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Augmented medial rectus recession, medial rectus recession plus Faden, and slanted medial rectus recession for convergence excess esotropia.
MedLine Citation:
PMID:  20658460     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Purpose. To evaluate the efficacy of 3 different surgical techniques for convergence excess esotropia: augmented medial rectus recession, medial rectus recession plus Faden, and slanted medial rectus recession. Methods. Twenty-nine patients with convergence excess esotropia were divided into 3 groups. Group A included 9 patients treated with medial rectus muscle recession augmented with 1-2 mm more of the standard recession. Group B included 10 patients treated with standard recession plus Faden. Group C included 10 patients treated with slanted medial rectus recession. Surgical success was defined as esotropia (ET) 10 prism diopters or less at distance and near with collapse of distance/near disparity. Results. Satisfactory alignment with elimination of bifocal correction was noted in group A (66.6%). In groups B and C, the results were 70%. Group A patients had a mean reduction in distance/near disparity from 15.5±1.5 prism diopters preoperatively to 4.7±2.5 prism diopters postoperatively, while in group B the preoperative distance/near disparity was 16.5±1.8 prism diopters and decreased to 3.8±3.1 prism diopters postoperatively, and group C also showed reduction in distance/near disparity from 18.1±1.6 prism diopters preoperatively to 4.5±3.6 prism diopters postoperatively. There were no statistically significant differences among the 3 groups. Conclusions. The 3 procedures are effective surgical options to treat convergence excess esotropia with acceptable motor outcomes.
Authors:
Yasser Mohamed Khalifa
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  European journal of ophthalmology     Volume:  21     ISSN:  1724-6016     ISO Abbreviation:  Eur J Ophthalmol     Publication Date:    2011 Mar-Apr
Date Detail:
Created Date:  2011-03-01     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9110772     Medline TA:  Eur J Ophthalmol     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  119-24     Citation Subset:  IM    
Affiliation:
Ophthalmology Department, Suez Canal University, Ismailia - Egyp.
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