VERTICAL RECTUS MUSCLES TRANSPOSITION TO THE INSERTION OF THE LATERAL RECTUS MUSCLE WITH AUGMENTING SUTURE

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YAZDANIAN Z.A.D.; GHIASI G.

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Journal Paper

Paper Information

Journal: Journal of Current Ophthalmology Year:2000 | Volume:12 | Issue:3 Page(s): 63-75

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Title

VERTICAL RECTUS MUSCLES TRANSPOSITION TO THE INSERTION OF THE LATERAL RECTUS MUSCLE WITH AUGMENTING SUTURE

Author(s)

YAZDANIAN Z.A.D. | GHIASI G. | Issue Writer Certificate

Keywords

VERTICAL RECTUS MUSCLES TRANSPOSITIONQ3

LATERAL RECTUS PALSYQ3

TYPE I DUANE SYNDROMEQ3

Abstract

Introduction: Full VERTICAL RECTUS MUSCLES TRANSPOSITIONs have been shown to be an effective treatment for LATERAL RECTUS PALSY and TYPE I DUANE SYNDROME. This operation is usually accompanied by mechanical or botulinum toxin treatment of one or both medial rectus muscles, resulting in reduction of adduction & increasing diplopia in that gaze. This serie evaluates the effect of augmented transposition in 22 patients.Methods: Transposition of the vertical rectus muscles to the lateral rectus muscle insertion with augmenting suture was performed in 24 eyes of 22 patients. A lateral fixation suture of 5-0 Dacron polyester filament was placed in the sclera 16mmposteriorto the limbus and adjucent to the lateral rectus muscle, incorporating one fourth of the transposed muscle. Of the 22 pateints, eigth had typel Duane syndrome with a face turn & esotropia in the primary position, three had bilateral lateral rectus muscle palsy, nine had unilateral lateral rectus muscle palsy and one had mobius syndrome.One had recurrent esotropia after the last vertical muscle transposition.Results: In most patients (17.22 patients), alignment was achived or deviation was remained less than 10 prism-diopter of esotropia. Among the patients with TYPE I DUANE SYNDROME the average amount of deviation was reduced to 85%, in bilateral LATERAL RECTUS PALSY to 96%, in unilateral LATERAL RECTUS PALSY to 87.5%, in mobius syndrome & delayed augmenting suturing to 100%, face turn in all patients with TYPE I DUANE SYNDROME was decreased. Diplopia- free visual field was increased in all of the patients & no limitation of adduction was seen. Usually abduction tonic force increased+1 to +2. Induced vertical deviations in primary position were uncommon (4.22 patients). Significant lid fissure changes were not seen. Botulinum toxin injecting to the ipsilateral medial rectus muscle was not a limitation for augmented Trans position operation.Conclusion: VERTICAL RECTUS MUSCLES TRANSPOSITION to the insertion of the lateral rectus muscle with augmenting suture in TYPE I DUANE SYNDROME, unilateral& bilateral lateral rectus palsies& mobius syndrome improves tonic abduction force & decreases angle of deviation without compromising adduction.

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APA: Copy

YAZDANIAN, Z.A.D., & GHIASI, G.. (2000). VERTICAL RECTUS MUSCLES TRANSPOSITION TO THE INSERTION OF THE LATERAL RECTUS MUSCLE WITH AUGMENTING SUTURE. JOURNAL OF CURRENT OPHTHALMOLOGY, 12(3), 63-75. SID. https://sid.ir/paper/53127/en

Vancouver: Copy

YAZDANIAN Z.A.D., GHIASI G.. VERTICAL RECTUS MUSCLES TRANSPOSITION TO THE INSERTION OF THE LATERAL RECTUS MUSCLE WITH AUGMENTING SUTURE. JOURNAL OF CURRENT OPHTHALMOLOGY[Internet]. 2000;12(3):63-75. Available from: https://sid.ir/paper/53127/en

IEEE: Copy

Z.A.D. YAZDANIAN, and G. GHIASI, “VERTICAL RECTUS MUSCLES TRANSPOSITION TO THE INSERTION OF THE LATERAL RECTUS MUSCLE WITH AUGMENTING SUTURE,” JOURNAL OF CURRENT OPHTHALMOLOGY, vol. 12, no. 3, pp. 63–75, 2000, [Online]. Available: https://sid.ir/paper/53127/en

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