ArticleJournal of AAPOS : the official publication of the American Association for Pediatric Ophthalmology and Strabismus2015
Adjustable small-incision selective tenotomy and plication for correction of incomitant vertical strabismus and torsion.
Article in Journal of AAPOS : the official publication of the American Association for Pediatric Ophthalmology and Strabismus, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed, 13 citations in OpenAlex.
- Long-term outcomes of adjustable strabismus surgery at a Pakistani university hospital.International ophthalmology · 2023Article
- A simple marking system for accurate intraoperative monitoring and adjustment of cyclotorsion strabismus surgery.Frontiers in medicine · 2022Article
- Anterior segment ischemia: etiology, assessment, and management.Eye (London, England) · 2018Article
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
Abstract
purposeTo evaluate the effectiveness of adjustable small-incision selective tenotomy and plication of vertical rectus muscles in correcting vertical strabismus incomitant in horizontal gaze positions and cyclotorsion.
methodsThe medical records of all patients who underwent adjustable small-incision selective tenotomy or plication of a vertical rectus muscle for correction of horizontally incomitant vertical strabismus or cyclotorsion by a single surgeon at a single eye institute from July 2013 to September 2014 were retrospectively reviewed. Selective tenotomy and plication were performed on either the nasal or temporal side of vertical rectus muscles, based on the direction of cyclotorsion and incomitance of vertical strabismus.
resultsOf 9 patients identified, 8 (89%) had successful correction of horizontally incomitant vertical strabismus, with postoperative vertical alignment within 4(Δ) of orthotropia in primary position, lateral gazes, and downgaze. Of the 8 patients with preoperative cyclotorsion, 4 (50%) were successfully corrected, with <5° of cyclotorsion postoperatively. Of the 4 patients in whom cyclotorsion did not improve, 3 had undergone prior strabismus surgery, and 2 had restrictive strabismus. Eight of the 9 patients (89%) reported postoperative resolution of diplopia.
conclusionsAdjustable small-incision selective tenotomy and plication effectively treat horizontally incomitant vertical strabismus. These surgeries may be less effective for correcting cyclotorsion in patients with restriction or prior strabismus surgery. Advantages are that they may be performed in an adjustable manner and, in some cases, under topical anesthesia.
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