The Scott procedure—a new era in the treatment of incomitance?

Kovacova, Adriana; Voas-Clarke, Claire; Wong, Vicki; Young, Janice C.; Durnian, J M; Marsh, Ian

doi:10.1016/j.jaapos.2016.07.134

Cited by 1 publication

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“…Different surgical approaches have been described to reduce distance-near disparity with variable degrees of effectiveness and complications. These approaches include slanted medial rectus recession, posterior fixation sutures, medial rectus muscle pulley posterior fixation, marginal myotomy, and combined resection-recession of medial rectus muscles [6][7][8][9][10][11][12][13][14][15] .…”

Section: Introductionmentioning

confidence: 99%

Surgical Management of Convergence Excess Esotropia

Sultan,

Kasem,

Mostafa

et al. 2023

Egyptian Journal of Ophthalmology, (Mansoura Ophthalmic Center)

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Propose:The purpose of this study was to evaluate retro-equatorial myopexy (faden operation) of medial rectus muscles for the treatment of near-distance disparity esotropia.Patients & Methods: This study included 14 patients with convergence excess esotropia not responding to bifocal glasses. All patients underwent bimedial recession based on far angle combined with retro-equatorial myopexy at 12-14mm from insertion (faden operation). A satisfactory result was defined as orthophoria or esotropia less than 10 prism diopters (Δ) at near and distance with reduction of the near-distance disparity to less than 10 Δ. All patients were followed up for 1 year in average and 6 months at least for stability of correction and onset of consecutive exotropia Results: 1 case (7%) had residual esotropia at far, 2 cases (14%) had residual near-far disparity and no cases had consecutive exotropia;Conclusion: Faden operation is effective in management of convergence excess esotropia. However, it is quite difficult technique.Larger sample size and longer follow-up periods are still needed.

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