The efficacy of rectus muscle transposition surgery in esotropic Duane syndrome and VI nerve palsy

Rosenbaum, Arthur L.

doi:10.1016/j.jaapos.2004.07.006

Cited by 93 publications

(112 citation statements)

References 16 publications

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“…1,4 We used this rule in our series. In some studies where type 1 Duane syndrome was treated with augmented transposition surgery, the deviation was reduced by 75-85%, the AHP was reduced by 80-83%, the abduction improved in 97-100% of patients with a change of 26-29%, and the binocular visual field All patients had r4 pd angle-induced vertical deviation, but none required surgery.…”

Section: Discussionmentioning

confidence: 99%

“…1 Later, several authors recommended full-tendon VRT over other forms of treatment for LR muscle palsies, [1][2][3][4] as well as for type 1 Duane syndrome with esotropia and a face turn in the primary position. 5,6 In 1997, Foster 7 described the modification of posterior augmentation of full-tendon VRT using nonabsorbable sutures to enhance the lateralization of each transposed rectus muscle.…”

Section: Introductionmentioning

confidence: 99%

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Vertical muscle transposition augmented with lateral fixation (Foster) suture for Duane syndrome and sixth nerve palsy

Akar

Gökyiğit

Pekel

et al. 2013

Eye

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Purpose To report the postoperative results of full-tendon vertical rectus transposition (VRT) augmented with lateral fixation suture for the treatment of type 1 Duane syndrome and sixth nerve palsy and to determine whether there was a decrease in the effect of the Foster suture over time. Methods This retrospective, consecutive case series included patients who underwent a full-tendon VRT transposition with lateral fixation for type 1 Duane syndrome or sixth nerve palsy. The primary outcome measures included deviation, abnormal head posture (AHP), abduction deficiency, and postoperative binocular single visual field (BSVF). Results Eighty-seven patients (87 eyes: 40 eyes with Duane syndrome and 47 eyes with sixth nerve palsy) were included in this study. In Duane syndrome patients, the deviation was reduced by a mean of 95%, the AHP was eliminated in 86% of patients, the abduction was improved by 42%, and a useful BSVF of B67% of normal was achieved at 1 year post operation. In sixth nerve palsy patients, the deviation was reduced by 99%, the abduction was improved by 59%, and a useful BSVF of B71% of normal was achieved at 1 year post operation. In both groups, the improvements in deviation angle and abduction were stable postoperatively. Sixteen patients needed reoperation for undercorrection. Conclusion VRT surgery with posterior fixation is an effective treatment method for complete sixth nerve palsy and Duane syndrome with esotropia, AHP, and abduction deficiency. The procedure carries a small risk of reoperation for undercorrection. The effect of the Foster suture did not decline over time.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Vertical muscle transposition augmented with lateral fixation (Foster) suture for Duane syndrome and sixth nerve palsy

Akar

Gökyiğit

Pekel

et al. 2013

Eye

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“…For abduction deficiencies such as abducens palsy and esotropic Duane syndrome, VRT has been advocated as the procedure that best enlarges the field of binocular vision (17). VRT is reserved for cases in which there is complete loss of lateral rectus muscle function.…”

Section: Discussionmentioning

confidence: 99%

“…17 In this study, we have introduced in two patients this novel technique in which the transposed muscles are dragged towards the anterior border of the lateral rectus muscle. This technique can be viewed as a full VRT because the entirety of the muscle is actually transposed towards the lateral rectus, but with full sparing of the ciliary vessels.…”

Section: Discussionmentioning

confidence: 99%

Adjustable augmented rectus muscle transposition surgery with or without ciliary vessel-sparing for abduction deficiencies

Hendler¹,

Pineles²,

Velez³

et al. 2013

Journal of American Association for Pediatric Ophthalmology and

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“…As well, tight rectus muscles are common findings with Duane's and Mobius' syndromes [3] [4]. Surgical recession of tight extraocular muscle can be challenging due to restricted globe rotation which may prevent the optimal muscle exposure required for surgery [5].…”

Section: Introductionmentioning

confidence: 99%

The Suh Muscle Hook: A New Muscle Hook for Tight Extraocular Muscles during Strabismus Surgery

Luo¹,

Morgan²,

Suh³

et al. 2017

OJOph

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Purpose: To introduce an advanced muscle hook to decrease risks and create more feasible extraocular muscle surgeries for physicians. Case Report: Tight extraocular muscles during strabismus surgery could be extremely challenging even in experienced hands due to restricted globe rotation, limited view, and lack of muscle elasticity. Although a variety of surgical instruments have been introduced through the years, traditional muscle hooks such as the Jameson hook are largely unchanged and are bulky and cumbersome. Using the traditional muscle hook under situations such as pediatric strabismus surgery with smaller eyes and extraocular muscles may increase the risk of perforating the globe or even rupturing the muscles. We developed the "Suh muscle hook", which has a 0.55 mm wide grooved track in a 1.1 mm wide horizontal bar, a semi-sharp dissecting tip, and a 30-degree bending near the handle accommodating for nasal bridge to better facilitate surgeons dealing with tight extraocular muscles and minimize risks during strabismus surgery.

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The efficacy of rectus muscle transposition surgery in esotropic Duane syndrome and VI nerve palsy

Cited by 93 publications

References 16 publications

Vertical muscle transposition augmented with lateral fixation (Foster) suture for Duane syndrome and sixth nerve palsy

Vertical muscle transposition augmented with lateral fixation (Foster) suture for Duane syndrome and sixth nerve palsy

Adjustable augmented rectus muscle transposition surgery with or without ciliary vessel-sparing for abduction deficiencies

The Suh Muscle Hook: A New Muscle Hook for Tight Extraocular Muscles during Strabismus Surgery

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