Comparison of medial rectus resection and plication in exotropic patients View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2020-10-18

AUTHORS

Zhale Rajavi, Saideh Arabikhalilabad, Hamideh Sabbaghi, Bahareh Kheiri, Saied Abdi

ABSTRACT

PurposeTo compare the surgical outcomes of the plication technique with the resection method to treat exotropic patients.MethodsIn this prospective randomized clinical trial, a total of 52 exotropic patients (27 females and 25 males) who were candidates for medial rectus resection were randomly classified into the plication (n = 24) and resection (n = 28) groups. Comprehensive ophthalmic examination included cyclorefraction, assessment of the best corrected visual acuity (BCVA), evaluation of the extraocular muscle, ocular deviation measurement and stereopsis measured using a Titmus test. Ocular anterior and posterior segments were examined using slit-lamp and indirect ophthalmoscopy. Patients were randomly divided to medial rectus plication and medial rectus resection groups. The plication technique was the same as for resection, but in the last step the muscle was folded. Examinations were repeated at the 1- and 3-day as well as 1-, 2-, 3- and 6-month follow-ups. If the postoperative ocular deviation was in the range of 5 PD esotropia to 10 PD exotropia, it was considered a successful surgical outcome.ResultsResults show that there was no statistically significant difference between the two groups regarding near and far deviations (PN = 0.298, PF = 0.103), surgical dose response (P = 0.904) and postoperative success rate (plication, 87% and resection, 89.3%, P > 0.99). Reoperation was needed in 13% and 10.7% of the plication and resection groups, respectively (P > 0.05).ConclusionsMedial rectus plication is an effective and appropriate alternative option for medial rectus resection in exotropic patients. More... »

PAGES

11-19

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URI

http://scigraph.springernature.com/pub.10.1007/s10792-020-01546-7

DOI

http://dx.doi.org/10.1007/s10792-020-01546-7

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https://app.dimensions.ai/details/publication/pub.1131874690

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/33070271


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198 grid-institutes:grid.411600.2 schema:alternateName Department of Optometry, School of Rehabilitation, Shahid Beheshti University of Medical Sciences, Tehran, Iran
199 Ophthalmic Epidemiology Research Center, Research Institute for Ophthalmology and Vision Science, Shahid Beheshti University of Medical Sciences, 23 Paidar Fard, Bostan 9, Pasdaran Ave., 16666, Tehran, Iran
200 Ophthalmic Research Center, Research Institute for Ophthalmology and Vision Science, Shahid Beheshti University of Medical Sciences, Tehran, Iran
201 schema:name Department of Ophthalmology, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran
202 Department of Optometry, School of Rehabilitation, Shahid Beheshti University of Medical Sciences, Tehran, Iran
203 Negah Specialty Ophthalmic Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
204 Ophthalmic Epidemiology Research Center, Research Institute for Ophthalmology and Vision Science, Shahid Beheshti University of Medical Sciences, 23 Paidar Fard, Bostan 9, Pasdaran Ave., 16666, Tehran, Iran
205 Ophthalmic Research Center, Research Institute for Ophthalmology and Vision Science, Shahid Beheshti University of Medical Sciences, Tehran, Iran
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