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Full tendon transposition augmented with posterior intermuscular suture and recession--resection surgery.

Hong S, Chang YH, Han SH - Korean J Ophthalmol (2006)

Bottom Line: Preoperative angle of deviation was 56 prism diopters (PD) hypotropia and 45 PD right exotropia, compared with 18 PD left hypertropia and 10 PD right esotropia postoperatively.Essotropia persisted after 2.5 years, however, and so the right medial rectus was recessed after removal of the previous posterior intermuscular suture.Full tendon transposition augmented with posterior intermuscular suture and recession-resection surgery was effective for a patient with MED associated with significant horizontal deviation, and a second operation was easily performed when overcorrection occurred.

View Article: PubMed Central - PubMed

Affiliation: Institute of Vision Research, Department of Ophthalmology, Yonsei University College of Medicine, Seoul, Korea.

ABSTRACT

Purpose: To report an effect of the full tendon transposition augmented with posterior intermuscular suture and recession-resection surgery, for the patient with monocular elevation deficiency (MED) and large exotropia.

Methods: Interventional case report. Full tendon transposition augmented with posterior intermuscular suture and recession-resection surgery was performed for a 26-year-old male patient had monocular elevation deficiency (MED) and large exotropia.

Results: Preoperative angle of deviation was 56 prism diopters (PD) hypotropia and 45 PD right exotropia, compared with 18 PD left hypertropia and 10 PD right esotropia postoperatively. Essotropia persisted after 2.5 years, however, and so the right medial rectus was recessed after removal of the previous posterior intermuscular suture. At a three-year follow-up after the second surgery, alignment was straight in the primary position at near and far distances.

Conclusions: Full tendon transposition augmented with posterior intermuscular suture and recession-resection surgery was effective for a patient with MED associated with significant horizontal deviation, and a second operation was easily performed when overcorrection occurred.

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Related in: MedlinePlus

(a) Photograph of a patient with monocular elevation deficiency associated with significant exotropia. Preoperatively 56 PD right hypotropia and 45 PD right exotropia (Top). Postoperatively 18 PD left hypertropia and 10 PD right esotropia (Bottom). (b) Treatment of the condition with full tendon transposition augmented with posterior intermuscular suture and right lateral rectus muscle recession-right medial rectus muscle resection.
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Figure 1: (a) Photograph of a patient with monocular elevation deficiency associated with significant exotropia. Preoperatively 56 PD right hypotropia and 45 PD right exotropia (Top). Postoperatively 18 PD left hypertropia and 10 PD right esotropia (Bottom). (b) Treatment of the condition with full tendon transposition augmented with posterior intermuscular suture and right lateral rectus muscle recession-right medial rectus muscle resection.

Mentions: A 26-year-old male patient had MED and large exotropia from birth, and a marked limitation of supraduction in the affected eye. He had no significant medical or ophthalmic history of prior trauma. An examination revealed best corrected visual acuities of 20/40 in his right eye and 20/20 in his left eye. Preoperative angle of deviation was 56 prism diopters (PD) hypotropia and 45 PD exotropia of the right eye (Fig. 1a).


Full tendon transposition augmented with posterior intermuscular suture and recession--resection surgery.

Hong S, Chang YH, Han SH - Korean J Ophthalmol (2006)

(a) Photograph of a patient with monocular elevation deficiency associated with significant exotropia. Preoperatively 56 PD right hypotropia and 45 PD right exotropia (Top). Postoperatively 18 PD left hypertropia and 10 PD right esotropia (Bottom). (b) Treatment of the condition with full tendon transposition augmented with posterior intermuscular suture and right lateral rectus muscle recession-right medial rectus muscle resection.
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC2908863&req=5

Figure 1: (a) Photograph of a patient with monocular elevation deficiency associated with significant exotropia. Preoperatively 56 PD right hypotropia and 45 PD right exotropia (Top). Postoperatively 18 PD left hypertropia and 10 PD right esotropia (Bottom). (b) Treatment of the condition with full tendon transposition augmented with posterior intermuscular suture and right lateral rectus muscle recession-right medial rectus muscle resection.
Mentions: A 26-year-old male patient had MED and large exotropia from birth, and a marked limitation of supraduction in the affected eye. He had no significant medical or ophthalmic history of prior trauma. An examination revealed best corrected visual acuities of 20/40 in his right eye and 20/20 in his left eye. Preoperative angle of deviation was 56 prism diopters (PD) hypotropia and 45 PD exotropia of the right eye (Fig. 1a).

Bottom Line: Preoperative angle of deviation was 56 prism diopters (PD) hypotropia and 45 PD right exotropia, compared with 18 PD left hypertropia and 10 PD right esotropia postoperatively.Essotropia persisted after 2.5 years, however, and so the right medial rectus was recessed after removal of the previous posterior intermuscular suture.Full tendon transposition augmented with posterior intermuscular suture and recession-resection surgery was effective for a patient with MED associated with significant horizontal deviation, and a second operation was easily performed when overcorrection occurred.

View Article: PubMed Central - PubMed

Affiliation: Institute of Vision Research, Department of Ophthalmology, Yonsei University College of Medicine, Seoul, Korea.

ABSTRACT

Purpose: To report an effect of the full tendon transposition augmented with posterior intermuscular suture and recession-resection surgery, for the patient with monocular elevation deficiency (MED) and large exotropia.

Methods: Interventional case report. Full tendon transposition augmented with posterior intermuscular suture and recession-resection surgery was performed for a 26-year-old male patient had monocular elevation deficiency (MED) and large exotropia.

Results: Preoperative angle of deviation was 56 prism diopters (PD) hypotropia and 45 PD right exotropia, compared with 18 PD left hypertropia and 10 PD right esotropia postoperatively. Essotropia persisted after 2.5 years, however, and so the right medial rectus was recessed after removal of the previous posterior intermuscular suture. At a three-year follow-up after the second surgery, alignment was straight in the primary position at near and far distances.

Conclusions: Full tendon transposition augmented with posterior intermuscular suture and recession-resection surgery was effective for a patient with MED associated with significant horizontal deviation, and a second operation was easily performed when overcorrection occurred.

Show MeSH
Related in: MedlinePlus