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Graded versus ungraded inferior oblique anterior transposition in patients with asymmetric dissociated vertical deviation
- Source :
- Journal of AAPOS : the official publication of the American Association for Pediatric Ophthalmology and Strabismus. 21(6)
- Publication Year :
- 2017
-
Abstract
- Purpose To report the surgical outcomes of graded versus ungraded inferior oblique anterior transposition (IOAT) in treatment of patients with asymmetric dissociated vertical deviation (DVD) and bilateral inferior oblique overaction (IOOA). Methods A total of 74 eyes of 37 patients with asymmetric DVD (interocular difference of ≥5Δ) and bilateral IOOA of > +1 were included in this randomized clinical trial. In the ungraded group (n = 18), both inferior oblique muscles were sutured at the inferior rectus level; in the graded group (n = 19), the inferior oblique muscles of eyes with more DVD were sutured at the level of the inferior rectus and inferior oblique muscles of eyes with less DVD were sutured 2 mm posterior to the level of the inferior rectus muscle. Results DVD was significantly reduced in each group (P Conclusions Each method of IOAT was effective in reducing DVD, asymmetry, IOOA, and V patterns.
- Subjects :
- Adult
Male
medicine.medical_specialty
Visual acuity
genetic structures
Adolescent
Eye Movements
Visual Acuity
Ophthalmologic Surgical Procedures
03 medical and health sciences
Inferior rectus muscle
Young Adult
0302 clinical medicine
Double-Blind Method
Medicine
Humans
Prospective Studies
Strabismus
Child
Depth Perception
Vision, Binocular
business.industry
Suture Techniques
Eye movement
Oblique case
Infant
Anatomy
medicine.disease
eye diseases
Surgery
Ophthalmology
Oculomotor Muscle
Treatment Outcome
Oculomotor Muscles
Child, Preschool
Pediatrics, Perinatology and Child Health
Dissociated vertical deviation
030221 ophthalmology & optometry
Female
medicine.symptom
business
030217 neurology & neurosurgery
Strabismus surgery
Subjects
Details
- ISSN :
- 15283933
- Volume :
- 21
- Issue :
- 6
- Database :
- OpenAIRE
- Journal :
- Journal of AAPOS : the official publication of the American Association for Pediatric Ophthalmology and Strabismus
- Accession number :
- edsair.doi.dedup.....0518929532c6342f5c4f2fbd26e04e06