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Volume 26 |
July - September 2010 |
Number 3 |
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Published by : PROFESSIONAL MEDICAL PUBLICATIONS |
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ISSN 1681-715X |
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ORIGINAL ARTICLE |
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Volume 26 |
July - September 2010 |
Number 3 |
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Surgical outcome of 7-millimeter bilateral medial
rectus recession in large angle child esotropiaSameen Afzal Junejo1, Arshad Ali Lodhi2, Munawar Alam Ansari3
ABSTRACT
Objective: To evaluate the surgical success in the patients undergoing bilateral 7 mm medial rectus recession for large angle esodeviation.
Methodology: The subjects less than 15 years of age presenting with concomitant esotropia with deviations of 60 prism diopter (PD) and more were registered for bilateral medial rectus recession surgery. Anterior segment slit lamp examination and posterior segment examination was performed with 90 D and 78D fundoscopes in selected cases. Angle of deviation was measured. All necessary investigations were completed. Surgical procedures were performed under general anesthesia. Postoperative follow-up was done.
Results: Almost 71% children underwent successful surgery with residual deviation of less than 15 PD, while 29.0% subjects developed residual strabismus. Four patients presented with foreign body granuloma. Two children developed limitation in adduction. The preoperative deviations of 60 PD showed good results with residual deviation of fewer than 15 PD.
Conclusion: There is a need for guarded muscle correction during bilateral medial rectus recession for improvement in visual alignment and binocular function.
KEY WORDS
: Pediatric esotropia; 60 PD and more; medial rectus recession; Success rate.Pak J Med Sci July - September 2010 Vol. 26 No. 3 589-594
How to cite this article:
Junejo SA, Lodhi AA, Ansari MA.Surgical outcome of 7-millimeter bilateral medial rectus recession in large angle child esotropia. Pak J Med Sci 2010;26(3):589-594
1. Sameen Afzal Junejo,
Professor,
Dept. of Ophthalmology,
2. Arshad Ali Lodhi,
Assistant Professor, Dept. of Ophthalmology
3. Munawar Alam Ansari,
Associate Professor, Dept. of Pharmacology,
1-3: Liaquat University of Medical and Health Sciences,
Jamshoro - Hyderabad, Pakistan.
Correspondence:
Dr. Sameen Afzal Junejo, MCPS; DOMS; FCPS,
Professor and In charge Unit-III,
Liaquat University Eye Hospital,
Liaquat University of Medical and Health Sciences,
Jamshoro,
Hyderabad, Pakistan.
E-Mail: sameenafzal1@gmail.com
* Received for Publication: September 2, 2009
* Revision Received: March 2, 2010
* Revision Accepted: April 10, 2010
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