Medial rectus muscle elongation, a technique to treat very large-angle esotropia

Alipour, Ahmad; Akbari, Mohammad Reza; Jaafari, Ali Reza Keshtkar; Fard, Masoud Aghsaei; Eshraghi, Bahram; Tavakoli, Vida; Mirmohammadsadeghi, Arash

doi:10.1007/s00417-015-2992-4

Cited by 7 publications

(5 citation statements)

References 17 publications

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“…Additionally, patients who received BMRE in our study had a smaller preoperative angle of deviation (85.83±9.25 PD) and were followed up for a longer period (24 months) compared with patients in the study by Ameri et al (94.1±19.33 PD). Moreover, the mean dose-response effect of BMRE in our study (5.45±0.39 PD/mm) was comparable with that reported by Ameri et al (5.53±0.67 PD/mm) 14 and notably better than that reported by Sood et al 13 …”

Section: Discussionsupporting

confidence: 89%

“…The success rate of BMRE (83%) was higher than that of BMRR (50%) in our study and higher than that reported for BMRE by Ameri et al 14 (70%). It is notable that the success rate of BMRE in our study was also better than that reported for 3 horizontal muscle surgeries (62.4%).…”

Section: Discussioncontrasting

confidence: 79%

“…In our study, the achieved correction after BMRE (85.5±5.98 PD) was significantly better than that after BMRR, and was larger than that previously reported for BMRE by Ameri et al (76.45±10.11 PD). 14 The improved effectiveness of our procedure might have been due to the fact that we did not take the middle section sutures 1.5 mm posterior to the insertion, but instead made them flush with the insertion to increase the effect of elongation. Additionally, patients who received BMRE in our study had a smaller preoperative angle of deviation (85.83±9.25 PD) and were followed up for a longer period (24 months) compared with patients in the study by Ameri et al (94.1±19.33 PD).…”

Section: Discussionmentioning

confidence: 99%

“…All surgeries were performed under general anesthesia by the same surgeon (MA Ghali.). Amounts of recession and elongation according to the preoperative angle (based on surgeon experience and previous recommendation of Ameri et al) 14 are shown in Table 1 .…”

Section: Methodsmentioning

confidence: 99%

“…However, bimedial rectus muscle elongation (BMRE) is a muscle weakening procedure that was first described in 1967 13 and evaluated for the treatment of large-angle infantile ET in 2015. 14 …”

Section: Introductionmentioning

confidence: 99%

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Bimedial rectus muscle elongation versus bimedial rectus muscle recession for the surgical treatment of large-angle infantile esotropia

Ghali¹

2017

OPTH

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PurposeTo compare bimedial rectus muscle recession (BMRR; 7–8 mm) and bimedial rectus muscle elongation (BMRE; 6.5–9 mm) for the surgical treatment of large-angle infantile esotropia (ET; ≥70 prism diopters [PD]).Patients and methodsTwenty-four patients with large-angle infantile ET were divided into 2 groups; group A (n=12) underwent BMRR and group B (n=12) underwent BMRE. All patients received surgery under general anesthesia and were followed for at least 24 months after surgery. The mean dose-response effect at 24 months was calculated for each patient.ResultsThe mean preoperative angle of deviation was 79.16±7.64 PD (range, 70–90) in group A and 85.83±9.25 PD (range, 70–100) in group B. The duration of surgery was 55% shorter in group A compared with group B. There were no cases of over-correction, but there were 6 cases of under-correction in group A (50%) and 2 cases of under-correction in group B (16.7%). The mean dose-response effect was 4.42±0.19 PD/mm in group A and 5.45±0.39 PD/mm in group B.ConclusionBMRE is more effective than BMRR for the surgical treatment of large-angle infantile ET despite a higher level of technical difficulty.

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Section: Discussionsupporting

confidence: 89%

Section: Discussioncontrasting

confidence: 79%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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