Combined horizontal rectus muscle minimally invasive strabismus surgery for exotropia

Canadian Journal of Ophthalmology. Journal Canadien D'ophtalmologie
Niccolò Pellanda, Daniel S Mojon

Abstract

To evaluate combined horizontal rectus muscle minimally invasive strabismus surgery (MISS) for exotropia. Case series. Fifty-two consecutive exotropic patients operated on by 1 surgeon with MISS combined unilateral lateral rectus muscle recession and medial rectus muscle plication. Alignment, binocular single vision, conjunctival injection and swelling, and complications during the first 6 postoperative months were recorded prospectively. Conjunctival swelling and injection on the first postoperative day were scored retrospectively and compared with historic controls operated on with combined recession-plication or recession-resection using a limbal approach. Conjunctival swelling and injection were mainly mild on the first postoperative day and less pronounced than after surgery with a limbal approach (comparison of swelling and injection for MISS vs limbal opening recession-plication p < 0.001 and for MISS vs limbal opening recession-resection p < 0.001). A conversion to a limbal approach was necessary in 3/104 (3%, 95% CI 1%-7%) of all muscles. No scleral perforation or other serious complication was observed, and no patient needed a repeat operation within 6 months (0/49, 0%, 95% CI 0%-6%). This study demonstrates that smal...Continue Reading

References

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Feb 1, 2003·Survey of Ophthalmology·Lynnette M WatkinsPeter A D Rubin
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Sep 7, 2007·Acta Ophthalmologica·Shiro HigakiYoshikazu Shimomura
Sep 11, 2008·The British Journal of Ophthalmology·D S Mojon
Oct 30, 2008·Graefe's Archive for Clinical and Experimental Ophthalmology = Albrecht Von Graefes Archiv Für Klinische Und Experimentelle Ophthalmologie·Daniel S Mojon
Dec 11, 2008·Ophthalmologica. Journal international d'ophtalmologie. International journal of ophthalmology. Zeitschrift für Augenheilkunde·Daniel S Mojon
Feb 13, 2009·The British Journal of Ophthalmology·D S Mojon

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Citations

Dec 27, 2015·Archivos de la Sociedad Española de Oftalmología·P MerinoP Gómez de Liaño
Aug 30, 2012·Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus·Rebecca S Leenheer, Kenneth W Wright
Mar 3, 2017·Advances in Therapy·Ioannis AsproudisAnastasios-Georgios P Konstas

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