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Long-term comparison of horizontal rectus surgery with vertical tendon transposition and combined vertical tendon transposition and inferior oblique-weakening in V-pattern exotropia.
Tellioglu, Adem; Yilmaz, Tolga; Inal, Asli; Gürez, Ceren; Özkan, Derya; Gökyigit, Birsen.
Afiliación
  • Tellioglu A; Department of Ophthalmology, Soma State Hospital, Manisa, Turkey. Electronic address: ademoztel@hotmail.com.
  • Yilmaz T; University of Health Sciences Beyoglu Eye Research and Training Hospital, Istanbul, Turkey.
  • Inal A; University of Health Sciences Beyoglu Eye Research and Training Hospital, Istanbul, Turkey.
  • Gürez C; University of Health Sciences Beyoglu Eye Research and Training Hospital, Istanbul, Turkey.
  • Özkan D; Department of Ophthalmology, Soma State Hospital, Manisa, Turkey.
  • Gökyigit B; University of Health Sciences Beyoglu Eye Research and Training Hospital, Istanbul, Turkey.
J AAPOS ; 28(4): 103958, 2024 Aug.
Article en En | MEDLINE | ID: mdl-38936653
ABSTRACT

PURPOSE:

To compare the efficacy of bilateral lateral rectus recession with vertical tendon transposition (LRVT) and LRVT combined with inferior oblique (IO) disinsertion for V-pattern exotropia.

METHODS:

The medical records of patients who had mild-to-moderate (+1 and +2) inferior oblique overaction (IOOA) and underwent half-tendon-width upward LRVT (transposition group), and LRVT with IO disinsertion (combined surgery group) for V-pattern exotropia and who had at least 3 years of postoperative follow-up were reviewed retrospectively.

RESULTS:

A total of 45 patients were included 22 in the transposition group and 23 in the combined surgery group. Preoperatively, there were no differences in V pattern, IOOA, or horizontal misalignment in primary position, upgaze, or downgaze between groups. The amount of exotropia in the primary position was 30.2Δ ± 10.7Δ in the transposition group, and 31.6Δ ± 14.1Δ in the combined surgery group (P = 0.974). A significant decrease in V pattern was observed in the combined surgery group and the transposition group at 6 months and 3 years postoperatively (P < 0.001). The reduction of V pattern in the combined surgery group at 6 months (20.2Δ ± 7.8Δ vs 15.6Δ ± 6.9Δ [P = 0.02]) and 3 years (20.1Δ ± 8.1Δ vs 15.2Δ ± 7.1Δ [P = 0.014]) was found to be greater than the transposition group. There were no differences in the success rate in the primary position at 6 months (P > 0.05).

CONCLUSIONS:

Both tendon transposition with horizontal rectus surgery and combined tendon transposition and IO-weakening surgery decreased V-pattern exotropia. However, combined surgery had a greater effect on decreasing V pattern in patients with mild-to-moderate IOOA.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Procedimientos Quirúrgicos Oftalmológicos / Transferencia Tendinosa / Visión Binocular / Exotropía / Músculos Oculomotores Límite: Adolescent / Adult / Child / Child, preschool / Female / Humans / Male Idioma: En Revista: J AAPOS Asunto de la revista: OFTALMOLOGIA / PEDIATRIA Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
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Imprimir
XML
PubMed Links
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Procedimientos Quirúrgicos Oftalmológicos / Transferencia Tendinosa / Visión Binocular / Exotropía / Músculos Oculomotores Límite: Adolescent / Adult / Child / Child, preschool / Female / Humans / Male Idioma: En Revista: J AAPOS Asunto de la revista: OFTALMOLOGIA / PEDIATRIA Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos