Efficiency of Medial Rectus Advancement Surgery in Consecutive Exotropia
Purpose: To evaluate the efficiency of medial rectus advancement surgery in consecutive exotropia. Material and Methods: The study group consisted of 20 cases, 10 male, 10 female, who were diagnosed as consecutive exotropia and underwent surgery between 2008-2013 at Cukurova University Medical Facu...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Cukurova University
2015-12-01
|
| Series: | Çukurova Üniversitesi Tıp Fakültesi Dergisi |
| Subjects: | |
| Online Access: | http://www.scopemed.org/fulltextpdf.php?mno=181400 |
| _version_ | 1797910936008261632 |
|---|---|
| author | Kemal Yar Gulhanim Haciyakupoglu Ebru Esen |
| author_facet | Kemal Yar Gulhanim Haciyakupoglu Ebru Esen |
| author_sort | Kemal Yar |
| collection | DOAJ |
| description | Purpose: To evaluate the efficiency of medial rectus advancement surgery in consecutive exotropia.
Material and Methods: The study group consisted of 20 cases, 10 male, 10 female, who were diagnosed as consecutive exotropia and underwent surgery between 2008-2013 at Cukurova University Medical Faculty Ophthalmology Department. Records of the patients were investigated retrospectively. We evaluated best corrected visual acuity, existence of ambliopia, postoperative duration following the first surgery and applied surgical procedures. Postoperative deviation lower than 10 PD were assesed as successful. Mean follow up period was 29,8 +/- 21,36 (8-80) months, patients with inadequate follow up period were dismissed from the study group.
Results: We only applied bilateral medial rectus advancement surgery to 6 and unilateral medial rectus advancement surgery to 5 patients and obtained intended surgical result in these 11 cases. The other patients underwent lateral rectus recession or/and medial rectus resection operations inorder to reach projected deviation degrees. Deviation was found to be 46,4+/-9,24 (40-70) PD in cases who only underwent advancement surgery and was 65,56 +/- 18,78 (40-90) PD in cases who underwent additional surgical procedure. 16 (%80) of the cases had hypermetropi various dioptries and 7 (%35) had ambliopia.
Discussion: Consecutive exotropia can appear years after surgery and is an important late period complication. In this study achievement of %55 success with medial rectus advancement surgery indicates that this is a preferable procedure. But in wide angle deviations additional lateral rectus recession or/and medial rectus resection operations can be applied inorder to reach intended adjustment. Accurrate prediction of the propotion of advancement surgery and adjustment is not always possible because of intensive fybrosis in operated muscles and enviroment tissue. [Cukurova Med J 2015; 40(4.000): 707-713] |
| first_indexed | 2024-04-10T11:33:32Z |
| format | Article |
| id | doaj.art-c0c071e98a4e4be39ccb7b8ba5117895 |
| institution | Directory Open Access Journal |
| issn | 0250-5150 |
| language | English |
| last_indexed | 2024-04-10T11:33:32Z |
| publishDate | 2015-12-01 |
| publisher | Cukurova University |
| record_format | Article |
| series | Çukurova Üniversitesi Tıp Fakültesi Dergisi |
| spelling | doaj.art-c0c071e98a4e4be39ccb7b8ba51178952023-02-15T16:18:00ZengCukurova UniversityÇukurova Üniversitesi Tıp Fakültesi Dergisi0250-51502015-12-01404707713181400Efficiency of Medial Rectus Advancement Surgery in Consecutive ExotropiaKemal Yar0Gulhanim Haciyakupoglu1Ebru Esen2Balcali Hastanesi/ Goz Hastaliklari Anabilimdali/ Cukurova Universitesi, Adana/ Turkiye Balcali Hastanesi/ Goz Hastaliklari Anabilimdali/ Cukurova Universitesi, Adana/ Turkiye Balcali Hastanesi/ Goz Hastaliklari Anabilimdali/ Cukurova Universitesi, Adana/ TurkiyePurpose: To evaluate the efficiency of medial rectus advancement surgery in consecutive exotropia. Material and Methods: The study group consisted of 20 cases, 10 male, 10 female, who were diagnosed as consecutive exotropia and underwent surgery between 2008-2013 at Cukurova University Medical Faculty Ophthalmology Department. Records of the patients were investigated retrospectively. We evaluated best corrected visual acuity, existence of ambliopia, postoperative duration following the first surgery and applied surgical procedures. Postoperative deviation lower than 10 PD were assesed as successful. Mean follow up period was 29,8 +/- 21,36 (8-80) months, patients with inadequate follow up period were dismissed from the study group. Results: We only applied bilateral medial rectus advancement surgery to 6 and unilateral medial rectus advancement surgery to 5 patients and obtained intended surgical result in these 11 cases. The other patients underwent lateral rectus recession or/and medial rectus resection operations inorder to reach projected deviation degrees. Deviation was found to be 46,4+/-9,24 (40-70) PD in cases who only underwent advancement surgery and was 65,56 +/- 18,78 (40-90) PD in cases who underwent additional surgical procedure. 16 (%80) of the cases had hypermetropi various dioptries and 7 (%35) had ambliopia. Discussion: Consecutive exotropia can appear years after surgery and is an important late period complication. In this study achievement of %55 success with medial rectus advancement surgery indicates that this is a preferable procedure. But in wide angle deviations additional lateral rectus recession or/and medial rectus resection operations can be applied inorder to reach intended adjustment. Accurrate prediction of the propotion of advancement surgery and adjustment is not always possible because of intensive fybrosis in operated muscles and enviroment tissue. [Cukurova Med J 2015; 40(4.000): 707-713]http://www.scopemed.org/fulltextpdf.php?mno=181400Consecutive exotropiaMedial rectus Advancement surgery |
| spellingShingle | Kemal Yar Gulhanim Haciyakupoglu Ebru Esen Efficiency of Medial Rectus Advancement Surgery in Consecutive Exotropia Çukurova Üniversitesi Tıp Fakültesi Dergisi Consecutive exotropia Medial rectus Advancement surgery |
| title | Efficiency of Medial Rectus Advancement Surgery in Consecutive Exotropia |
| title_full | Efficiency of Medial Rectus Advancement Surgery in Consecutive Exotropia |
| title_fullStr | Efficiency of Medial Rectus Advancement Surgery in Consecutive Exotropia |
| title_full_unstemmed | Efficiency of Medial Rectus Advancement Surgery in Consecutive Exotropia |
| title_short | Efficiency of Medial Rectus Advancement Surgery in Consecutive Exotropia |
| title_sort | efficiency of medial rectus advancement surgery in consecutive exotropia |
| topic | Consecutive exotropia Medial rectus Advancement surgery |
| url | http://www.scopemed.org/fulltextpdf.php?mno=181400 |
| work_keys_str_mv | AT kemalyar efficiencyofmedialrectusadvancementsurgeryinconsecutiveexotropia AT gulhanimhaciyakupoglu efficiencyofmedialrectusadvancementsurgeryinconsecutiveexotropia AT ebruesen efficiencyofmedialrectusadvancementsurgeryinconsecutiveexotropia |