Adherence syndrome following inferior oblique surgery: management and outcome of 14 cases

Strabismus
Ben BurtonJohn Lee

Abstract

Adherence Syndrome is diagnosed by limited upgaze, usually in the presence of an ipsilateral consecutive hypotropia in primary position, which is worse in lateral gaze. There is also a positive forced duction test. A retrospective review of patients diagnosed with sdherence syndrome following strabismus surgery under the care of a single ophthalmologist between 1989 and 2001 was performed. Fourteen patients were identified. All patients were thought to have undergone previous ipsilateral inferior oblique surgery, which was felt to be the cause of the restriction. We usually performed an extensive conjunctival peritomy over nearly 180 degrees, recessing the conjunctiva while leaving the sclera to re-epithelialise, and in addition recessed the inferior rectus by 2.5-3 mm. Only one patient required an additional operation. Of the 11 patients who had undergone surgery at our institution all showed a significant improvement in their symptoms. five were discharged happy, three continue to be followed and three failed to attend further appointments after their initial visit two weeks post-operation. It is not possible to restore normal eye movements in these patients. Our results show that one can improve the appearance in primary pos...Continue Reading

References

Mar 1, 1974·The British Journal of Ophthalmology·E A Dunlap
Jun 1, 1997·Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus·J S MoraA P Evan
Jul 31, 2001·American Journal of Ophthalmology·M YamadaY Mashima

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Citations

Jul 16, 2009·Annals of Plastic Surgery·Hirohiko KakizakiDinesh Selva
Dec 21, 2018·Strabismus·Sandra C GaneshAashish R Dhage
May 19, 2016·Seminars in Ophthalmology·Leyla NiyazAdem Gul
Jul 1, 2016·Taiwan Journal of Ophthalmology·Seyhan B Özkan

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