Surgery for Complete Vertical Rectus Paralysis Combined with Horizontal Strabismus
Aims. To report outcomes of the simultaneous surgical correction of vertical rectus paralysis combined with moderate-to-large angle horizontal strabismus. Methods. If a preoperative forced duction test was positive, antagonist muscle weakening surgery was performed, and then augmented partial rectus...
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| Format: | Article |
| Language: | English |
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Wiley
2014-01-01
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| Series: | Journal of Ophthalmology |
| Online Access: | http://dx.doi.org/10.1155/2014/828919 |
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| _version_ | 1832552914667700224 |
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| author | Leilei Zou Rui Liu Yan Liu Jing Lin Hong Liu |
| author_facet | Leilei Zou Rui Liu Yan Liu Jing Lin Hong Liu |
| author_sort | Leilei Zou |
| collection | DOAJ |
| description | Aims. To report outcomes of the simultaneous surgical correction of vertical rectus paralysis combined with moderate-to-large angle horizontal strabismus. Methods. If a preoperative forced duction test was positive, antagonist muscle weakening surgery was performed, and then augmented partial rectus muscle transposition (APRMT) + partial horizontal rectus recession-resection was performed 2 months later. If a preoperative forced duction test was negative, APRMT + partial horizontal rectus recession-resection was performed. Antagonistic muscle weakening surgery and/or conventional recession-resection of the horizontal and/or vertical muscles of the contralateral eye was performed 2 months later, as needed. Results. Ten patients with a mean age of 22.3 ± 13.0 years were included and mean follow-up was 7.1 months. The mean vertical deviation that APRMT corrected was 21.4 ± 3.7 PD (prism diopter). The absolute deviation in horizontal significantly decreased from a preoperative value of 48.5 ± 27.4 PD to a value of 3.0 ± 2.3 PD 6 months postoperatively. The movement score decreased from a value of −5 ± 0 preoperatively to a value of −2.7 ± 0.8 at 6 months postoperatively. Conclusion. For patients with complete vertical rectus paralysis combined with a moderate- to-large angle of horizontal strabismus, combined APRMT and partial horizontal rectus recession-resection is safe and effective for correcting vertical and horizontal strabismus. |
| format | Article |
| id | doaj-art-5b8f11447f354ebca7eec53ec354b3bd |
| institution | Kabale University |
| issn | 2090-004X 2090-0058 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Ophthalmology |
| spelling | doaj-art-5b8f11447f354ebca7eec53ec354b3bd2025-02-03T05:57:27ZengWileyJournal of Ophthalmology2090-004X2090-00582014-01-01201410.1155/2014/828919828919Surgery for Complete Vertical Rectus Paralysis Combined with Horizontal StrabismusLeilei Zou0Rui Liu1Yan Liu2Jing Lin3Hong Liu4Department of Ophthalmology, Eye and ENT Hospital, Fudan University, 83 Fenyang Road, Shanghai 200031, ChinaDepartment of Ophthalmology, Eye and ENT Hospital, Fudan University, 83 Fenyang Road, Shanghai 200031, ChinaDepartment of Ophthalmology, Eye and ENT Hospital, Fudan University, 83 Fenyang Road, Shanghai 200031, ChinaDepartment of Ophthalmology, Eye and ENT Hospital, Fudan University, 83 Fenyang Road, Shanghai 200031, ChinaDepartment of Ophthalmology, Eye and ENT Hospital, Fudan University, 83 Fenyang Road, Shanghai 200031, ChinaAims. To report outcomes of the simultaneous surgical correction of vertical rectus paralysis combined with moderate-to-large angle horizontal strabismus. Methods. If a preoperative forced duction test was positive, antagonist muscle weakening surgery was performed, and then augmented partial rectus muscle transposition (APRMT) + partial horizontal rectus recession-resection was performed 2 months later. If a preoperative forced duction test was negative, APRMT + partial horizontal rectus recession-resection was performed. Antagonistic muscle weakening surgery and/or conventional recession-resection of the horizontal and/or vertical muscles of the contralateral eye was performed 2 months later, as needed. Results. Ten patients with a mean age of 22.3 ± 13.0 years were included and mean follow-up was 7.1 months. The mean vertical deviation that APRMT corrected was 21.4 ± 3.7 PD (prism diopter). The absolute deviation in horizontal significantly decreased from a preoperative value of 48.5 ± 27.4 PD to a value of 3.0 ± 2.3 PD 6 months postoperatively. The movement score decreased from a value of −5 ± 0 preoperatively to a value of −2.7 ± 0.8 at 6 months postoperatively. Conclusion. For patients with complete vertical rectus paralysis combined with a moderate- to-large angle of horizontal strabismus, combined APRMT and partial horizontal rectus recession-resection is safe and effective for correcting vertical and horizontal strabismus.http://dx.doi.org/10.1155/2014/828919 |
| spellingShingle | Leilei Zou Rui Liu Yan Liu Jing Lin Hong Liu Surgery for Complete Vertical Rectus Paralysis Combined with Horizontal Strabismus Journal of Ophthalmology |
| title | Surgery for Complete Vertical Rectus Paralysis Combined with Horizontal Strabismus |
| title_full | Surgery for Complete Vertical Rectus Paralysis Combined with Horizontal Strabismus |
| title_fullStr | Surgery for Complete Vertical Rectus Paralysis Combined with Horizontal Strabismus |
| title_full_unstemmed | Surgery for Complete Vertical Rectus Paralysis Combined with Horizontal Strabismus |
| title_short | Surgery for Complete Vertical Rectus Paralysis Combined with Horizontal Strabismus |
| title_sort | surgery for complete vertical rectus paralysis combined with horizontal strabismus |
| url | http://dx.doi.org/10.1155/2014/828919 |
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