah Dalal Shawky |
| author_facet | Karim Gaballah Dalal Shawky |
| author_sort | Karim Gaballah |
| collection | DOAJ |
| description | Aim
The aim of the study is to study cases of monocular elevation deficit (MED), and find an appropriate procedure to follow in management.
Patients and methods
This prospective study included 21 patients presenting with MED, complete ocular examination including ocular motility examination in all directions, forced duction test (FDT) were performed, then cases having hypotropia in the affected eye in primary position were operated, and the choice of operation was depending on the result of FDT.
Results
The total number of cases was 21 patients, 18 patients had hypotropia in primary position accompanied by pseudoptosis, and three cases had no hypotropia. Sixteen cases of hypotropia had positive FDT, inferior rectus muscle recession by hang back procedure was performed in them, while in two cases of hypotropia with negative test, Knapp’s muscle transposition was performed. All operated cases had postoperative good ocular alignment and spontaneous regaining of normal lid position except two cases. Cases with no hypotropia were not operated and only followed up.
Conclusion
MED or double elevator palsy, can present with hypotropia and pseudoptosis, so requiring management, or presenting with normal eyes in primary position, requiring follow up. The choice of surgical procedure depended on results of FDT. |
| format | Article |
| id | doaj-art-595dbd8944a54403951f360c3617e615 |
| institution | Kabale University |
| issn | 2090-0686 |
| language | English |
| publishDate | 2024-05-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of the Egyptian Ophthalmological Society |
| spelling | doaj-art-595dbd8944a54403951f360c3617e6152025-01-04T10:26:38ZengWolters Kluwer Medknow PublicationsJournal of the Egyptian Ophthalmological Society2090-06862024-05-01117213714310.4103/ejos.ejos_74_23Monocular elevation deficit managementKarim GaballahDalal ShawkyAim The aim of the study is to study cases of monocular elevation deficit (MED), and find an appropriate procedure to follow in management. Patients and methods This prospective study included 21 patients presenting with MED, complete ocular examination including ocular motility examination in all directions, forced duction test (FDT) were performed, then cases having hypotropia in the affected eye in primary position were operated, and the choice of operation was depending on the result of FDT. Results The total number of cases was 21 patients, 18 patients had hypotropia in primary position accompanied by pseudoptosis, and three cases had no hypotropia. Sixteen cases of hypotropia had positive FDT, inferior rectus muscle recession by hang back procedure was performed in them, while in two cases of hypotropia with negative test, Knapp’s muscle transposition was performed. All operated cases had postoperative good ocular alignment and spontaneous regaining of normal lid position except two cases. Cases with no hypotropia were not operated and only followed up. Conclusion MED or double elevator palsy, can present with hypotropia and pseudoptosis, so requiring management, or presenting with normal eyes in primary position, requiring follow up. The choice of surgical procedure depended on results of FDT.https://journals.lww.com/10.4103/ejos.ejos_74_23double elevator palsyforced duction testmonocular elevation deficit |
| spellingShingle | Karim Gaballah Dalal Shawky Monocular elevation deficit management Journal of the Egyptian Ophthalmological Society double elevator palsy forced duction test monocular elevation deficit |
| title | Monocular elevation deficit management |
| title_full | Monocular elevation deficit management |
| title_fullStr | Monocular elevation deficit management |
| title_full_unstemmed | Monocular elevation deficit management |
| title_short | Monocular elevation deficit management |
| title_sort | monocular elevation deficit management |
| topic | double elevator palsy forced duction test monocular elevation deficit |
| url | https://journals.lww.com/10.4103/ejos.ejos_74_23 |
| work_keys_str_mv | AT karimgaballah monocularelevationdeficitmanagement AT dalalshawky monocularelevationdeficitmanagement |