Evaluation of Relationship Between Medial Rectus Muscle Features and Surgical Success in Infantile Esotropia
Purpose: To investigate the relationship of surgical success with medial rectus insertion distance and muscle width in patients with infantile esotropia who had undergone bilateral medial rectus recession. Material and Method: Sixty eyes of 30 patients who had undergone bilateral medial rectus (MR...
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| Format: | Article |
| Language: | English |
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Galenos Yayinevi
2013-12-01
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| Series: | Türk Oftalmoloji Dergisi |
| Subjects: | |
| Online Access: | http://www.oftalmoloji.org/article_2316/Evaluation-Of-Relationship-Between-Medial-Rectus-Muscle-Features-And-Surgical-Success-In-Infantile-Esotropia |
| _version_ | 1797907576362369024 |
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| author | Ayça Sarı İdil Göksel Cem Sundu Ufuk Adıgüzel |
| author_facet | Ayça Sarı İdil Göksel Cem Sundu Ufuk Adıgüzel |
| author_sort | Ayça Sarı |
| collection | DOAJ |
| description | Purpose: To investigate the relationship of surgical success with medial rectus insertion distance and muscle width in patients with
infantile esotropia who had undergone bilateral medial rectus recession.
Material and Method: Sixty eyes of 30 patients who had undergone bilateral medial rectus (MR) recession surgery for infantile esotropia
were included in the study. In all eyes, both the distance between the nasal aspect of corneoscleral limbus and anterior edge of MR insertion
and the width of medial rectus at the insertion site were measured. The relationship of both these values and the differences in the 2 eyes with
the surgical success was evaluated.
Results: The mean age of the patients was 27.7±12.3 months (13-56 months), mean preoperative deviation was 46.17±10.88 PD, and the
mean cycloplegic refraction was +1.16D. The mean distance of MR insertion was 5.09±0.48 mm and the width was 9.13±1.14 mm in all eyes.
The insertion distances showed a difference of 0.5 mm between the right and left eyes in 40% of the patients. Bilateral medial rectus recession
of 6±0.2 mm was done after measuring from the insertion site of the muscle. All the patients were followed for 18.57±6.5 months. Surgical
success was achieved in 21 patients (70%), while 5 of the patients (16.7%) underwent a second surgery. There was no relation between surgical
success and patients’ gender, MR insertion distance or width. Also surgical success was independent from the difference of insertion distance
and width between the two eyes of the patients.
Discussion: There are many different studies supporting MR recession surgery either from MR insertion site or limbus in infantile
esotropia. This study showed that it is safe and successful to perform MR recession by measuring from MR insertion site. Besides, the
features of the muscles do not affect the postoperative results. (Turk J Ophthalmol 2013; 43: 424-6) |
| first_indexed | 2024-04-10T10:39:07Z |
| format | Article |
| id | doaj.art-88f8f614539d4bc682e614b4402b0d52 |
| institution | Directory Open Access Journal |
| issn | 1300-0659 2147-2661 |
| language | English |
| last_indexed | 2024-04-10T10:39:07Z |
| publishDate | 2013-12-01 |
| publisher | Galenos Yayinevi |
| record_format | Article |
| series | Türk Oftalmoloji Dergisi |
| spelling | doaj.art-88f8f614539d4bc682e614b4402b0d522023-02-15T16:20:41ZengGalenos YayineviTürk Oftalmoloji Dergisi1300-06592147-26612013-12-0143642442610.4274/tjo.58815Evaluation of Relationship Between Medial Rectus Muscle Features and Surgical Success in Infantile EsotropiaAyça Sarı0İdil Göksel1Cem Sundu2Ufuk Adıgüzel3Mersin Üniversitesi Tıp Fakültesi Hastanesi, Göz Hastalıkları Anabilim Dalı, Mersin, TürkiyeMersin Üniversitesi Tıp Fakültesi Hastanesi, Göz Hastalıkları Anabilim Dalı, Mersin, TürkiyeMersin Üniversitesi Tıp Fakültesi Hastanesi, Göz Hastalıkları Anabilim Dalı, Mersin, TürkiyeMersin Üniversitesi Tıp Fakültesi Hastanesi, Göz Hastalıkları Anabilim Dalı, Mersin, TürkiyePurpose: To investigate the relationship of surgical success with medial rectus insertion distance and muscle width in patients with infantile esotropia who had undergone bilateral medial rectus recession. Material and Method: Sixty eyes of 30 patients who had undergone bilateral medial rectus (MR) recession surgery for infantile esotropia were included in the study. In all eyes, both the distance between the nasal aspect of corneoscleral limbus and anterior edge of MR insertion and the width of medial rectus at the insertion site were measured. The relationship of both these values and the differences in the 2 eyes with the surgical success was evaluated. Results: The mean age of the patients was 27.7±12.3 months (13-56 months), mean preoperative deviation was 46.17±10.88 PD, and the mean cycloplegic refraction was +1.16D. The mean distance of MR insertion was 5.09±0.48 mm and the width was 9.13±1.14 mm in all eyes. The insertion distances showed a difference of 0.5 mm between the right and left eyes in 40% of the patients. Bilateral medial rectus recession of 6±0.2 mm was done after measuring from the insertion site of the muscle. All the patients were followed for 18.57±6.5 months. Surgical success was achieved in 21 patients (70%), while 5 of the patients (16.7%) underwent a second surgery. There was no relation between surgical success and patients’ gender, MR insertion distance or width. Also surgical success was independent from the difference of insertion distance and width between the two eyes of the patients. Discussion: There are many different studies supporting MR recession surgery either from MR insertion site or limbus in infantile esotropia. This study showed that it is safe and successful to perform MR recession by measuring from MR insertion site. Besides, the features of the muscles do not affect the postoperative results. (Turk J Ophthalmol 2013; 43: 424-6)http://www.oftalmoloji.org/article_2316/Evaluation-Of-Relationship-Between-Medial-Rectus-Muscle-Features-And-Surgical-Success-In-Infantile-EsotropiaInfantile esotropiamedial rectusinsertion distancemuscle widthsurgical success |
| spellingShingle | Ayça Sarı İdil Göksel Cem Sundu Ufuk Adıgüzel Evaluation of Relationship Between Medial Rectus Muscle Features and Surgical Success in Infantile Esotropia Türk Oftalmoloji Dergisi Infantile esotropia medial rectus insertion distance muscle width surgical success |
| title | Evaluation of Relationship Between Medial Rectus Muscle Features and Surgical Success in Infantile Esotropia |
| title_full | Evaluation of Relationship Between Medial Rectus Muscle Features and Surgical Success in Infantile Esotropia |
| title_fullStr | Evaluation of Relationship Between Medial Rectus Muscle Features and Surgical Success in Infantile Esotropia |
| title_full_unstemmed | Evaluation of Relationship Between Medial Rectus Muscle Features and Surgical Success in Infantile Esotropia |
| title_short | Evaluation of Relationship Between Medial Rectus Muscle Features and Surgical Success in Infantile Esotropia |
| title_sort | evaluation of relationship between medial rectus muscle features and surgical success in infantile esotropia |
| topic | Infantile esotropia medial rectus insertion distance muscle width surgical success |
| url | http://www.oftalmoloji.org/article_2316/Evaluation-Of-Relationship-Between-Medial-Rectus-Muscle-Features-And-Surgical-Success-In-Infantile-Esotropia |
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