| Self-Grading Effect of Inferior Oblique Recession. | |
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MedLine Citation:
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PMID: 23205772 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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PURPOSE:Inferior oblique (IO) myectomy can result in self-adjustment; the greater the preoperative hyperdeviation, the larger the postoperative correction. This study estimated the effect of IO recession in primary position and in contralateral gaze. METHODS:Records of 43 patients with IO muscle overaction associated with congenital unilateral superior oblique palsy were reviewed retrospectively. Seventeen patients who had a unilateral 10-mm recession (IO attached at 2 mm temporal and 3 mm posterior from the inferior rectus muscle insertion) and 26 patients who had a standard 14-mm recession were evaluated at 3 months postoperatively. The effect of the recession was measured by preoperative hyperdeviation minus postoperative hyperdeviation. RESULTS:The average preoperative hyperdeviation was 13.4 ± 4.83 prism diopters (PD) in primary position and 16.2 ± 6.32 PD in contralateral gaze in the 10-mm group and 8.0 ± 3.48 PD in primary position and 12.76 ± 4.55 PD in contralateral gaze in the 14-mm group. The average deviation at 3 months postoperatively was 2.1± 3.03 in primary position and 2.6 ± 3.95 PD in contralateral gaze in the 10-mm group and 0.8 ± 1.21 in primary position and 1.8 ± 1.95 PD in contralateral gaze in the 14-mm group. The range of self-adjusting effect at 3 months postoperatively was 3 to 20 PD in primary position and 5 to 30 PD in contralateral gaze in the 10-mm group and 3 to 15 PD in primary position and 4 to 24 PD in contralateral gaze in the 14-mm group. The self-grading effect was large and displayed no significant differences at 3 months postoperatively in the 10- and 14-mm groups (P = .104 and .560, respectively). CONCLUSION:Both IO recession procedures were largely self-grading and no significant differences were evident at 3 months postoperatively. |
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Authors:
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Jun Ho Yoo; Seung-Hyun Kim; Ji Won Seo; Hae Jung Paik; Yoonae A Cho |
Publication Detail:
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Type: JOURNAL ARTICLE Date: 2012-12-04 |
Journal Detail:
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Title: Journal of pediatric ophthalmology and strabismus Volume: - ISSN: 1938-2405 ISO Abbreviation: J Pediatr Ophthalmol Strabismus Publication Date: 2012 Dec |
Date Detail:
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Created Date: 2012-12-4 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 7901143 Medline TA: J Pediatr Ophthalmol Strabismus Country: - |
Other Details:
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Languages: ENG Pagination: 1-5 Citation Subset: - |
Copyright Information:
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Copyright 2012, SLACK Incorporated. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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