ISSN: 1300-0365
Dil: Türkçe
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ORIGINAL RESEARCH ARTICLES |
Surgical Outcomes Of Bimedial Hang-back Recession In The Treatment Of Infantile Esotropia
Dr. Orhan AYDEMİR,a Dr. Semih AYDOĞANb
aGöz Hastalıkları ABD, Fırat Üniversitesi Tıp Fakültesi, ELAZIĞ
bBandırma Askeri Hastanesi, BALIKESİR
Objective: To report the outcome of bimedial muscle recession with hang-back suture technique for the treatment of infantile esotropia.
Material and Methods: Twenty infantile esotropia patients had been operated under general anesthesia using bimedial muscle recession with hang-back suture technique. If dissociated vertical deviation or inferior oblique muscle overaction were present they were corrected at the same operation. The preoperative median deviation was compared with early postoperative median deviation by Wilcoxon signed-rank test.
Results: 11 male and 9 female patients were included in this study. Preoperative median deviation was 47.50 (min 20-max 65) prism diopters and early postoperative median deviation was 1.0 (min 0-max 16) prism diopters (p< 0.001). Fifteen patients (75%) had ortoforia and 4 patients (20%) had average 12 prism diopters residual esotropia postoperatively. There was only one patient who had 15 prism diopters (5%) consecutive exotropia corrected by secondary operation. No preoperative and postoperative complications were observed. At the operation time the patients aged 11.0 ± 1.2 (range 6 to 24) months. The mean follow up time was found 14 ± 1.4 (range 4 to 26) months.
Conclusion: We suggest that in the treatment of infantile esotropia using bimedial muscle recession with hang-back suture technique is an effective and reliable method.Keywords: Esotropia, infantile; surgeryTurkiye Klinikleri J Ophthalmol 2007, 16:246-250
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