COMPARISON BETWEEN HORIZONTAL TRANSPOSITION OF VERTICAL RECTI TO THE INSERTION OF LATERAL RECTUS AND MEDIAL RECTUS RECESSION IN DUANE'S RETRACTION SYNDROME TYPE I

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YAZDIAN Z.; JAFARI A.R.; ROUSHANDEL S.

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Journal: BINA Year:2000 | Volume:5 | Issue:4 Page(s): 316-324

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Title

COMPARISON BETWEEN HORIZONTAL TRANSPOSITION OF VERTICAL RECTI TO THE INSERTION OF LATERAL RECTUS AND MEDIAL RECTUS RECESSION IN DUANE'S RETRACTION SYNDROME TYPE I

Author(s)

YAZDIAN Z. | JAFARI A.R. | ROUSHANDEL S. | Issue Writer Certificate

Keywords

DUANE RETRACTION SYNDROME TYPE IQ3

VERTICAL RECTI TRANSPOSITIONQ3

MEDIAL RECTUS RECESSIONQ3

Abstract

Purpose: Due to different surgical results of Duanes retraction syndrome (DRS) type I, a comparison between two surgical procedures (vertical transposition and MEDIAL RECTUS RECESSION) was done on patients who were referred to Farabi Hospital.Material and Methods: This research was done by clinical trial method on 28 patients who had esotropia, face turn or both. Fourteen Patients with transposition procedure (group I) and 14 patients with recession of medial rectus (group II). Four variables of deviation in distance and near, face turn, abduction motion and binocular visual fields were studied.Results: The mean age of the patients was 11.82 years old. They were 68% female and 32% male. Age, sex, involved eye (unilateral or bilateral), hyperopia and other characters were identical in two groups. After operation the mean increase of abduction in group I was 2.21mm more than group II which was zero (P<0.001). The mean reduction of distance deviation was 15.92 PD in group I and 18.89 PD in group II (N.S). The mean reduction of near deviation was 15.71 PD in group I and 19.57 in group II (N.S). The mean reduction of face turn was 9.14 degree in group I and 10.96 degree in group II (N.S). We found 28.57% vertical deviation in group I, but we did not find this complication in group II. The need for second surgery was 71.42% in group I and 35.71% in group II which was statistically significant (P<0.5).Conclusion: We conclude that VERTICAL RECTI TRANSPOSITION to the insertion of lateral rectus like medical rectus recession can be effective in correction of distance and near deviation, face turn in DRS type I and also it can increase the abduction and binocular field, but because of serious complications like vertical deviation and increasing the need for second surgery, we do not recommend this technique as a primary line of treatment.

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APA: Copy

YAZDIAN, Z., JAFARI, A.R., & ROUSHANDEL, S.. (2000). COMPARISON BETWEEN HORIZONTAL TRANSPOSITION OF VERTICAL RECTI TO THE INSERTION OF LATERAL RECTUS AND MEDIAL RECTUS RECESSION IN DUANE'S RETRACTION SYNDROME TYPE I . BINA, 5(4), 316-324. SID. https://sid.ir/paper/42399/en

Vancouver: Copy

YAZDIAN Z., JAFARI A.R., ROUSHANDEL S.. COMPARISON BETWEEN HORIZONTAL TRANSPOSITION OF VERTICAL RECTI TO THE INSERTION OF LATERAL RECTUS AND MEDIAL RECTUS RECESSION IN DUANE'S RETRACTION SYNDROME TYPE I . BINA[Internet]. 2000;5(4):316-324. Available from: https://sid.ir/paper/42399/en

IEEE: Copy

Z. YAZDIAN, A.R. JAFARI, and S. ROUSHANDEL, “COMPARISON BETWEEN HORIZONTAL TRANSPOSITION OF VERTICAL RECTI TO THE INSERTION OF LATERAL RECTUS AND MEDIAL RECTUS RECESSION IN DUANE'S RETRACTION SYNDROME TYPE I ,” BINA, vol. 5, no. 4, pp. 316–324, 2000, [Online]. Available: https://sid.ir/paper/42399/en

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