Unilateral anterior transposition of the inferior oblique muscle for correction of hypertropia in primary position

Goldchmit, Mauro; Felberg, Sérgio; Souza-Dias, Carlos

doi:10.1016/s1091-8531(03)00114-9

Cited by 17 publications

(10 citation statements)

References 11 publications

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“…Inferior oblique muscle surgery is a simple pro c ed u re that was able to correct the vertical deviation in the primary position as well as in other positions of gaze in the majority of our patients as well as in previous studies (9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22). The remaining vertical deviations after single muscle surgery are usually very small and easy for patients to control.…”

Section: Discussionsupporting

confidence: 71%

“…A few authors, such as Ziffer et al (17), mentioned postoperative hypotropia in upgaze and there f o re suggested performing anterior transposition in both eyes for bilateral inferior oblique muscle overaction and not unil a t e r a l l y. Three articles recently found anterior transposition to be an effective technique for correction of h y p e r t ropia associated with inferior oblique overaction (20)(21)(22).…”

mentioning

confidence: 99%

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When is Isolated Inferior Oblique Muscle Surgery an Appropriate Treatment for Superior Oblique Palsy?

Hatz

Brodsky

Killer

2006

European Journal of Ophthalmology

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Section: Discussionsupporting

confidence: 71%

mentioning

confidence: 99%

When is Isolated Inferior Oblique Muscle Surgery an Appropriate Treatment for Superior Oblique Palsy?

Hatz

Brodsky

Killer

2006

European Journal of Ophthalmology

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“…Stager ve ark. 8 15 Farvardin ve ark. 16 yaptığı çalışmada ÜO felci olan hastalarda AOAT ile primer pozisyondaki vertikal kaymada ortalama 15 PD düşüş elde edilmiştir.…”

Section: Discussionunclassified

Siklovertikal Kaymalarda Cerrahi Sonuçlar

Kocabeyoğlu¹,

Şener²,

Sanaç³

2012

tjo

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ÖzetAmaç: Vertikal kaymaya eşlik eden siklodeviasyon varlığında, oblik adale cerrahisinin siklodeviasyonu düzeltmedeki etkinliğinin araştırılmasıdır. Ge reç ve Yön tem: Çalışmaya torsiyonel kayması olan 17 hastanın 22 gözü dahil edilmiştir. Hastaların preoperatif ve postoperatif prizma örtme testi ile vertikal ve horizontal kayma miktarları, göz hareketleri, oblik kas fonksiyonları, çift Maddox çubuğu ve fundus fotoğrafı ile torsiyon miktarları ölçülmüştür. Cerrahi yöntem olarak alt oblik anterior transpozisyonu, alt oblik geriletme, üst oblik tenotomi, üst oblik katlama uygulanmıştır. Sonuçlar:Hastaların 6'sı erkek, 11'i kadın, ortalama yaş 17,4±9,7 y (6-34 y), ortalama takip süresi 6,9±3,1 ay (3-12 ay) idi. Hastaların 8'inde (%47,1) üst oblik felci mevcut idi. Hastaların 7'sinde beraberinde horizontal kayma mevcut olup %29,4'ünde ezotropya, %11.7'sinde ekzotropya mevcuttu. Sekiz göze alt oblik anterior transpozisyonu, 8 göze alt oblik geriletme, 2 göze üst oblik katlama, 4 göze üst oblik tenotomi uygulanmıştır. Alt oblik geriletmesi ve alt oblik anterior transpozisyonunun vertikal kayma ve torsiyonu azaltmadaki etkinlikleri istatistiksel olarak anlamlı bulunmuştur ancak iki grup arasında anlamlı fark saptanmamıştır. Alt oblik aşırı fonksiyonunu düzeltmede transpozisyon grubunun geriletmeye göre anlamlı olarak daha etkili olduğu görülmüştür. Tar t›fl ma: Alt oblik geriletme ve alt oblik anterior transpozisyonu, siklovertikal kaymalarda vertikal kayma ve torsiyonu düzeltmede etkin cerrahi yöntemlerdir. Alt oblik aşırı fonksiyonunu düzeltmede transpozisyon, alt oblik geriletmeye göre daha etkin bulunmuştur. (Turk J Ophthalmol 2012; 42: 38-42) Anah tar Ke li me ler: Alt oblik geriletme, alt oblik antarior transpozisyonu, üst oblik felci, torsiyon, çift Maddox çubuğu Sum maryPur po se: To describe the effectiveness of oblique muscle surgery for cyclodeviations with vertical deviations. Ma te ri al and Met hod: Twenty-two eyes of 17 patients with cyclotropia were included in the study. All cases were examined pre-and postoperatively. Vertical and horizontal deviations, eye movements and oblique muscle functions were measured with prism cover test, while the degree of cyclotropia was evaluated with double Maddox rod and fundus photographs. Surgical techniques were anterior transposition of the inferior oblique muscle, inferior oblique recession, superior oblique tenotomy and superior oblique tucking. Re sults: There were 6 males and 11 females. The mean age of the patients was 17.4±9.7 years (range: 6-34 years) and the mean follow-up time was 6.9±3.1 months (range: 3-12 months). Eight patients (47.1%) presented with superior oblique palsy. Seven patients had a concomitant horizontal deviation; 29.4% of the patients had esotropia and 11.7% of the patients had exotropia. Eight eyes underwent anterior transposition of the inferior oblique muscle, 8 eyes underwent inferior oblique recession, 2 eyes underwent superior oblique tuck, and 4 eyes underwent superior oblique tenotomy. Anterior transposition of the inferior obliq...

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“…This approach is considered to be a safer surgical technique than transposition procedures because it involves the manipulation of fewer extra-ocular muscles, with less risk of anterior segment ischemia. Furthermore, it is well known that the IOAT and myectomy procedure has been effectively used for the treatment of IO overaction, with or without DVD, and, in selected patients with unilateral fourth nerve palsy and VD [4][5][6][7]. Although Gonzales and Klein [4] reported that myectomy and IOAT is an easier and effective alternative operation to treat IO overaction, in the present case, we performed a 6-mm myectomy of the IO only because of abnormal muscular flaccidity, which was attributed to the trauma.…”

Section: Discussionmentioning

confidence: 99%

“…Inferior oblique anterior transposition (IOAT) approaches have been used for the treatment of inferior oblique (IO) overaction, associated or not with dissociated vertical deviation (DVD), in patients with fourth nerve palsy and idiopathic hypertropia [4][5][6][7]. This surgical technique could be an alternative treatment in cases or torn inferior rectus muscle.…”

mentioning

confidence: 99%

Traumatic tear of the inferior rectus muscle treated with inferior oblique anterior transposition

et al. 2007

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Unilateral anterior transposition of the inferior oblique muscle for correction of hypertropia in primary position

Cited by 17 publications

References 11 publications

When is Isolated Inferior Oblique Muscle Surgery an Appropriate Treatment for Superior Oblique Palsy?

When is Isolated Inferior Oblique Muscle Surgery an Appropriate Treatment for Superior Oblique Palsy?

Siklovertikal Kaymalarda Cerrahi Sonuçlar

Traumatic tear of the inferior rectus muscle treated with inferior oblique anterior transposition

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