Der Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft · 2018
[Unilateral combined strabismus surgery to correct esotropia : Video article on recession of the medial rectus muscle and plication of the lateral rectus muscle].
СтатьяОбзорНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Wenner Y, Kuhli-Hattenbach C, Kohnen T
Аннотация
OBJECTIVE OF SURGERY: The aim of strabismus surgery to correct esotropia is orthotropic alignment or microstrabismus to achieve best possible binocularity, a larger visual field, better appearance, and a frequently connected improved self-esteem. A widely used technique to correct esotropia is combined unilateral strabismus surgery with recession of the medial rectus muscle and plication of the lateral rectus muscle.
INDICATIONS: Indications are esotropia of various origins or decompensating esophoria over 15 prism diopters.
CONTRAINDICATIONS: Absolute contraindications are insufficient optical correction of hyperopia and sixth nerve palsy with unfinished spontaneous regeneration. A relative contraindication in children is untreated amblyopia.
SURGICAL TECHNIQUE: The technique consists of unilateral recession of the medial rectus muscle and tucking of the lateral rectus muscle. The surgical technique is demonstrated in detail in two videos of the operation, which are available online.
FOLLOW-UP: Antibiotic and lubricating eye drops are applied during the first week after surgery. In the early postoperative period, patients should be monitored for postoperative infection, conjunctival dehiscence, or corneal laceration. We review patients 4 months postoperatively for evaluation of the long-term result.
EVIDENCE: Recent randomized controlled studies have shown that unilateral medial rectus muscle recession and resection surgery is comparable to bilateral recession surgery with regards to postoperative results in esotropia. The effect of lateral rectus muscle tuck is comparable to muscle resection with less trauma and potential reversibility during the first days after surgery.
INDICATIONS: Indications are esotropia of various origins or decompensating esophoria over 15 prism diopters.
CONTRAINDICATIONS: Absolute contraindications are insufficient optical correction of hyperopia and sixth nerve palsy with unfinished spontaneous regeneration. A relative contraindication in children is untreated amblyopia.
SURGICAL TECHNIQUE: The technique consists of unilateral recession of the medial rectus muscle and tucking of the lateral rectus muscle. The surgical technique is demonstrated in detail in two videos of the operation, which are available online.
FOLLOW-UP: Antibiotic and lubricating eye drops are applied during the first week after surgery. In the early postoperative period, patients should be monitored for postoperative infection, conjunctival dehiscence, or corneal laceration. We review patients 4 months postoperatively for evaluation of the long-term result.
EVIDENCE: Recent randomized controlled studies have shown that unilateral medial rectus muscle recession and resection surgery is comparable to bilateral recession surgery with regards to postoperative results in esotropia. The effect of lateral rectus muscle tuck is comparable to muscle resection with less trauma and potential reversibility during the first days after surgery.