A Comparison of Surgical Techniques for the Treatment of Acquired Esotropia With Increased Accommodative Convergence/ Accommodation Ratio

West, Constance E.; Repka, Michael X.

doi:10.3928/0191-3913-19940701-08

Cited by 45 publications

(5 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Many texts supported that BMRR is a safe and e cient operation in treating esotopia with NFD [7] [31]. It is a simple and an easy technique but with success rate lower than the other 2 procedures.…”

Section: Discussionmentioning

confidence: 99%

Comparison of three different surgical techniques for convergence excess esotroia

Elsayed,

Mostafa,

Gamal

et al. 2024

Preprint

View full text Add to dashboard Cite

The surgical management of convergence excess esotropia (CEET) with near-far disparity (NFD) is a challenging problem. We aim to compare the results of three different surgical procedures; bilateral medial rectus recession(MRR), combined recession–resection (CRR) and Y - splitting recession(YSR) of the medial rectus (MR) muscle. This was a retrospective comparative study of 60 patients records from (2019–2023) who met the inclusion criteria with CEET (NFD), had on their whole cycloplegic refraction and underwent surgical treatment. An acceptable result was outlined as orthophoria or esotropia, less than 10 prism diopters (Δ) at far and near with decline of the NFD to less than 10 Δ at the ending of the follow up period of 2 years. 13 of 20 patients (65%), 15 of 20 patients (75%), 18 of 20 patients (90%), had acceptable results at far and near in Group I (MRR), Group II (CRR) and Group III (YSR) respectively (p value was 0.21) statistically insignificant. No cases of overcorrection (exotropia) were reported at the final follow up visit (2 years) in the three groups. The three surgical techniques were successful but CRR was the most successful, durable, with steadiness of outcomes but extended follow-up periods are even so necessary.

show abstract

Section: Discussionmentioning

confidence: 99%

Comparison of three different surgical techniques for convergence excess esotroia

Elsayed,

Mostafa,

Gamal

et al. 2024

Preprint

View full text Add to dashboard Cite

show abstract

“…8–12 In this procedure, if the surgical goal is set to correct the distance esotropia, under-correction would be an expected outcome, whereas over-correction would be a significant complication if the near esotropia is aimed by the surgery. 8–12 To reduce the under-or-over-correction rate in such cases, some authors employed prism adaptation techniques to determine the accurate amount of preoperative esotropia, with insignificant improvement of the surgical results. 35–39…”

Section: Discussionmentioning

confidence: 99%

“…[8][9][10][11][12] In this procedure, if the surgical goal is set to correct the distance esotropia, under-correction would be an expected outcome, whereas over-correction would be a significant complication if the near esotropia is aimed by the surgery. [8][9][10][11][12] To reduce the under-or-over-correction rate in such cases, some authors employed prism adaptation techniques to determine the accurate amount of preoperative esotropia, with insignificant improvement of the surgical results. [35][36][37][38][39] Retroequatorial myopexy of MR muscles (Faden operation) with or without muscle recession is currently the technique of choice by many surgeons for the treatment of the CEET.…”

Section: Discussionmentioning

confidence: 99%

“…Besides bifocals, a variety of surgical procedures have been introduced to address the CEET. These procedures include augmented recession of one or both medial rectus (MR) muscles, 5–12 Retroequatorial myopexy with or without recession of MR muscles, 13–18 fixation of MR pulleys with or without muscle recession, 19–22 combination of resection and recession on MR muscles 23 and slanted recession of MR muscles. 24–26…”

Section: Introductionmentioning

confidence: 99%

“…4 Besides bifocals, a variety of surgical procedures have been introduced to address the CEET. These procedures include augmented recession of one or both medial rectus (MR) muscles, [5][6][7][8][9][10][11][12] Retroequatorial myopexy with or without recession of MR muscles, [13][14][15][16][17][18] fixation of MR pulleys with or without muscle recession, [19][20][21][22] combination of resection and recession on MR muscles 23 and slanted recession of MR muscles. [24][25][26] Less than two decades ago, a novel method of Y-splitting and recession of MR muscles was introduced by a group of Austrian authors and endorsed by subsequent studies.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Modified Y- split and recession of medial rectus muscles in convergence excess esotropia

