Transposition surgery for WEBINO

Sajjadi, Marjan; Sonbolestan, Seyed Ali; Abtahi, Seyed Mohammad; Abtahi, Zahra Sadat

doi:10.1007/s10792-016-0235-2

Cited by 6 publications

(2 citation statements)

References 7 publications

(14 reference statements)

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“…Studies have shown that the disease is often associated with brainstem ischemia and hydrocephalus, immunotherapy of tumors, and diseases such as multiple sclerosis. This study summarized 39 case reports, including 42 WEBINO patients (Inocencio and Ballecer, 1985;Lana et al, 1990;Fay and Strominger, 1999;Korkmaz et al, 2002;Ozer et al, 2005;Chen and Lin, 2007;Kim et al, 2008;Matsumoto et al, 2008Matsumoto et al, , 2019Ushio et al, 2008;Jacob et al, 2010;Sierra-Hidalgo et al, 2010;Shinoda et al, 2011;Beh and Frohman, 2012;Jadhav and Prasad, 2012;Sakamoto et al, 2012;Bar et al, 2014;Chakravarthi et al, 2014;de Mora et al, 2014;Mathis et al, 2014;Muralidhar et al, 2014;Nakajima et al, 2014;Toufeeq and Dave, 2014;Agarwal et al, 2015;Ljevak et al, 2015;Man et al, 2015;de Souza et al, 2017;Sajjadi et al, 2017;Zou and Chen, 2017;Keereman et al, 2018;Papageorgiou et al, 2018;Im et al, 2020;Vázquez-Justes et al, 2020;Yazdi et al, 2020;Ansari et al, 2021;Jo et al, 2021;Petrik et al, 2021;Sinha et al, 2021;Wako et al, 2022). The age range of the ...…”

Section: Discussionmentioning

confidence: 99%

Case report: A variant of wall-eyed bilateral internuclear ophthalmoplegia from unilateral pons infarction

2022

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Wall-eyed bilateral internuclear ophthalmoplegia (WEBINO) is an uncommon ocular motility disorder that encompasses the following clinical signs: bilateral adduction deficits, bilateral abducting nystagmus, convergence lost, and a large angle exotropia in primary gaze. Here we report a case of a 55-year-old man presenting with atypical WEBINO syndrome with unilateral exotropia. The coverage test was used to record the patient's alternating exotropia. The patient experienced diplopia and ophthalmoplegia and was admitted to our hospital 3 days after the onset of the double vision. Neurologic examination showed left eye exotropia and bilateral internuclear ophthalmoplegia with impaired convergence. Vertical saccades of the left eye were also limited. Consequently, an MRI scan suggested an acute infarction in the left of the pontine tegmentum. The patient was finally diagnosed with pons infarction and was treated with anticoagulation and anti-platelet aggregation therapy.

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Section: Discussionmentioning

confidence: 99%

Case report: A variant of wall-eyed bilateral internuclear ophthalmoplegia from unilateral pons infarction

2022

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“…Nevertheless, the expected surgical effects were not adequate to correct a deviation .60 D , which is sometimes associated with severely paralytic strabismus. 21,22 Some clinicians suggested that the only treatment for isolated rupture of the medial rectus muscle that ensured a significant recovery of normal eye movement function was early repair of the muscle itself and avoidance of muscle transposition surgeries.…”

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confidence: 99%

Double-under muscle transposition: an effective surgical option for large-angle paralytic strabismus

Furuse

Morisawa

Kobashi

et al. 2021

Journal of American Association for Pediatric Ophthalmology and

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PURPOSETo describe our surgical outcomes using a novel muscle transposition procedure, or double-under muscle transposition (DUT), in the treatment of paralytic strabismus. METHODSIn this surgery, the split halves of the superior and inferior rectus muscles opposite the paralyzed muscle are disinserted, crossed under both the remaining half and the paralyzed muscle, and anchored at opposite corners of the insertion of the paralyzed muscle. The medical records of consecutive patients who underwent DUT were retrospectively reviewed. Outcome measures were angle of deviation and duction deficit. RESULTSSeven patients were included. Diagnoses included WEBINO (n 5 1), rupture of the medial rectus muscle (n 5 1), and abducens nerve palsy (n 5 5). DUT alone was performed in 3 patients; DUT combined with antagonist muscle recession, in 4 patients. One patient underwent the surgery bilaterally. Mean follow-up was 17 AE 181 months (range, 7-57). Preoperative angles of distance deviation ranged from 25 D to 142 D in magnitude. All except a single patient had duction limitation of grade À5. The mean change in distance deviation for DUT alone for each operated eye was 60 D AE 6 D (53 D -65 D ); for combined surgery, 69 D AE 23 D (range, 52 D -103 D ). Final mean angle of deviation at distance was 12 D AE 3 D (À4 D to 0 D ), although an additional surgery was required for large overcorrections in 2 patients. Duction limitation improved in all patients. One patient experienced a postoperative vertical deviation. CONCLUSIONSDUT may be an alternative for patients with severely paralytic strabismus not likely to resolve with previously reported muscle transposition surgeries. Overcorrection may occur in some cases.

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Multiple Sclerosis Presenting with Bilateral Internuclear Ophthalmoplegia (INO)

Wang

2018

Emergency Neuro-Ophthalmology

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Transposition surgery for WEBINO

Cited by 6 publications

References 7 publications

Case report: A variant of wall-eyed bilateral internuclear ophthalmoplegia from unilateral pons infarction

Case report: A variant of wall-eyed bilateral internuclear ophthalmoplegia from unilateral pons infarction

Double-under muscle transposition: an effective surgical option for large-angle paralytic strabismus

Multiple Sclerosis Presenting with Bilateral Internuclear Ophthalmoplegia (INO)

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