Anterior Transposition of the Inferior Oblique Muscle for Dissociated Vertical Deviation

Burke, John P.; Scott, William E.; Kutschke, Pamela J.

doi:10.1016/s0161-6420(13)31665-0

Cited by 64 publications

(49 citation statements)

References 14 publications

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“…Good outcomes are reported using both bilateral superior rectus muscle recessions and IOAT for asymmetric DVD. 4,5 Asymmetric placement of the inferior oblique muscles has been studied and is recommended by some authors. 3,9 Unilateral surgical treatment has been used in the unusual setting of unilateral or markedly asymmetric DVD.…”

mentioning

confidence: 99%

Unilateral inferior oblique anterior transposition for dissociated vertical deviation

Bothun¹,

Summers²

2004

Journal of American Association for Pediatric Ophthalmology and

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mentioning

confidence: 99%

Unilateral inferior oblique anterior transposition for dissociated vertical deviation

Bothun¹,

Summers²

2004

Journal of American Association for Pediatric Ophthalmology and

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“…Post-operative hypotropia was a reported complication of ANT procedure (4 cases) in Fard study and was also reported following ATIO in Black, Burke, Bremer and Quinn studies. 5,12,15,23 One case in the current series developed consecutive exotropia of 20 PD. This patient had long-standing infantile ET associated with unilateral DVD and IOOA and the patient had no fusion on worth's four dot test.…”

Section: Discussionmentioning

confidence: 59%

“…Male to female ratio was 1:3.75 in group A and 1:4 in group B. The mean age at the time of surgery for group A was 12 ± 4.07 years (range, 7-20) and for group B was 13.6 ± 5.03 (range, [7][8][9][10][11][12][13][14][15][16][17][18][19][20][21][22].…”

Section: Resultsmentioning

confidence: 99%

Anterior transposition vs anterior and nasal transposition of inferior oblique muscle in treatment of dissociated vertical deviation associated with inferior oblique overaction

Farid

2016

Eye

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Purpose To compare results of two surgical techniques; anteriorization (ATIO) vs anterior nasalization (ANT) of IO muscle in management of DVD associated with IOOA. Methods Twenty-one patients with DVD associated with IOOA were included in this study. Group A consists of 11 patients who underwent ATIO and group B with 10 patients who underwent anterior transposition of IO to the nasal border of inferior rectus ANT. All patients were followed for at least 6 months postoperatively. The primary outcome variables were changes in DVD in primary position and side gazes, IO action and V pattern. Results The average of correction of DVD in primary position, in adduction and in abduction was 10.63 PD, 24.6 PD (Po0.001) and 0.45 PD5 (P40.05) in ATIO group and 14.6 PD, 25.2 PD and 1.7 PD (Po0.001) in ANT group respectively. Mean IOOA decreased from +2.0 ± 0.7 to +0.18 ± 0.4 in group A (Po0.001) and from +2.5 ± 0.7 to +0.1 ± 0.5 (Po0.001) in group B. Mean V pattern was corrected from 19.18 ± 7.1 PD to 11.18 ± 4.9 PD (Po0.01) in group A and from 17.8 ± 7.9 PD to 6.0 ± 2.49 PD (Po0.001) in group B. In group B, two patients developed hypotropia of 2 and 4 PD and one patient developed consecutive exotropia. Conclusions In DVD associated with IOOA, both surgical techniques are almost similar in alleviating true hypertropia in side gaze, IOOA, and V pattern. ANT gives more statistically significant DVD correction in primary position and in abduction while in adduction; there is no significant difference between both groups. However, ANT may induce hypotropia and consecutive horizontal strabismus.

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“…Cerrahi seçenekleri arasında en sık tercih edilen üst rektus kası geriletmesi olsa da, seçilmiş olgularda alt rektus rezeksiyonu veya alt oblik ilerletmesi de yapılabilmektedir. [9][10][11] Disosiye kaymalar genellikle infantil ezotropya ile, nadiren intermitan ekzotropya ile birliktelik gösterir. 12 Normal binoküler fonksiyonun erken dönemde bozulmasından kaynaklandığı dü-şünülmektedir.…”

Section: Gereç Ve Yöntemlerunclassified

“…alt oblik aşırı fonksiyonunun eşlik ettiği DVD olgularında alt oblik ilerletmesinin özellikle DVD miktarının 15 PD'nin altında olduğu hastalarda etkili bir yön- tem olduğunu belirtmişlerdir. 10,23 Bizim çalışma-mızda, DVD cerrahisinde ilk tercih üst rektus geriletmesi olmuştur. Alt oblik aşırı fonksiyonunun eşlik ettiği hastalarda ise tercih alt oblik ilerletmesi olmuştur.…”

