| Role of inferior rectus botulinum toxin injection in iatrogenic vertical strabismus. | |
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MedLine Citation:
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PMID: 21635164 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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Introduction: We describe the uses and effectiveness of botulinum toxin to the inferior rectus muscle in iatrogenic vertical strabismus. Methods: A retrospective review of our database to identify patients who had undergone inferior rectus botulinum toxin injection between 1982 and 2006 for iatrogenic vertical strabismus. Results: There were 13 patients, 5 female, with an age range of 14 to 78 years. Eight left eyes were injected. The mean period of follow-up was 3.3 years. Etiologies included post-local anesthetic, post-plaque radiotherapy for malignant melanoma, adherence syndrome after inferior oblique surgery, and post-botulinum toxin to the levator muscle to produce a temporary therapeutic ptosis. Reversal on first injection occurred in 7 patients and occurred in a further 2 patients on second injection. Pre-injection binocularity was not demonstrable in 3 patients; 2 of these patients did have binocular vision demonstrable after botulinum toxin injection. Seven patients had one injection, 3 patients had two, 1 had three, 1 had five, and 1 had six. Discussion: The data demonstrate the range of indications that can be successfully treated and managed with inferior rectus botulinum toxin injection in iatrogenic vertical strabismus. |
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Authors:
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John-Sebastian Barry; Emma Lm Dawson; Gillian Gw Adams; John P Lee |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Strabismus Volume: 19 ISSN: 1744-5132 ISO Abbreviation: Strabismus Publication Date: 2011 Jun |
Date Detail:
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Created Date: 2011-06-03 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9310896 Medline TA: Strabismus Country: England |
Other Details:
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Languages: eng Pagination: 38-42 Citation Subset: IM |
Affiliation:
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Moorfields Eye Hospital, London. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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