Muscle Union Procedure in Patients with Paralytic Strabismus

被引:14
|
作者
Park, Kyung-Ah [1 ]
Lyu, Injeong [1 ]
Yoon, Jungmin [2 ]
Jeong, Unchang [2 ]
Oh, Jae-Eung [2 ]
Lim, Han Woong [3 ]
Oh, Sei Yeul [1 ]
机构
[1] Sungkyunkwan Univ, Sch Med, Samsung Med Ctr, Dept Ophthalmol, Seoul, South Korea
[2] Hanyang Univ, Sch Mech Engn, Seoul 133791, South Korea
[3] Hanyang Univ, Coll Med, Dept Ophthalmol, Seoul 133791, South Korea
来源
PLOS ONE | 2015年 / 10卷 / 06期
关键词
TRANSPOSITION; RECTUS;
D O I
10.1371/journal.pone.0129035
中图分类号
O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];
学科分类号
07 ; 0710 ; 09 ;
摘要
To present the surgical outcomes of a muscle union procedure in patients with paralytic strabismus, this retrospective study included 27 patients with paralytic strabismus who underwent a muscle union procedure. In this procedure, the two vertical rectus muscles are united with the paralytic horizontal muscle without splitting the muscles. Postoperative ocular deviations, complications, surgical success rates, and reoperation rates were obtained by examining the medical records of the patients. Seventeen patients had a sixth cranial nerve palsy, seven patients had a third cranial nerve palsy, and three patients had a medial rectus muscle palsy after endoscopic sinus surgery. The mean preoperative angle of horizontal deviation in the primary position was 56 +/- 21 prism diopters. The mean follow-up period was 12 +/-+/- 9 months. The mean final postoperative ocular deviation was 8 +/- 13 prism diopters. The success rate was 74%, and the reoperation rate was 0%. No significant complications, including anterior ischemia, occurred in any of the patients. One patient exhibited an increase in intraocular pressure in the immediate postoperative period, but this resolved spontaneously within 1 week. Our muscle union procedure was effective in patients with paralytic strabismus, especially in patients with a large angle of deviation. This muscle union procedure is potentially a suitable option for muscle transposition in patients with paralytic strabismus who have large-angle deviation or a significant residual angle after conventional surgery.
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页数:8
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