Indications and outcome of vertical rectus partial recessions.

Archivos de la Sociedad Española de Oftalmología
P Merino SanzJ D Lourenço da Saude

Abstract

To assess the indications and results obtained with partial vertical recti recessions in patients with diplopia and small-angle vertical strabismus (≤10 dp). A retrospective study was conducted on 9 patients that were operated on with partial temporal or nasal recession of the superior (SR) or inferior rectus (IR), during 2017. A good outcome was considered when diplopia was resolved in primary position and infraversion, at the end of follow-up. A total of 9 cases were included, with a mean age 66.3 years (55.5% women), diagnosed with sixth nerve palsy (3), incomplete third nerve palsy (2), sagging eye (2), age related strabismus (1), and restrictive strabismus post-retinal surgery (1). Mean preoperative vertical deviation was 8.2 dp in primary position and the post-operative vertical deviation was 0.8 dp (mean difference was statistically significant, P=.007). In 4 cases, the SR was operated on (temporal pole in 3 and nasal in 1). The IR was operated on in 5 patients (temporal pole in 4 and nasal in 1). Mean recession was 3.77mm. In 55.5% of case diplopia was eliminated, and in a 33.3% a well-tolerated, intermittent diplopia persisted. A good outcome was obtained in 88.8% of the cases at the end of follow-up (mean: 7. 1 months...Continue Reading

Citations

Oct 17, 2020·Strabismus·Pilar Merino SanzHernán Eduardo Donoso Torres
Feb 25, 2021·European Journal of Ophthalmology·Barbara Burgos-BlascoRosario Gomez-de-Liaño
Jul 1, 2021·Strabismus·Pilar Merino-SanzFabio Zavarse Fadul
Feb 18, 2020·Archivos de la Sociedad Española de Oftalmología·P Merino SanzJ Casco Guijarro

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