| Long-term results of an intraoperative adjustable superior oblique tendon suture spacer using nonabsorbable suture for Brown Syndrome. | |
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MedLine Citation:
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PMID: 18538400 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To investigate the long-term surgical outcome of Brown syndrome using an intraoperative adjustable superior oblique (SO) tendon suture spacer. DESIGN: Retrospective case series. PARTICIPANTS: Thirteen patients with congenital unilateral Brown syndrome operated on at the Wolfe Eye Clinic from 2001 through 2007. METHODS: Retrospective analysis of consecutive patients managed with the SO suture spacer followed up for at least 10 months. MAIN OUTCOME MEASURES: Surgical intervention for patients having severe or moderate forms of Brown syndrome. Postoperative effect on abnormal head posture, vertical strabismus in primary gaze, vertical strabismus into affected side gaze, and elevation in adduction. RESULTS: The mean duration of follow-up was 30 months (range, 10-72 months). Abnormal head posture improved from 13 degrees (range, 0 degrees -30 degrees ) to 0.4 degrees (range, 0 degrees -5 degrees ). Vertical strabismus in primary gaze improved from -10Delta (range, 0Delta to -35Delta) to 2.8Delta (range, -16Delta to 16Delta). Vertical in side gaze improved from -20Delta (range, -35Delta to -8Delta) to -1.5Delta (range, -20Delta to 18Delta). Elevation in adduction improved from -3.5 (range, -4 to -2) to -0.4 (range, -2 to 4). Four patients had an overcorrection and 2 patients experienced an increasing late effect. In no patient did a late under correction develop. CONCLUSIONS: The SO suture spacer procedure alleviated abnormal head positions in patients with Brown syndrome by improving vertical strabismus in primary position and in the affected field of gaze while avoiding overcorrection in contralateral gaze. The benefits of the procedure persisted over time. |
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Authors:
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Donny W Suh; Darren T Oystreck; David G Hunter |
Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't Date: 2008-06-05 |
Journal Detail:
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Title: Ophthalmology Volume: 115 ISSN: 1549-4713 ISO Abbreviation: Ophthalmology Publication Date: 2008 Oct |
Date Detail:
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Created Date: 2008-10-20 Completed Date: 2008-10-30 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 7802443 Medline TA: Ophthalmology Country: United States |
Other Details:
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Languages: eng Pagination: 1800-4 Citation Subset: IM |
Affiliation:
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Wolfe Eye Clinic, Pediatric Ophthalmology section, West Des Moines, Iowa, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Child Child, Preschool Depth Perception / physiology Female Follow-Up Studies Head / physiology Humans Infant Intraoperative Care / methods Male Ocular Motility Disorders / surgery* Polyesters* Postoperative Complications Posture Retrospective Studies Strabismus / physiopathology Suture Techniques* Sutures* Tendons / surgery* Treatment Outcome |
| Chemical | |
Reg. No./Substance:
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0/Polyesters |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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