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Anales de la Sociedad Mexicana de Oftalmología y Archivos de la Asociación Para Evitar la Ceguera en México
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2009, Number 4

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Rev Mex Oftalmol 2009; 83 (4)

Aplicación de cirugía inervacional en diferentes entidades estrábicas

Villaseñor-Fierro ET, Ortega-Terrazas H, Lara-Franco LA
Full text How to cite this article

Language: Spanish
References: 7
Page: 231-234
PDF size: 81.80 Kb.


Key words:

Monocular surgery, ambliopya, inervation.

ABSTRACT

Objective: To offer a surgery of extra ocular muscles based on inervational laws, as a treatment to different monocular strabismus and report the results.
Material and method: Prospective analytic study of one year, with patients of all ages that had a monocular horizontal deviation and amblyopia, on witch a resses-resect surgery of the «good eye» was performed.
Results: In a period of one year 15 patients where treated, 53.3% male and 46.7% female with a media age of 14.13 years. We found 11 esotropia and 4 exotropia, being more affected the left eye (n=10). The prismatic deviation went from 20 to 50D. The average and standard deviation of the change occurred between the initial and postquirurgical measurement was of minus 37.87 ± 10.64 diopters, evaluated with the statistic test of Wilcoxon obtaining a p‹0.001. The patient’s satisfaction was excellent in 93.3%. The average follow up was 6.6 months.
Conclusions: The study probed good results in 93.3% of the cases. We suggest this surgery on different types of monocular strabismus with mild to severe amblyopia, with eso or exotropia no matter the age or gender.


REFERENCES

  1. Bayramlar H, Gunduz A. Medium term outcomes of strabismus surgery in patients with monocular dense amblyopia. Saudi Med J 2006; 27(2):276-278.

  2. Saunders RA, Wilson ME, Bluestein EC, Sinatra BR. Surgery on the normal eye in Duane Retraction Syndrome. J Pediatr Ophthalmol Strabismus 1994; 31:162-169.

  3. Leston J. Surgery on the non paretic eye for oculomotor palsy with aberrant regeneration. J Pediatr Ophthalmol Strabismus 2003; 40:219-221.

  4. Gonzalez C, Chen HH, Ahmadi MA. Sherrington innervational surgery in the treatment of chronic sixth nerve paresis. Binocul Vis Strabismus Q 2005; 20(3):159-166.

  5. Prieto-Díaz J, Souza-Díaz C. Estrabismo. 5ª. ed. Ediciones Científicas Argentinas. Buenos Aires, 2005:24-25

  6. Wright KW. Color Atlas of Strabismus Surgery. 3a. ed. Springer. New York, USA 2007:219-220.

  7. Jampolsky A. A revisit with Donders and Hering. En: Ticho Lecture, presented at AAPOS Internatrional Symposium on Amblyopia and Strabismus. Tel Aviv-Israel. April 1985. Tel Aviv 85 Acta Strabologica. pp. XIX-LIII.




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Rev Mex Oftalmol. 2009;83