Document Detail


Vertical rectus muscle transposition for correcting abduction deficiency in Duane's syndrome type 1 and sixth nerve palsy.
MedLine Citation:
PMID:  20349902     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: To report the clinical outcome and complications of the Scott Foster procedure for treating abduction deficiency in patients with Duane's syndrome type 1 and sixth nerve palsy. METHODS: A retrospective, interventional case series included 62 consecutive patients (62 eyes: 38 eyes with Duane's syndrome and 24 eyes with sixth nerve palsy) who underwent the Scott Foster procedure for treatment of abduction deficiency. The main outcome measures were deviation, face turn, and abduction deficiency. RESULTS: In patients with sixth nerve palsy, mean distance deviation improved from 44.7+/-7.2 prism diopters (PD) before surgery to 12.5+/-4.0 PD after surgery (P<.05), and in patients with Duane's syndrome type 1, mean distance deviation improved from 31.5+/-4.3 PD preoperatively to 9.2+/-3.1 PD. Mean near deviation improved from 27.1+/-4.5 PD to 6.2+/-2.5 PD in patients with Duane's syndrome and from 40.3+/-6.2 PD to 13.7+/-3.4 PD in patients with sixth nerve palsy. Mean abduction deficiency improved from -4 to -2 (P<.05) in both groups. Face turn improved significantly after surgery. No patient had an overcorrection. No recurrence was detected. CONCLUSION: The Scott Foster procedure is effective for improving deviation, abduction deficiency, and face turn in patients with Duane's syndrome type 1 and especially in those with sixth nerve palsy.
Authors:
Ziaeddin Yazdian; Mohammad Taher Rajabi; Mohammad Ali Yazdian; Mohammad Bagher Rajabi; Mohammad Reza Akbari
Publication Detail:
Type:  Comparative Study; Journal Article     Date:  2010-03-22
Journal Detail:
Title:  Journal of pediatric ophthalmology and strabismus     Volume:  47     ISSN:  0191-3913     ISO Abbreviation:  J Pediatr Ophthalmol Strabismus     Publication Date:    2010 Mar-Apr
Date Detail:
Created Date:  2010-03-30     Completed Date:  2010-06-24     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7901143     Medline TA:  J Pediatr Ophthalmol Strabismus     Country:  United States    
Other Details:
Languages:  eng     Pagination:  96-100     Citation Subset:  IM    
Copyright Information:
Copyright (c) 2010, SLACK Incorporated.
Affiliation:
Department of Ophthalmology, School of Medicine, Medical Sciences, Tehran University, and Tehran University Eye Research Center, Farabi Eye Hospital, Tehran, Iran.
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MeSH Terms
Descriptor/Qualifier:
Abducens Nerve Diseases / complications,  physiopathology,  surgery*
Adolescent
Adult
Duane Retraction Syndrome / complications,  physiopathology,  surgery*
Eye Movements*
Female
Follow-Up Studies
Humans
Male
Oculomotor Muscles / physiopathology,  transplantation*
Ophthalmologic Surgical Procedures / methods*
Retrospective Studies
Treatment Outcome
Young Adult

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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