Journal article
Minimally invasive strabismus surgery (MISS) for rectus muscle transpositions.
- Mojon DS Department of Strabismology and Neuro-Ophthalmology, Kantonsspital, 9007 St Gallen, Switzerland. daniel.mojon@kssg.ch
- 2009-02-13
Published in:
- The British journal of ophthalmology. - 2009
Abducens Nerve Diseases
Adolescent
Adult
Aged
Child
Feasibility Studies
Female
Follow-Up Studies
Humans
Male
Middle Aged
Oculomotor Muscles
Ophthalmologic Surgical Procedures
Ophthalmoplegia
Posture
Strabismus
Treatment Outcome
Visual Acuity
English
AIMS
To present two similar, minimally invasive strabismus surgery (MISS) techniques for rectus muscle transpositions.
METHODS
The technique and results of 10 consecutive MISS muscle transpositions performed in eight patients by applying only small radial cuts between the insertion of the weak rectus muscle and the adjacent rectus muscles are presented.
RESULTS
In nine eyes a minimal and in one eye a moderate lid and conjunctival swelling could be seen on the first postoperative day. The preoperative deviation at distance of 41.7 (SD 21.6) pdpt decreased to 2.3 (4.4) pdpt at 6 months (p<0.01). At 6 months, only one patient had an abnormal head posture at distance, and no patient experienced diplopia.
CONCLUSIONS
This study demonstrates that small-incision, minimal dissection transposition techniques are feasible and effective in improving ocular alignment in patients with paralytic strabismus.
To present two similar, minimally invasive strabismus surgery (MISS) techniques for rectus muscle transpositions.
METHODS
The technique and results of 10 consecutive MISS muscle transpositions performed in eight patients by applying only small radial cuts between the insertion of the weak rectus muscle and the adjacent rectus muscles are presented.
RESULTS
In nine eyes a minimal and in one eye a moderate lid and conjunctival swelling could be seen on the first postoperative day. The preoperative deviation at distance of 41.7 (SD 21.6) pdpt decreased to 2.3 (4.4) pdpt at 6 months (p<0.01). At 6 months, only one patient had an abnormal head posture at distance, and no patient experienced diplopia.
CONCLUSIONS
This study demonstrates that small-incision, minimal dissection transposition techniques are feasible and effective in improving ocular alignment in patients with paralytic strabismus.
- Language
-
- English
- Open access status
- closed
- Identifiers
-
- DOI 10.1136/bjo.2008.153650
- PMID 19211600
- Persistent URL
- https://sonar.rero.ch/global/documents/126490
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