PMID: 18705619Aug 19, 2008Paper

Combined eyelid and strabismus surgery: examining conventional surgical wisdom

Journal of Pediatric Ophthalmology and Strabismus
Michael S McCrackenDon O Kikkawa

Abstract

To determine whether satisfactory results of both eyelid surgery and strabismus surgery can be obtained when these procedures are performed in the same setting in selected patients. Nine patients (16 eyelids) who had undergone surgery in the same setting for eyelid malposition and strabismus of the horizontal rectus muscles, with or without concurrent vertical rectus muscle surgery, were retrospectively reviewed. Eyelid malposition surgery success was defined as a postoperative margin reflex distance (MRD1) within 1 mm of the target. Strabismus surgery success was defined as a postoperative deviation within 8 prism diopters of orthophoria or a decrease in binocular diplopia if the patient had a less than 8 prism diopters deviation in primary gaze preoperatively. Eyelid retraction repair was performed on 13 upper eyelids, levator advancement was performed on 2 eyelids, and frontalis suspension was performed on 1 eyelid. Four patients underwent bilateral medial rectus recession and the remaining 5 patients received varying strabismus surgery. Four patients received adjustable sutures. Mean follow-up was 11 months. Postoperatively, 13 of 16 eyelids (81%) achieved an MRD1 within 1 mm of the target. Eight of 9 patients (89%) demonst...Continue Reading

References

Jan 1, 1989·Ophthalmic Plastic and Reconstructive Surgery·W A SimpsonJ R Collin
Jan 1, 1986·Archives of Orthopaedic and Trauma Surgery·K Takagi, M Yamaga
Aug 1, 1982·Archives of Ophthalmology·M J Hawes, R K Dortzbach
Dec 1, 1957·American Journal of Ophthalmology·W H FINK

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Citations

Dec 12, 2012·Survey of Ophthalmology·Antonio Augusto Velasco CruzCarolina T Pinto
Nov 24, 2011·Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus·Luiz Cláudio Santos de Souza LimaGuilherme Herzog Neto
Nov 3, 2010·Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus·Linda R DagiOscar A Cruz
Jul 1, 2017·Ophthalmic Plastic and Reconstructive Surgery·Karen E RevereJames A Katowitz
Mar 9, 2018·Ophthalmic Plastic and Reconstructive Surgery·Md Shahid AlamBipasha Mukherjee

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