PMID: 8949715Aug 1, 1996Paper

One stage vertical rectus muscle recession using adjustable sutures under local anaesthesia

The British Journal of Ophthalmology
S Rauz, J A Govan

Abstract

To assess the results of visual axis alignment following one stage adjustable suture surgery to correct vertical diplopia. Eight patients with a mean age of 44.9 years (range 16-80 years) complaining of vertical diplopia underwent rectus muscle recession under local anaesthesia with intraoperative adjustment of sutures. Diplopia was secondary to superior oblique paresis in four patients, dysthyroid eye disease in two patients, superior rectus paresis in one patient, and one developed a consecutive deviation after previous squint surgery. The surgery consisted of seven single muscle recessions (six inferior recti and one superior rectus) and one two muscle recession (inferior and lateral recti). The surgery was performed under topical anaesthesia supplemented with a subconjunctival injection of local anaesthetic over the muscle insertions. The patients remained comfortable throughout their surgery. All had a reduction in their vertical deviation. Six were asymptomatic and were eventually discharged. One had residual diplopia which was well tolerated without further intervention. One had persistent troublesome diplopia which was corrected by temporary Fresnel prisms. He became asymptomatic after further surgery of a 1 mm inferior...Continue Reading

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Citations

Aug 4, 2004·Der Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft·J Fricke, A Neugebauer
Apr 15, 2000·American Journal of Ophthalmology·A Spierer
Oct 17, 2002·Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus·Ines Perez
Jun 24, 2010·Ophthalmology·Jaime TejedorJosé M Rodríguez
Oct 4, 2008·Ophthalmic Surgery, Lasers & Imaging : the Official Journal of the International Society for Imaging in the Eye·Jun Mo ParkHee Young Choi
Aug 4, 2009·Journal of Pediatric Ophthalmology and Strabismus·Olga SeijasRosario Gómez de Liaño
May 29, 2010·Journal of Pediatric Ophthalmology and Strabismus·Jeong Ho YiJong Bok Lee
Apr 17, 2001·Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus·G WaltersJ A Bradbury
Jan 29, 2013·Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus·Kanwar Mohan, Ashok Sharma
Aug 21, 2003·Eye·A TripathiI B Marsh
Oct 27, 2006·Yonsei Medical Journal·Yoon-Hee ChangJong-Bok Lee
Aug 30, 2007·Annals of Ophthalmology·Ayse Gül Koçak AltintasSaban Simsek
Nov 18, 2020·Anaesthesia and Intensive Care·Alfred Wy ChuaBrian P Harrisberg
Jun 8, 2007·Ophthalmic Surgery, Lasers & Imaging : the Official Journal of the International Society for Imaging in the Eye·Mehdi Siiha OgütSinay Demirtas
Jun 19, 2001·Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus·F G VelezS J Isenberg
Oct 21, 2003·Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus·Pradeep Sharma, Robert D Reinecke
Aug 24, 2017·Archivos de la Sociedad Española de Oftalmología·I Sánchez-GuillénA B Diez-Lobo

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