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Journals / Bakırköy Tıp Dergisi / 2006 / Cilt: 2 - Sayı: 1

Comparison of symmetric and asymmetric surgery for infantile Esotropia

İnfantil ezotropyada simetrik ve asimetrik cerrahinin karşılaştırılması

İbrahim ERBAĞCI
Kıvanç GÜNGÖR
Necdet A. BEKİR
Pages
15–18
DOI
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AI Summary & Key Takeaways

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⚡ TL;DR(Too Long; Didn't Read)

Conclusion: In terms of surgical success for ortotropia, there was no difference between unilateral resection and recession in one-eye and bimedial recessions in both eyes.

📌 3 Key Takeaways

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Objective & Hypothesis:Objective: The aim of this study is to evaluate the surgical success rates of asymmetric (recession and resection) and symmetric (bimedial recession) surgery in infantile esotropia.
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Key Findings & Data:Material and Method: The consecutive case series of infantile esotropic patients operated with resection and recession in one eye (Group I) and recessions of medial rectus muscles of both eyes (Group II) were compared for the surgical success, retrospectively.
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Conclusion & Impact:Conclusion: In terms of surgical success for ortotropia, there was no difference between unilateral resection and recession in one-eye and bimedial recessions in both eyes.
🔬Design:Research Article
📍Scope:2003 Verileri
⚙️Variables:Oftalmolojik cerrahi işlemler · Ezotropi · Geriyedönük çalışma

Abstract

Objective: The aim of this study is to evaluate the surgical success rates of asymmetric (recession and resection) and symmetric (bimedial recession) surgery in infantile esotropia. Material and Method: The consecutive case series of infantile esotropic patients operated with resection and recession in one eye (Group I) and recessions of medial rectus muscles of both eyes (Group II) were compared for the surgical success, retrospectively. Sixty nine patients were operated for infantile esotropia between 1991 and 2003 and followed up at least for the first 3 months postoperatively. Patients were divided into two groups to describe the purpose of different surgical methods. Surgical success was defined as postoperative ±10 PD in Krimsky and ±50 in Hirshberg tests. Results: The surgical success rate of asymmetric surgery was 94% (30/32) and symmetric surgery was 90% (33/37). The statistical difference between success rates was not significant (p>0.05). Conclusion: In terms of surgical success for ortotropia, there was no difference between unilateral resection and recession in one-eye and bimedial recessions in both eyes.

Özet

Amaç: İnfantil ezotropyada asimetrik ve simetrik cerrahi yöntemlerin başarı oranlarını değerlendirmek amacı ile yapılan bu çalışmada, tek gözde (asimetrik) geriletme ve rezeksiyon yapılmış olan infantil ezotropyalı olgularla (Grup I), iki gözde (simetrik) medial rektuslara geriletme yapılmış olan olgular (Grup II) cerrahi başarı açısından retrospektif olarak karşılaştırıldı. Gereç ve Yöntem: 1991–2003 yılları arasında 69 olgu infantil ezotropya nedeniyle opere edilmiş ve postoperatif en az üç ay takip edilmiş- tir. Hastalar değişik cerrahi metodların amacını tanımlamak için iki gruba ayrılmıştır. Cerrahi başarı postoperatif Krimsky testinde ± 10 prizm dioptri, Hirshberg testinde ± 50 olarak tanımlanmıştır. Bulgular: Cerrahi başarı oranı asimetrik cerrahide %94 (30/32) ve asimetrik cerrahide %90 (33/37) idi. İstatistiksel olarak başarı oranları arası nda anlamlı fark yoktu (p>0.05). Sonuç: Ortotropya için cerrahi başarı açısından, tek gözde geriletme-rezeksiyon ve çift gözde bimedial geriletme arasında fark bulunamadı.

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Cite This Article

ERBAĞCI, İ., GÜNGÖR, K., BEKİR, N. A. (2006). Comparison of symmetric and asymmetric surgery for infantile Esotropia. Bakırköy Tıp Dergisi, Cilt: 2 - Sayı: 1, 15–18. https://ajindex.com/articles/133137

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