Bagheri

Abbasnia

Tavakoli

2020

European Journal of Ophthalmology

View full text Add to dashboard Cite

Purpose: The convergence excess esotropia (CEET) is defined when near esotropia is greater than the distance by at least 10 PD while the eye is corrected with the full cycloplegic refraction. The purpose of this study is to evaluate the effect of a modified technique of Y- split recession of the medial rectus muscles on CEET. Methods: This was a retrospective study on patients diagnosed with CEET. The surgery included longitudinally dividing the medial rectus muscles into two equal halves and re-attaching them in a recessed and one-tendon width apart position. Success was defined as a residual distance and near esotropia of less than 10 PD and a distance-near disparity of less than 5 PD. Results: Fourteen patients, including 8 (57.1%) females, were enrolled with a mean age of 7.1 ± 2.9 years. The mean follow-up period was 28.6 ± 12.1 months. The mean preoperative distance and near esotropia was 31 ± 10 and 45 ± 11.3 PD respectively that decreased to 2.4 ± 3 and 3.6 ± 3.8 PD at the final visit ( p < 0.001). The Mean distance-near disparity of esotropia was 14 ± 4.5 PD before the operation that decreased to 1.3 ± 1.8 PD at the final visit ( p < 0.001). The motor success rate was 78.6%, bifocal glasses were no more required in 92.9% of patients, and stereopsis improved in 35.7% of patients after the surgery. Conclusion: Bilateral modified Y- split and recession of the medial rectus muscle is an effective technique for the treatment of CEET with persistent outcomes in the long-term follow-up.

show abstract

Fifteen-Year Outcome of Surgery for the Near Angle in Patients With Accommodative Esotropia and a High Accommodative Convergence to Accommodation Ratio

Kushner¹

2001

Arch Ophthalmol

View full text Add to dashboard Cite

To determine the 15-year outcome of patients with partly accommodative esotropia with a high accommodative convergence to accommodation (AC/A) ratio who underwent surgery based on the angle of esotropia at one-third meter while wearing full hyperopic correction. Methods: A retrospective chart review to determine the 15-year outcome of 25 patients whose 6-month outcome had been previously reported as part of a prospective, randomized, masked clinical trial. All patients had partly accommodative esotropia with a high AC/A ratio and underwent surgery based on their esotropia at one-third meter while wearing full-distance optical correction. Results: Fifteen years after surgery, 19 of the 22 patients for whom follow-up data are available had between 0 and less than 10 prism diopters of esotropia. Only 6 of the 19 needed to continue to wear optical correction to maintain satisfactory alignment; however, 8 more needed spectacles for visual purposes. Only 1 patient needed to use a bifocal add to have satisfactory alignment at one-third meter. All patients showed some degree of sensory fusion, with 4 obtaining 40 seconds of stereopsis and another 8 obtaining between 60 and 200 seconds of stereopsis. Conclusion: Surgery for the near angle obtained with patients wearing their full hyperopic distance correction provides excellent motor and sensory results in patients with partly accommodative esotropia with a high AC/A ratio.

show abstract

A Comparison of Surgical Techniques for the Treatment of Acquired Esotropia With Increased Accommodative Convergence/ Accommodation Ratio

Cited by 45 publications

References 18 publications

Comparison of three different surgical techniques for convergence excess esotroia

Comparison of three different surgical techniques for convergence excess esotroia

Modified Y- split and recession of medial rectus muscles in convergence excess esotropia

Fifteen-Year Outcome of Surgery for the Near Angle in Patients With Accommodative Esotropia and a High Accommodative Convergence to Accommodation Ratio

Contact Info

Product

Resources

About