Inferior rectus recession--an effective procedure?
Br J Ophthalmol
; 81(12): 1031-6, 1997 Dec.
Article
in En
| MEDLINE
| ID: mdl-9497459
ABSTRACT
AIMS:
To examine the postoperative stability of inferior rectus recession, with particular reference to the incidence of progressive overcorrection.METHODS:
The results of consecutive patients undergoing inferior rectus recession over a 3 year period were reviewed.RESULTS:
21 patients underwent inferior rectus recession, using an adjustable suture technique in all but three cases. In 16 patients additional vertical muscle surgery was performed at the time of the inferior rectus recession. All patients were followed for a minimum of 3 months postoperatively, with a mean follow up of 9.3 months. At the final postoperative visit 11 patients were well aligned, eight were undercorrected, and two were overcorrected. In five of the eight undercorrected cases, the residual deviation was the result of postoperative drift in the direction of the preoperative deviation, following an initially good alignment. Review of the results failed to reveal any factor predictive for this postoperative drift.CONCLUSION:
The risk of postoperative overcorrection following inferior rectus recession should be considered, but in this study, undercorrection occurred more frequently than overcorrection. The possible reasons for overcorrection and undercorrection are discussed.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Ocular Motility Disorders
/
Oculomotor Muscles
Type of study:
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limits:
Adolescent
/
Adult
/
Aged
/
Aged80
/
Child
/
Female
/
Humans
/
Male
/
Middle aged
Language:
En
Journal:
Br J Ophthalmol
Year:
1997
Document type:
Article
Publication country:
ENGLAND
/
ESCOCIA
/
GB
/
GREAT BRITAIN
/
INGLATERRA
/
REINO UNIDO
/
SCOTLAND
/
UK
/
UNITED KINGDOM