Section: Gereç Ve Yöntemlerunclassified

Dissociated Vertical Deviation: Surgical Treatment and Its Results

Şekeroğlu¹,

Turan²,

Yalinbaş³

et al. 2014

Turkiye Klinikleri J Med Sci

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Ö ÖZ ZE ET T A Am ma aç ç: : Disosiye vertikal deviasyonu (DVD) olan şaşılık hastalarında klinik özellikleri tanımlamak, cerrahi endikasyonlarını ve cerrahi zamanını belirlemektir. G Ge er re eç ç v ve e Y Yö ön nt te em ml le er r: : Hacettepe Üniversitesi Tıp Fakültesi Göz Hastalıkları Anabilim Dalı Şaşılık Birimi'nde DVD'si olan, horizontal kas cerrahisi ile birlikte veya tek başına DVD'ye yönelik cerrahi yapılan ve düzenli olarak takip edilen hastaların kayıtları geriye dönük olarak tarandı. Hastaların yaşları, takip süreleri, kayma tipi, DVD miktarları (prizm dioptri, PD), uygulanan cerrahi tipi ve sonuçları değerlendi-rildi. B Bu ul lg gu ul la ar r: : Çalışmaya alınan 86 hastanın (yaş: 7,69±4,98, 1-51 yıl) 53'ü kız, 33'ü erkekti. Hastaların 53 (%61,62)'ünde ezotropya, 26 (%30,24)'sında ekzotropya mevcut iken, 7 (%8,14)'sinde belirgin horizontal kayma yoktu. Hastaların 63 (%73,26)'üne daha önce veya DVD cerrahisi ile eş zamanlı olarak horizontal şaşılıklara yönelik müdahale yapıldı. Hastaların 27 (%31,39)'sine ise DVD'ye yönelik cerrahi uygulandı. DVD cerrahisi yaşı ortalama 8,36±4,55 (2-18) yıl idi. Cerrahi uygulanmayan hastalarda ortalama DVD miktarı 8,59±4,96 (2-12) PD iken, cerrahi uygulanan hastalarda 15,66±9,19 (12-40) PD idi (p=0,008). Cerrahi uygulanan hastalarda DVD miktarında cerrahi sonrasında anlamlı azalma izlendi (6,41 ± 3,24 PD, 12-40 ve p=0,006). En sık uygulanan cerrahi üst rektus geriletmesi (15 hasta, %55,56) iken, bunu alt oblik anterotranspozisyonu (12 hasta, %44,44) izliyordu. S So on nu uç ç: : Çalışmamızda, DVD'nin farklı şaşılık tipleri ile birlikte olduğu görülmekle birlikte, en sık ezotropya ile birlikte görüldüğü, ve cerrahi ile DVD miktarında anlamlı düzelme elde edildiği saptanmıştır.A An na ah ht ta ar r K Ke el li im me el le er r: : Şaşılık; göz hareket bozuklukları A AB BS ST TR RA AC CT T O Ob bj je ec ct ti iv ve e: : To define the clinical characteristics, and determine the indications for surgery and surgical timing in strabismic patients with dissociated vertical deviation (DVD). M Ma at te er ri ia al l a an nd d M Me et th ho od ds s: : The medical records of patients with DVD who underwent surgery for DVD alone or combined with horizontal muscle surgery, and who had been followed regularly in Hacettepe University Department of Ophthalmology Strabismus Unit were retrospectively reviewed. The age, follow-up time, type of deviation, amount of deviation (prism diopters, PD) of the patients, and type and results of the surgery were evaluated. R Re es su ul lt ts s: : Of 86 patients (age: 7.69±4.98, 1-51 years), 53 were females and 33 were males. Fifty patients (61.62%) had esotropia, 26 (30.24%) had exotropia whereas seven of them (8.14%) had no manifest horizontal deviation. Sixty-three patients (73.26%) underwent an intervention for horizontal deviations before or simultaneously with DVD surgery. Of 86 patients, 27 (31.39%) underwent surgery for DVD. The mean age at surgery for DVD was 8.36±4.55 (2-18) years. The mean amount of DVD was 8.59±4.96 (2-12) PD in patients ...

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Anterior Transposition of the Inferior Oblique Muscle for Dissociated Vertical Deviation

Cited by 64 publications

References 14 publications

Unilateral inferior oblique anterior transposition for dissociated vertical deviation

Unilateral inferior oblique anterior transposition for dissociated vertical deviation

Anterior transposition vs anterior and nasal transposition of inferior oblique muscle in treatment of dissociated vertical deviation associated with inferior oblique overaction

Dissociated Vertical Deviation: Surgical Treatment and Its Results

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