SavedAdd your journal

Journals / İzmir Tıp Fakültesi Dergisi / 2023 / Cilt: 2 Sayı: 4

Comparison of Bimedial Internal Rectus Retraction and Faden Surgeries in Patients with Infantile Esotropia

İnfantil Ezotropyalı Olgularda Bimedial İç Rektus Geriletme ve Faden Cerrahilerinin Karşılaştırılması

Ramazan Birgül(SAĞLIK BİLİMLERİ ÜNİVERSİTESİ, İZMİR TEPECİK SAĞLIK UYGULAMA VE ARAŞTIRMA MERKEZİ, CERRAHİ TIP BİLİMLERİ BÖLÜMÜ, GÖZ HASTALIKLARI ANABİLİM DALI)0000-0001-5097-3087
Vuslat Pelitli Gürlü(Edirne Özel Ekol Hastanesi)0000-0001-5650-2075
Pages
198–204
Publication Date
2023-12-25
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Only the corrective effect on dissociated vertical deviation (DVD) was better in the bimedial Fd group.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Aim: The purpose of the study was to compare the effectiveness of methods of bimedial internal rectus retraction (bimedial retraction) and inserting a Faden suture into the bimedial internal rectus (bimedial Fd) applied in cases of infantile esotropia (ET).
📊
Key Findings & Data:Material and Methods:The cases were divided into two groups:the 48 cases (45.3%) in the first group underwent bimedial retraction and the 58 cases (54.7%) in the second group underwent bimedial Fd.
💡
Conclusion & Impact:Only the corrective effect on dissociated vertical deviation (DVD) was better in the bimedial Fd group.
🔬Design:Klinik Araştırma
📍Scope:Comprehensive Sample
⚙️Variables:İnfantil Ezotropya · Bimedial geriletme · Faden ameliyatı

Abstract

Aim: The purpose of the study was to compare the effectiveness of methods of bimedial internal rectus retraction (bimedial retraction) and inserting a Faden suture into the bimedial internal rectus (bimedial Fd) applied in cases of infantile esotropia (ET). Material and Methods:The cases were divided into two groups:the 48 cases (45.3%) in the first group underwent bimedial retraction and the 58 cases (54.7%) in the second group underwent bimedial Fd. Results:Final examinations after the surgeries revealed a shift in the bimedial retraction group of 5.69 prism dioptry (Δ) in the close range and 4.84 Δ in the remote range. The shift in the bimedial Fd group was 4.63 Δ in the close range and 3.51 Δ in the remote range. Success was achieved in 33 (68.75%) cases in the bimedial retraction group and in 42 (72.4%) cases in the bimedial Fd group. This difference between the groups was not statistically significant. Conclusions:Comparison of these two surgery types did not reveal any superiority of one over the other in terms of success, consecutive exotropy (XT) development, or reoperation rates. Only the corrective effect on dissociated vertical deviation (DVD) was better in the bimedial Fd group.

Özet

Amaç: İnfantil ezotropyalı (ET) olgu grubunda uygulanan bimedial iç rektus geriletme (bimedial geriletme) ve bimedial iç rektusa Faden sütüru konulması (bimedial Fd) yöntemlerinin etkinliğini karşılaştırmaktır. Gereç ve Yöntemler: Olgular iki gruba ayrıldı. Birinci grupta bimedial geriletme uygulanan 48 olgu (%45.3) , ikinci grupta bimedial Fd uygulanan 58 olgu (%54.7) mevcuttu. Sonuçlar: Yapılan cerrahiler sonrası son muayene sonucunda bimedial geriletme grubunda kayma miktarı yakında 5.69 Δ, uzakta 4.84 Δ’ di. Bimedial Fd grubunda yakında kayma miktarı 4.63 Δ, uzakta 3.51 Δ’ di. Bimedial geriletme grubunda 33 (%68.75) olguda başarı elde edilirken; bimedial Fd grubunda 42 (%72.4) olguda başarı elde edildi ve aralarındaki fark istatistiksel olarak anlamlı değildi. Tartışma: Bu iki cerrahi tip karşılaştırıldığında başarı, konsekütif ekzotropya(XT) ve reoperasyon açısından birbirlerine üstünlükleri yoktu. Sadece disoasiye vertikal deviasyonu (DVD) düzeltici etki bimedial Fd grubunda daha iyiydi.

🔖

Cite This Article

Birgül, R., Gürlü, V. P. (2023). Comparison of Bimedial Internal Rectus Retraction and Faden Surgeries in Patients with Infantile Esotropia. İzmir Tıp Fakültesi Dergisi, Cilt: 2 Sayı: 4, 198–204. https://doi.org/10.57221/izmirtip.1285494

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (29)

