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Journals / MN Oftalmoloji / 2010 / Cilt: 17 - Sayı: 2

Results of the myectomy in the treatment of primary Inferior oblique muscle overaction

Primer alt oblik kas hiperfonksiyonunun tedavisinde miyektomi yönteminin sonuçları

Orhan AYDEMİR
BURAK TURGUT
Pages
98–101
DOI
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AI Summary & Key Takeaways

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

Conclusion: Myectomy of the inferior oblique muscle is safe and effective method for primary inferior oblique muscle overaction but surgeons should be carefull for the postoperative subconjunctival hemorrhage.

📌 3 Key Takeaways

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Objective & Hypothesis:Aim: To evaluate the results of inferior oblique muscle myectomy that were performed in cases with primary inferior oblique muscle overaction.
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Key Findings & Data:Material and Method: This retrospective study included 24 patients (40 eyes) who underwent weakening of the inferior oblique muscle.
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Conclusion & Impact:Conclusion: Myectomy of the inferior oblique muscle is safe and effective method for primary inferior oblique muscle overaction but surgeons should be carefull for the postoperative subconjunctival hemorrhage.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Okülomotor kaslar · Oftalmolojik cerrahi işlemler · Ameliyat sonrası dönem

Abstract

Aim: To evaluate the results of inferior oblique muscle myectomy that were performed in cases with primary inferior oblique muscle overaction. Material and Method: This retrospective study included 24 patients (40 eyes) who underwent weakening of the inferior oblique muscle. Inferior oblique muscle overaction was graded from 0 to +4 overaction. Unilateral myectomy was performed to 8 patients (33.4%) and bilateral to 16 patients (66.6%). Results: All patients in the study were followed up for at least 6 months. While there were full corection in 36 eyes (90%), residual inferior oblique muscle overaction was observed in 4 eyes (10%). Severe subconjunctival hemorrhage was developed in 4 eyes (10%) after myectomy but adherence syndrom or inferior oblique muscle underaction were not observed in any of the cases. Conclusion: Myectomy of the inferior oblique muscle is safe and effective method for primary inferior oblique muscle overaction but surgeons should be carefull for the postoperative subconjunctival hemorrhage.

Özet

Amaç: Primer alt oblik kas hiperfonksiyonu bulunan olgulara uygulanan alt oblik kas miyektomi yönteminin sonuçlarını değerlendirmek. Gereç ve Yöntem: Bu retrospektif çalışmaya alt oblik zayıflatma cerrahisi geçirmiş 24 olgu (40 göz) dahil edildi. Alt oblik kas hiperfonksiyonu, 0’dan +4’e kadar derecelendirildi. Olguların 16’sına (%66,6) bilateral, 8’ine (%33,4) unilateral miyektomi uygulandı. Bulgular: Tüm olgular cerrahi sonrası en az 6 ay takip edildi. Postoperatif takiplerde 36 gözde (%90) tam düzelme mevcutken 4 gözde (%10) rezidü alt oblik kas hiperfonksiyonu saptandı. Miyektomi sonrası 4 gözde (%10) yoğun subkonjonktival hemoraji gelişirken hiçbir olguda alt oblik kas hipofonksiyonu ve yapışma sendromu gözlenmedi. Sonuç: Primer alt oblik kas hiperfonksiyonunun tedavisinde uygulanan miyektomi yöntemi etkin ve güvenilir bir yöntemdir fakat ameliyat sonrası gelişebilecek subkonjonktival kanama açısından dikkatli olunmalıdır.

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Cite This Article

AYDEMİR, O., TURGUT, B. (2010). Results of the myectomy in the treatment of primary Inferior oblique muscle overaction. MN Oftalmoloji, Cilt: 17 - Sayı: 2, 98–101. https://ajindex.com/articles/296791

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