Jiménez-Guerrero DE, Vargas-Ortega AJ, Berganza-Canales L, Jiménez-Corona A, Murillo-Correa CE

Language: Spanish
References: 16
Page: 57-62
PDF size: 204.27 Kb.

ABSTRACT

Objectives: To determine the results after decompensated DVD surgery at the Instituto de Oftalmología, Fundación de Asistencia Privada “Conde de Valenciana,” during the 2004-2014 period. Materials and Methods: Ambispective study, in which the long-term results of DVD-correcting surgery on 40 patients of our Institute were evaluated. Variables of interest: Best-co-rrected visual acuity, presence of amblyopia, associated strabismus, pre-surgical magnitude of the deviation, type of surgery, surgical result, need for additional surgeries, and follow-up time. Results: Forty patients were studied, of which 28 were female and 12 were male; average age at surgery was 9.6 years, with a mode of 4 years (range 3-35 years). The most frequent associated strabismus was congenital esotropia (60%), followed by dissociated horizontal deviation in 32.5%. Superior rectus recession was performed in 77.5% and inferior rectus tucking in 7.5%. Twelve patients had amblyopia (30%). After surgery, 82% showed DVD compensation and only 3 patients required additional surgeries. The average follow-up period was 4.8 years (range 1-10). Conclusion: Most patients that underwent surgery for decompensated DVD showed compensation after surgery. Superior rectus recession is the most commonly performed surgery for the treatment of DVD.

REFERENCES

1. Romero-Apis D, Castellanos-Bracamontes A, Acosta-Silva M. Estrabismos disociados. En: Temas Selectos de Estrabismo. p. 49-60.

2. Kutluk S, Avilla CW, von Noorden GK. The prevalence of dissociated vertical deviation in patients with sensory heterotropia. Am J Ophthalmol. 1995;119:744.

3. Campomanes-Eguiarte G, Castellanos-Bracamontes A, González y Gutiérrez L. Desviación vertical disociada. En: Actualidades del Estrabismo Latinoamericano. Congreso Latinoamericano de Estrabismo, CIBA Vision. 1998;241-52.

4. Acosta-Silva M. Cirugía de cuatro oblicuos para DVD y síndrome en “A”. En: Temas Selectos de Estrabismo. 2.aed. 2005; p. 125.

5. Scobee RG. The oculorotary muscles. St. Louis: The CV. Mosby and Co., 1947; p. 145.

6. Bielschowsky A. Disturbances of the vertical motor muscles of the eye. Arch Ophthalmol. 1938;20:175-200.

7. Van Rijn LJ, ten Tusscher MP, de Jong I, Hendrikse F. Assymetrical vertical phorias indicating dissociated vertical deviation in subjects with normal binocular vision. Vision Res. 1998;38(19):2973-8.

8. Rimmer S, Katz B. Dissociated vertical deviation in a patient with Duane’s retraction syndrome. J Clin Neuro Ophthalmol. 1990;10:38.

9. Metz HS, Norris H. Cyclotorsional diplopia following retinal detachment surgery. J Pediatr Ophthalmol Strabismus. 1987;24:287.

10. Von Noorden GK, Campos EC. Cyclovertical Deviations. En: Binocular vision and ocular motility. Theory and management of strabismus. 6th ed. Mosby, 2002; p. 378-85.

11. Romero-Apis D. Early surgery results in strabismus. J Pediatr Ophthalmol. 1971;8:93.

12. Esswein MB, von Noorden GK, Coburn A. Comparison of surgical methods in the treatment of dissociated vertical deviation. Am J Ophthalmol. 1992;113:287.

13. Pineles SL, Vélez G, Vélez FG. Asymmetric inferior oblique anterior transposition for incommitant asymmetric dissociated vertical deviation. Graefes’ Arch Ophthalmol. 2013;251(11):2639-42.

14. Arroyo-Yllanes ME, Escanio-Cortés ME, Pérez-Pérez JE, Murillo-Murillo L. Plegamiento del recto inferior unilateral para el tratamiento de la desviación vertical disociada. Cirugía y cirujanos. 2007;75(1):7-12.

15. Magoon E, Cruciger M, Jampolsky A. Dissociated vertical deviation: an asymmetric condition treated with large bilateral superior rectus recession. J Pediatr Ophthalmol Strabismus. 1982;19(3):152-6.

16. Braverman DE, Scott WE. Surgical correction of dissociated vertical deviations. J Pediatr Ophthalmol. 1977;14(6):337-42.