ISSN: 1300-0365
Dil: Türkçe
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Results Of Resession And Tenotomyin Primary Inferior Oblique Overaction
Tamer Fazıl YILDIZ*, Uğur ÜNSAL**, Hüseyin YALÇIN***, Koray KARADAYI*,Yavuz ÖRGE****, Oğuz GÜLECEK****
* Yrd.Doç.Dr., GATA Haydarpaşa Eğitim Hastanesi Göz Kliniği** Asist.Dr., GATA Haydarpaşa Eğitim Hastanesi Göz Kliniği*** Uz.Dr., GATA Haydarpaşa Eğitim Hastanesi Göz Kliniği****Prof.Dr., GATA Haydarpaşa Eğitim Hastanesi Göz Kliniği, İSTANBUL
Purpose: To evaluate the results of inferior oblique tenotomy and recession performed in primary inferior oblique overaction (IOOA).Materıal and Methods: Inferior oblique muscle recession or tenotomy was performed to 19 eyes of 18 cases with primary IOOA diagnosed at GATA Haydarpaşa Education Hospital, Ophthalmology Department, August 1998 and September 2001.The operation was applied to cases that have grade +2, grade +3 or grade +4 IOOA.Surgical succes was defined as loss of overelevation or reduction to grade +1 in adduction.Results: While 17 cases had unilateral IOOA 1 had bilateral IOOA. Mean follow up period was 10 (between 6-20) months. The surgical success was achieved in 4 (%100) eyes that the recession technique was performed and in 14 out of 15 eyes that the tenotomy technique was performed. Adherence syndrome, inferior oblique underaction, scleral perforation, macular damage or denervation of pupilla were not observed in any of the cases.Conclusion: We found that inferior oblique muscle recession and tenotomy methods were quite effective and reliable in primary IOOA cases.Keywords: Inferior oblique overaction, Inferior oblique recession, Inferior oblique tenotomyTurkiye Klinikleri J Ophthalmol 2003, 12:82-86
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