Superior rectus recession for hypertropia in thyroid-associated ophthalmopathy

Chen, Minghao; Yan, Jianhua

doi:10.1016/j.jaapos.2021.05.010

Cited by 1 publication

(1 citation statement)

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“…The following clinical characteristics were obtained from the patients’ charts: gender, family history, age at surgery, best corrected visual acuity, cycloplegic refraction, abnormal head position, orbital imaging, ocular motility and ocular alignment, surgical method employed and surgical outcomes. Limitations of ocular motility in all diagnostic gazes were measured using a 5-point scale (0 to − 4) as described previously [ 14 ]. Written informed consent to participate in this study was obtained from all patients.…”

Section: Methodsmentioning

confidence: 99%

Clinical Characteristics and Surgical Outcomes of Patients with Congenital Fibrosis of the Superior Rectus Muscle

Yang

Yan

2022

Ophthalmol Ther

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Introduction: Congenital fibrosis of superior rectus muscle (CFSRM) is extremely rare and a difficult condition to manage surgically. The purpose of this report is to summarize the clinical characteristics of patients with CFSRM and analyze the effects of its surgical management. Methods: Records of nine CFSRM patients were retrospectively reviewed and their clinical features including age, gender, visual acuity, refraction, ocular alignment, ocular motility, surgical method employed and final outcomes were analyzed. Results: All cases were monocular. There were four cases (44.4%) coexistent with fibrosis of the levator palpebrae muscle and three (33.3%) with fibrosis of the superior oblique muscle. Eight cases (88.9%) presented with hypertropia, and one case showed mild hypotropia.Horizontal deviation was presented in six cases (66.7%). Surgical approaches included either superior rectus recession/tenotomy with or without traction suture; superior rectus recession and inferior rectus resection; or adhesion separation of superior rectus and levator palpebrae muscles. Excellent surgical outcomes were obtained in five cases (55.6%), good in two (22.2%), and poor outcomes were reported for two cases (22.2%). One patient (11.1%) underwent a second surgery. Conclusion: CFSRM was found to be mainly unilaterally infected, mostly manifesting as hypertropia, and was often associated with fibrosis of the levator palpebrae or superior oblique muscle. Weakening procedures of the superior rectus muscle were the preferred surgical technique. However, success rates were relatively low for CFSRM.

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Section: Methodsmentioning

confidence: 99%