COMPARISON OF LATERAL RECTUS RESECTION AND MEDIAL RECTUS RERECESSION ON PATIENTS WITH RESIDUAL ESOTROPIA

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RAJAVI ZH.; MOEZI GHADIM H.; AZEMATI M.; DANESH VAR F.

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Journal: JOURNAL OF CURRENT OPHTHALMOLOGY Year:2005 | Volume:18 | Issue:1 Page(s): 42-50

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Title

COMPARISON OF LATERAL RECTUS RESECTION AND MEDIAL RECTUS RERECESSION ON PATIENTS WITH RESIDUAL ESOTROPIA

Author(s)

RAJAVI ZH. | MOEZI GHADIM H. | AZEMATI M. | DANESH VAR F. | Issue Writer Certificate

Keywords

MEDIAL RECTUS RERECESSIONQ4

LATERAL RECTUS RESECTIONQ4

RESIDUAL ESOTROPIAQ4

Abstract

Purpose: To compare the results of LATERAL RECTUS RESECTION and MEDIAL RECTUS RERECESSION on the patients with RESIDUAL ESOTROPIA at Emam Hossein Medical Center, since2004 to 2005. Patients &Methods: This double blind controlled clinical trial study was performed on 25 patients with RESIDUAL ESOTROPIA by consecutive selection. After signing of consent form by the patients or their parents, cyclorefraction, best corrected visual acuity, deviation, near point of convergence, medial rectus function were measured by our orthoptist. On table of operation, if FDT was positive, MR ReRec. and if it was negative, both methods were done by random selection. 12 patients were operated with rerecession of medial rectus (cases) and 13 patients were operated with LATERAL RECTUS RESECTION (controls). Patients were re-examined-after 1.5 months follow up by the same orthoptist who did not know the type of operation. The results were analysed by T, Fisher exact and X2 tests. Results: 15 (60%) of patients were female and 10 (40%) were male. The patients were matched as their spherical equivalent; best corrected visual acuity, degree of deviation and near point of convergence. The success rate of the case and control groups were 67% and 54% respectively, but the difference was not statistically significant. Each millimeter of MR ReRec. has corrected 7.5 pd and each millimeter of LR Res. Has corrected 2.5 pd of RESIDUAL ESOTROPIA. Medial rectus mild underaction were seen in 50% of cases, but only 17.5% of them showed increased near point of convergence. There were no muscle slippage or lost, exotropia and scleral perforation. Conclusion: Considering the results of this study, LATERAL RECTUS RESECTION can be substituted with MEDIAL RECTUS RERECESSION in special situations. Medial rectus underaction was relatively mild and would not produce cosmetic problem.

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APA: Copy

RAJAVI, ZH., MOEZI GHADIM, H., AZEMATI, M., & DANESH VAR, F.. (2005). COMPARISON OF LATERAL RECTUS RESECTION AND MEDIAL RECTUS RERECESSION ON PATIENTS WITH RESIDUAL ESOTROPIA . JOURNAL OF CURRENT OPHTHALMOLOGY, 18(1), 42-50. SID. https://sid.ir/paper/53041/en

Vancouver: Copy

RAJAVI ZH., MOEZI GHADIM H., AZEMATI M., DANESH VAR F.. COMPARISON OF LATERAL RECTUS RESECTION AND MEDIAL RECTUS RERECESSION ON PATIENTS WITH RESIDUAL ESOTROPIA . JOURNAL OF CURRENT OPHTHALMOLOGY[Internet]. 2005;18(1):42-50. Available from: https://sid.ir/paper/53041/en

IEEE: Copy

ZH. RAJAVI, H. MOEZI GHADIM, M. AZEMATI, and F. DANESH VAR, “COMPARISON OF LATERAL RECTUS RESECTION AND MEDIAL RECTUS RERECESSION ON PATIENTS WITH RESIDUAL ESOTROPIA ,” JOURNAL OF CURRENT OPHTHALMOLOGY, vol. 18, no. 1, pp. 42–50, 2005, [Online]. Available: https://sid.ir/paper/53041/en

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