  1. Kaynaklar 1.Calis F, Atilla H, Kiziltunc PB, Alay C. Brain abnormalities in infantile esotropia as predictor for consecutive exotropia. Strabismus. 2019;11:199-204.
  2. Von Noorden GK. Binocular vision and ocular motility. 6th ed. St. Louis. CV Mosby Co 2002;p.320-36.
  3. Lee HJ, Kim JA, Kim SJ, Yu YS. Relation between preoperative hyperopia and surgical outcome in infantile esotropia. Int J Ophthalmol. 2018;11:1963-67.
  4. Von Noorden GK. A reassessment of infantile esotropia (XLIV Edward Jackson Memorial Lecture). Am J Ophthalmol. 1988;105:1-10.
  5. Magli A, Carelli R, Chiariello Vecchio E, Esposito F, Rombetto L, et al. Essential infatile esotropia with inferior oblique hyperfunction:long term follow-up of 6 muscles approach. Int J Ophthalmol. 2016;11:1802-07.
  6. Nelson LB, Calhoun JH, Simon JW, Wilson T, Harley RD. Surgical management of large angle congenital esotropia. Br J Ophthalmol. 1987;71:380-3.
  7. Weakley DR, Parks MM. Results from 7 mm bilateral recessions of the medial rectus muscles for congenital esotropia. Ophthalmic Surg. 1990;21:827-30.
  8. Happe W. Long term results after bimedial posterior fixation sutures for infantile esotropia. Strabismus 1997;5:117-24.
  9. Graf M, Gerlach T,Borchert O, Lorenz B. Bilateral medial rectus recession with posterior fixation suture for large infantile esotropia. Klin Monbl Augenheilkd. 2012;1:987-94.
  10. Simonsz HJ, Kolling GH. Best age for surgery for infantile esotropia. Eur J Pediatr Neurol. 2011;15:205-8.
  11. Ghali MA. Bimedial rectus muscle elongation versus bimedial rectus muscle recession for the surgical treatment of large-angle infantile esotropia. Clin Ophthalmol. 2017;11:1877-81.
  12. Badawi N, Ismail AT. Comparative study of Y-Split recession versus Faden Technique for management of infantile esotropia in Egyptians. J Ophthalmol. 2018;2018:3408614.
  13. Kargı ŞH, Koç F, Özal H, Fırat E. İnfantil ezotropyada klinik özellikler ve tedavisinde simetrik cerrahi ve tek taraflı geriletme-kısaltma sonuçlarımız. Türkiye Klinikleri J Ophthalmol. 2001;10:222-9.
  14. Singh A, Parihar JKS, Mishra SK, Maggon R, Badhani A. Outcome of early surgery in infantile esotropia:Our experience in tertiary care hospital. Med J Armed Forces India. 2017;4:129-33.
  15. Wan MJ, Chiu H, Shah AS,Hunter DG. Long-term surgical outcomes for large-angle infantile esotropia. Am J Ophthalmol. 2018;5:155-9.
  16. Helveston EM, Ellis FD, Plager DA, Miller KK. Early surgery for essential infantile esotropia. J Pediatr Ophthalmol Strabismus. 1990;5-6(3):115-8;discussion 119.
  17. Mumcuoğlu T, Akay F, Hürmeriç V, Ceyhan D, Mutlu FM, Altınsoy Hİ. İnfantil ezotropya nedeniyle iki taraflı iç rektus kası geriletmesinin geç sonuçları. Turkiye Klinikleri J Ophthalmol. 2008;17:21-26.
  18. Magli A, Rombetto L, Matarazzo F, Carelli R. Infantile esotropia:risk factors associated with reoperation. Clin Ophthalmol. 2016; 1:2079-83.
  19. Rajawi Z, Sabbaghi H, Torkian P, Behradfar N, Yaseri M, Feizi M et al. The relationship between abduction deficit and reoperation among patients with infantile esotropia. Int J Ophthalmol. 2018;11:478-83.
  20. Lang J. Congenital or infantile strabismus. Ophthalmologica. 1967;154:201-8.
  21. De Decker W, Dannheim-de Decker E. Neglected constrained head posture in early childhood strabismus. Klin Monbl Augenheilkd. 1999;8:95-8.
  22. Von Noorden GK. Bowman Lecture. Current concepts of infantile esotropia. Eye (Lond). 1988;2:343-57.
  23. Hiles DA, Watson BA, Biglan AW. Characteristics of infantile esotropia following early bimedial rectus recession. Arch Ophthalmol. 1980;4:697-703.
  24. Öner FH, Özden G, Berk AT. İnfantil ezotropyada cerrahi tedavi sonuçlarımız. Türkiye Klinikleri J Ophthalmol. 2003;12:15-20.
  25. Costenbader FD. Factors in the cure of squint, in Allen JH(ed):Strabismus Ophtalmolmic Symposium 2.St Louis, CV Mosby Co, 1958, pp325-353.
  26. Hug D. Management of infantile esotropia. Curr Opin Ophthalmol. 2015;7:371-4.
  27. O’Keefe M, Abdulla N, Roger B, Lanigan B. Binocular function and amblyopia after early surgery in infantile esotroia. Acta Ophthalmol Scand. 1996;1:461-2.
  28. Aydemir O. Aydoğan S. İnfantil ezotropya tedavisinde bimedial hang-back geriletme tekniği ile yapılan ameliyat sonuçlarımız. Türkiye Klinikleri J Ophthalmol. 2007;16:246-50.
  29. Weakley DR, Holland DR. Effect of ongoing treatment of amblyopia on surgical outcome in esotropia. J Pediatr Ophthalmol Strabismus. 1997; 9-1:275-8.