Journal of AAPOS : the official publication of the American Association for Pediatric Ophthalmology and Strabismus · 2016
Partial tendon recession for small-angle vertical strabismus.
СтатьяНазвание и аннотация: Перевод в очереди
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.
Singh Jasleen, Choi Catherine S, Bahl Reecha, Archer Steven M
Аннотация
PURPOSE: To evaluate the effectiveness of the partial tendon recession procedure in correcting small-angle vertical deviations.
METHODS: The medical records of patients who underwent partial tendon recession (one pole) were reviewed retrospectively. Orthophoria was the primary outcome success criterion; residual deviation, torsion, and the dose-response relationship were also evaluated. A secondary analysis was performed on subsets of patients with thyroid eye disease (TED) and those with procedures on a muscle that had previous surgery.
RESULTS: A total of 53 procedures in 44 patients (average age, 58 years; age range 8-88 years) were evaluated. The mean preoperative vertical deviation was 4.3Δ ± 1.8Δ (range, 2Δ-9Δ); the mean postoperative vertical deviation was 0Δ ± 2.3Δ. The mean response to surgery was 1.5Δ/mm. In the entire cohort, 62% of the procedures resulted in orthophoria, but 82% of patients had resolution of vertical diplopia with a single procedure. In TED patients, 60% of the procedures resulted in orthophoria, whereas only 29% of procedures on previously operated muscles resulted in orthophoria.
CONCLUSIONS: Partial tendon recession of vertical rectus muscles reliably corrects small vertical deviations. This is equally true for patients with TED, but results are less predictable with reoperated muscles.
METHODS: The medical records of patients who underwent partial tendon recession (one pole) were reviewed retrospectively. Orthophoria was the primary outcome success criterion; residual deviation, torsion, and the dose-response relationship were also evaluated. A secondary analysis was performed on subsets of patients with thyroid eye disease (TED) and those with procedures on a muscle that had previous surgery.
RESULTS: A total of 53 procedures in 44 patients (average age, 58 years; age range 8-88 years) were evaluated. The mean preoperative vertical deviation was 4.3Δ ± 1.8Δ (range, 2Δ-9Δ); the mean postoperative vertical deviation was 0Δ ± 2.3Δ. The mean response to surgery was 1.5Δ/mm. In the entire cohort, 62% of the procedures resulted in orthophoria, but 82% of patients had resolution of vertical diplopia with a single procedure. In TED patients, 60% of the procedures resulted in orthophoria, whereas only 29% of procedures on previously operated muscles resulted in orthophoria.
CONCLUSIONS: Partial tendon recession of vertical rectus muscles reliably corrects small vertical deviations. This is equally true for patients with TED, but results are less predictable with reoperated muscles.