| Combined horizontal rectus muscle minimally invasive strabismus surgery for exotropia. | |
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MedLine Citation:
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PMID: 20648085 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To evaluate combined horizontal rectus muscle minimally invasive strabismus surgery (MISS) for exotropia. DESIGN: Case series. PARTICIPANTS: Fifty-two consecutive exotropic patients operated on by 1 surgeon with MISS combined unilateral lateral rectus muscle recession and medial rectus muscle plication. METHODS: Alignment, binocular single vision, conjunctival injection and swelling, and complications during the first 6 postoperative months were recorded prospectively. Conjunctival swelling and injection on the first postoperative day were scored retrospectively and compared with historic controls operated on with combined recession-plication or recession-resection using a limbal approach. RESULTS: Conjunctival swelling and injection were mainly mild on the first postoperative day and less pronounced than after surgery with a limbal approach (comparison of swelling and injection for MISS vs limbal opening recession-plication p < 0.001 and for MISS vs limbal opening recession-resection p < 0.001). A conversion to a limbal approach was necessary in 3/104 (3%, 95% CI 1%-7%) of all muscles. No scleral perforation or other serious complication was observed, and no patient needed a repeat operation within 6 months (0/49, 0%, 95% CI 0%-6%). CONCLUSIONS: This study demonstrates that small-incision, minimal dissection combined recession-plication surgery induces less conjunctival swelling and injection compared with the usual limbal approach. |
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Authors:
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Niccolò Pellanda; Daniel S Mojon |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Canadian journal of ophthalmology. Journal canadien d'ophtalmologie Volume: 45 ISSN: 0008-4182 ISO Abbreviation: Can. J. Ophthalmol. Publication Date: 2010 Aug |
Date Detail:
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Created Date: 2010-08-13 Completed Date: 2010-11-04 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0045312 Medline TA: Can J Ophthalmol Country: Canada |
Other Details:
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Languages: eng Pagination: 363-7 Citation Subset: IM |
Affiliation:
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Department of Strabismology and Neuro-Ophthalmology, Kantonsspital, St. Gallen, Switzerland. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Aged Child Child, Preschool Exotropia / physiopathology, surgery* Female Humans Male Middle Aged Oculomotor Muscles / surgery* Ophthalmologic Surgical Procedures* Surgical Procedures, Minimally Invasive* Vision, Binocular / physiology Visual Acuity / physiology Young Adult |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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