Binocular Vertical Rectus Muscle Recession For Comitant Vertical Strabismus

Bergamin, Oliver; Wirth, M. G.; Landau, Klara

doi:10.1097/wno.0b013e31818e3b96

Cited by 5 publications

(3 citation statements)

References 4 publications

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“…The vertical ocular misalignment is less influenced by vergence and other fusional mechanisms; hence, there is less fusional amplitude in vertical than in horizontal misalignment. 1 Recession is the standard technique for weakening of extraocular muscles. Despite being the most common surgical procedure, complications related to suturing and muscle disinsertion may occur.…”

Section: Introductionmentioning

confidence: 99%

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Muscle fenestration in vertical rectus muscle surgeries

Awadein

Arfeen

2022

European Journal of Ophthalmology

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Purpose To evaluate the outcome of fenestration of the vertical rectus muscles in correcting vertical deviations. Material and Methods A retrospective chart review was conducted on patients who underwent fenestration surgery on the superior rectus (SR) or inferior rectus (IR) muscles. Ductions, versions, angle of deviations before and after surgery, and surgical details were analyzed. Success was defined as vertical alignment within 4 PD of orthophoria. Results Nineteen patients were identified. The mean age of the patients was 19.3 ± 13.1 (range; 4 to 48) years. The mean follow-up was 6.5 ± 2.7 (range, 3 to 12) months. Eleven patients presented with dissociated vertical deviation (DVD), 2 patients with sensory hypertropia, and 6 patients with sensory hypotropia. Fourteen patients had concomitant horizontal muscle surgery. The mean change of the angle of deviation was 13 ± 3 (range, 8 to 20) PD after SR fenestration. and 12 ± 2 (range; 10 to 15) PD after IR fenestration. There was a significant improvement in the post operative angle of deviation in both groups (P value <0.001). Success was achieved in 10 (77%) of patients who underwent SR fenestration and in all patients underwent ir fenestration. Only one patient in the IR group developed a 1-mm lower lid retraction. Conclusion Fenestration of the vertical rectus muscles is an effective and safe method for correcting vertical deviations. We recommend increasing the amount of fenstration in DVD to further improve the outcome.

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Section: Introductionmentioning

confidence: 99%

“…The vertical ocular misalignment is less influenced by vergence and other fusional mechanisms; hence, there is less fusional amplitude in vertical than in horizontal misalignment. 1…”

Section: Introductionmentioning

confidence: 99%

Muscle fenestration in vertical rectus muscle surgeries

Awadein

Arfeen

2022

European Journal of Ophthalmology

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“…If a vertical deviation fails to resolve, small recessions of the superior rectus muscle (in the higher eye) or inferior rectus muscle (in the lower eye) will often restore single binocular vision, but such an approach does not address the head tilt. 6,7 …”

mentioning

confidence: 99%

Torsional augmentation for the treatment of lateropulsion and torticollis in partial ocular tilt reaction

Brodsky

Holmes

2012

Journal of American Association for Pediatric Ophthalmology and

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Purpose We describe a new surgical treatment for lateropulsion and torticollis arising from an ocular tilt reaction. Methods Visual sensory parameters and postural abnormalities were retrospectively reviewed in a patient with a partial ocular tilt reaction who was treated with horizontal transposition of the vertical rectus muscles to surgically augment preexisting binocular torsion. Results Torsional augmentation eliminated the sensation of lateropulsion and produced almost complete resolution of her torticollis and associated body tilt. Conclusions Binocular torsional augmentation can be used to reduce both lateropulsion and torticollis in the setting of an ocular tilt reaction.

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Complex Ocular Motility Disorders in Children

Brodsky

2016

Pediatric Neuro-Ophthalmology

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Binocular Vertical Rectus Muscle Recession For Comitant Vertical Strabismus

Abstract: Binocular vertical rectus muscle recession is an effective surgical approach for patients with comitant vertical ocular misalignment.

Cited by 5 publications

References 4 publications

Muscle fenestration in vertical rectus muscle surgeries

Muscle fenestration in vertical rectus muscle surgeries

Torsional augmentation for the treatment of lateropulsion and torticollis in partial ocular tilt reaction

Complex Ocular Motility Disorders in Children

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