[Surgical correction of subjective excyclotorsion by tucking the anterior part of the superior oblique muscle tendon]. / Effet sur l'excyclotorsion subjective du plissement de la partie antérieure du tendon du muscle oblique supérieur.
Klin Monbl Augenheilkd
; 223(5): 386-9, 2006 May.
Article
em Fr
| MEDLINE
| ID: mdl-16705511
ABSTRACT
BACKGROUND:
Asymmetrical folding of the anterior portion of the superior oblique muscle is a simplified variant of the Harada-Ito procedure that is supposed to selectively correct ocular torsion. PATIENTS ANDMETHODS:
This surgical technique was applied to 22 patients suffering from bilateral acquired IV nerve palsy. Ocular torsion was evaluated with the Harms tangent screen. Pre- and post-operative torsional values were compared. Post-operative follow-up was 12 months.RESULTS:
Pre-operatively, mean excyclotropia was 8.8 degrees in primary position and 15.9 degrees in downgaze. Post-operatively, these values decreased to 1.5 degrees and 4.1 degrees, respectively. An enlarged field of binocular single vision, extending beyond 10 degrees inferiorly, was obtained in 17/22 patients.CONCLUSIONS:
The selective technique of superior oblique muscle anterior tendon tucking allows one to efficiently correct the ocular torsion induced by acquired bilateral IV nerve palsy.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Procedimentos Cirúrgicos Oftalmológicos
/
Tendões
/
Anormalidade Torcional
/
Doenças do Nervo Troclear
/
Diplopia
/
Músculos Oculomotores
Tipo de estudo:
Etiology_studies
Limite:
Female
/
Humans
/
Male
/
Middle aged
Idioma:
Fr
Revista:
Klin Monbl Augenheilkd
Ano de publicação:
2006
Tipo de documento:
Article
País de afiliação:
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