| Does inferior oblique recession cause overcorrections in laterally incomitant small hypertropias due to superior oblique palsy? | |
| | |
MedLine Citation:
|
PMID: 23143910 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
AIM: To evaluate the effects of inferior oblique muscle recession (IOR) in cases of laterally incomitant hypertropia <10 prism dioptres (PD) in central gaze thact 2t are clinically consistent with superior oblique palsy (SOP). METHODS: We retrospectively reviewed patients with SOP and hypertropias <10 PD in central gaze who underwent graded IOR. Primary outcomes were reduction of lateral incomitance and number of overcorrections in central gaze. RESULTS: Twenty-five patients were included. Mean follow-up was 13.8 months (range 1.4-66). Mean central gaze hypertropia decreased from 5.6±2.1 to 0.2±1.6 PD (p<0.001). Contralateral gaze hypertropia decreased from 15.9±7.6 to 2.3±3.3 PD (p<0.001). Lateral incomitance (central vs contralateral gaze) was 10.3±6.9 PD preoperatively and 2.0±3.0 PD postoperatively (p<0.001). There were two patients overcorrected in central gaze, and one patient overcorrected in downgaze. One patient necessitated further surgery for overcorrection. CONCLUSIONS: Although small hypertropias can be treated with prisms or small, adjustable inferior rectus recessions, IOR collapses incomitance without causing much overcorrection. IOR is a reasonable treatment for small, laterally incomitant hypertropia due to SOP. |
| | |
Authors:
|
Karen Hendler; Stacy L Pineles; Joseph L Demer; Arthur L Rosenbaum; Guillermo Velez; Federico G Velez |
Publication Detail:
|
Type: Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't Date: 2012-11-10 |
Journal Detail:
|
Title: The British journal of ophthalmology Volume: 97 ISSN: 1468-2079 ISO Abbreviation: Br J Ophthalmol Publication Date: 2013 Jan |
Date Detail:
|
Created Date: 2012-12-21 Completed Date: 2013-02-26 Revised Date: 2013-04-18 |
Medline Journal Info:
|
Nlm Unique ID: 0421041 Medline TA: Br J Ophthalmol Country: England |
Other Details:
|
Languages: eng Pagination: 88-91 Citation Subset: IM |
Affiliation:
|
Department of Surgery, Division of Pediatric Ophthalmology, Olive View-UCLA Medical Center, 100 Stein Plaza, Los Angeles, CA 90095, USA. velez@jsei.ucla.edu |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adolescent Adult Aged Aged, 80 and over Child Child, Preschool Diplopia / physiopathology Follow-Up Studies Humans Infant Middle Aged Oculomotor Muscles / innervation, physiopathology, surgery* Ophthalmologic Surgical Procedures* Retrospective Studies Strabismus / etiology*, physiopathology, surgery* Suture Techniques Trochlear Nerve Diseases / complications* Vision, Binocular / physiology Visual Acuity / physiology Young Adult |
| Grant Support | |
ID/Acronym/Agency:
|
EY08313/EY/NEI NIH HHS; K23 EY021762/EY/NEI NIH HHS; K23EY021762/EY/NEI NIH HHS; P30 EY000331/EY/NEI NIH HHS; R01 EY008313/EY/NEI NIH HHS |
| Comments/Corrections | |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Coexistence of KCNV2 associated cone dystrophy with supernormal rod electroretinogram and MFRP relat...
Next Document: Rapid, Controllable Fabrication of Regular Complex Microarchitectures by Capillary Assembly of Micro...