Results of extraocular muscle surgery in WEBINO bilateral internuclear ophthalmoplegia patients

Roper-Hall, Gill; Cruz, Oscar A.; Chung, Sophia M.

doi:10.1016/j.jaapos.2007.11.013

Cited by 24 publications

(13 citation statements)

References 20 publications

(25 reference statements)

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“…When the procedure was bilateral, only lateral rectus recessions were done, so an undercorrection and a second surgery were anticipated. The outcomes of the surgery demonstrated substantial decrease in exodeviation and one patient remained diplopic [3].…”

Section: Discussionmentioning

confidence: 95%

“…The surgery for WEBINO aims for one or more of the following: better alignment, improvement of diplopia, decrease of abnormal head posture, reestablishment of stereopsis [3].…”

Section: Introductionmentioning

confidence: 99%

“…The extraocular muscle surgery methods which were suggested and done for the above-mentioned purposes are unilateral or bilateral recession-resection procedures [3] and transposition surgery [4]. But because of the large amount of misalignment in most cases, a recession-resection procedure by itself would not be adequate to achieve the aims of the surgery, and therefore a second recession-resection procedure on the fellow eye [3] or another type of surgery may be needed.…”

Section: Introductionmentioning

confidence: 99%

“…But because of the large amount of misalignment in most cases, a recession-resection procedure by itself would not be adequate to achieve the aims of the surgery, and therefore a second recession-resection procedure on the fellow eye [3] or another type of surgery may be needed. So there are some controversies about their effectiveness in these patients.…”

Section: Introductionmentioning

confidence: 99%

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Transposition surgery for WEBINO

et al. 2016

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Wall-eyed bilateral internuclear ophthalmoplegia (WEBINO) is a rare syndrome which is characterized by a set of ocular motility abnormalities, especially a large-angle exotropia in primary gaze. One of the management strategies suggested for it is extraocular muscle surgery, particularly transposition surgery. In this 38-year-old male WEBINO patient, we concluded that transposition surgery could effectively alleviate the exodeviation and also the patient's complaints in comparison with resection-recession procedures.

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Section: Discussionmentioning

confidence: 95%

“…The surgery for WEBINO aims for one or more of the following: better alignment, improvement of diplopia, decrease of abnormal head posture, reestablishment of stereopsis [3].…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Transposition surgery for WEBINO

et al. 2016

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“…Surgery seems to be rarely recommended because the natural history of a demyelinating condition is uncertain; therefore, surgical outcomes are thought to be unpredictable. Although Botulinum toxin injections and surgery have been reported as treatments to correct INO, the majority of these patients had INO secondary to vascular pathology 3, 5–8. It is possible that INO secondary to MS may behave differently from INO secondary to vascular causes, and it seems that surgeons are more reluctant to operate on patients with MS, due to uncertainty of clinical course.…”

Section: Introductionmentioning

confidence: 99%

Strabismus surgery for internuclear ophthalmoplegia with exotropia in multiple sclerosis

Adams¹,

Leavitt²,

Holmes³

2009

Journal of American Association for Pediatric Ophthalmology and

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Background Internuclear ophthalmoplegia (INO) is a disabling condition affecting up to 40% of patients with multiple sclerosis (MS). Management of bilateral internuclear ophthalmoplegia (BINO) with exotropia in MS has been controversial due to the uncertain course of MS. Diplopia associated with INO severely impacts the patient’s quality of life, and therefore treatment should be considered. Methods Three patients (ages 28, 62, and 82 years) who had BINO with exotropia and disabling diplopia, secondary to MS, underwent bilateral medial rectus resections with either unilateral or bilateral adjustable lateral rectus recession(s). Alignment was measured pre- and post-operatively, and symptoms were recorded. Results Pre-operative exotropia ranged from 40 to 64 prism diopters (pd) for distance fixation and from 50 to 70 pd for near fixation. Pre-operatively all patients had diplopia at distance and near fixation. Immediately following surgery, patients were adjusted to 10 to 18 pd ET at distance fixation with the expectation of an exotropic drift. None of the patients had a tropia at distance and near fixation six months following surgery, with single vision in primary position and reading. Two patients had a two-year follow up examination; one required a small amount of base-in prism for comfortable reading. Conclusions Three patients who had BINO with exotropia secondary to MS all benefited from surgery. Surgery should be considered as an option for symptomatic patients who have BINO with exotropia due to MS.

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Supranuclear and Internuclear Disorders

Rowe¹

2012

Clinical Orthoptics

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Results of extraocular muscle surgery in WEBINO bilateral internuclear ophthalmoplegia patients

Cited by 24 publications

References 20 publications

Transposition surgery for WEBINO

Transposition surgery for WEBINO

Strabismus surgery for internuclear ophthalmoplegia with exotropia in multiple sclerosis

Supranuclear and Internuclear Disorders

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