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Journals / Türk Oftalmoloji Dergisi / 2015 / Cilt: 45 - Sayı: 4

Modified Y-splitting Procedure for the Treatment of Duane Retraction Syndrome

Duane Retraksiyon Sendromu Tedavisinde Modifiye Y-splitting Uygulaması

Ayşe Gül ALTINTAŞ
Hasan Basri ARİFOĞLU
Şükrü Gültekin KÖKLÜ
Pages
152–155
Publication Date
2022-11-05
DOI
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AI Summary & Key Takeaways

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⚡ TL;DR(Too Long; Didn't Read)

No patients experienced recurrence of ocular motility disorders in the mean 26-month (range, 13-66 months) follow-up period.Conclusion: Modified Y-splitting surgery combined with co-contracting horizontal muscle recession technique seems to be a safe and effective treatment in DRS

📌 3 Key Takeaways

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Objective & Hypothesis:Objectives: To present the outcomes of modified lateral rectus Y-splitting combined with either unilateral or bilateral horizontal rectus recession in Duane Retraction Syndrome (DRS) with significant upshoot or downshoot.Ma te ri als and Met hods: A total of 12 patients including 10 patients with Type I DRS and 2 with Type III DRS underwent modified Y-splitting surgery.
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Key Findings & Data:Preoperatively 3 patients had esotropia (ET), 6 had exotropia (XT), and 3 patients had orthotropia.
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Conclusion & Impact:No patients experienced recurrence of ocular motility disorders in the mean 26-month (range, 13-66 months) follow-up period.Conclusion: Modified Y-splitting surgery combined with co-contracting horizontal muscle recession technique seems to be a safe and effective treatment in DRS
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Objectives: To present the outcomes of modified lateral rectus Y-splitting combined with either unilateral or bilateral horizontal rectus recession in Duane Retraction Syndrome (DRS) with significant upshoot or downshoot.Ma te ri als and Met hods: A total of 12 patients including 10 patients with Type I DRS and 2 with Type III DRS underwent modified Y-splitting surgery. Amount of additional recessions varied with the degree of preoperative deviation by intraoperative adjustable suture technique. Preoperatively 3 patients had esotropia (ET), 6 had exotropia (XT), and 3 patients had orthotropia. The mean preoperative deviation was 19.3 prism diopters (PD) (range, 18-20 PD) in ET patients and 19.2 PD (range, 16-20 PD) in XT patients. Re sults: Postoperatively, all patients had significant correction in horizontal deviation and aligned within 4 PD of orthotropia, and no patients exhibited abnormal head posture. Co-contraction and globe retraction were markedly reduced and abnormal ocular vertical movement disappeared or significantly decreased in all cases. No patients experienced recurrence of ocular motility disorders in the mean 26-month (range, 13-66 months) follow-up period.Conclusion: Modified Y-splitting surgery combined with co-contracting horizontal muscle recession technique seems to be a safe and effective treatment in DRS

Özet

Amaç: Belirgin aşağı vuruş veya yukarı vuruş ile birliktelik gösteren Duane retraksiyon sendromlu (DRS) gözlerde tek taraflı veya iki taraflı rektus geriletmesi ile kombine modifiye dış rektus Y-splitting sonuçlarının bildirilmesi.Ge reç ve Yön tem: Modifiye Y-splitting geçirmiş, 10'u Tip I ve 2'si Tip III olmak üzere on iki hasta çalışmaya dahil edildi. Ayarlanabilir intraoperatif sütür tekniği kullanılarak preoperatif kayma derecesine bağlı olarak geriletme miktarı belirlendi. Preoperatif (preop) dönemde 3 hastada ezodeviasyon (ET), 6 hastada ekzodeviasyon (XT) varken 3 hasta ortotropikti. Ortalama preop kayma ET'li olgularda 19,3 PD prizm dioptri (PD), XT grubunda 19,2 PD PD idi. Bulgular: Ameliyat sonrasında tüm hastalarda horizontal kaymada belirgin düzelme olup ortoforik veya 4 PD altında kayma gözlemlendi, preop olan anormal baş pozisyonu hiçbirinde izlenmedi. Olgularda ko-kontraksiyon ve glob retraksiyonu izlenmedi. Anormal vertikal göz hareketleri tamamen kayboldu veya çok belirgin olarak azaldı. Hiçbir hastada ortalama 26 haftalık takip zamanında (13 ile 66 ay arası) reküren göz hareket bozukluğu izlenmedi.Sonuç: Ko-kontrakte horizontal kas geriletmesi ile birlikte uygulanan modifiye Y-splitting cerrahisi DRS'de güvenilir ve etkili bir tedavi yöntemi olarak görülmektedir

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Cite This Article

ALTINTAŞ, A. G., ARİFOĞLU, H. B., KÖKLÜ, Ş. G. (2022). Modified Y-splitting Procedure for the Treatment of Duane Retraction Syndrome. Türk Oftalmoloji Dergisi, Cilt: 45 - Sayı: 4, 152–155. https://ajindex.com/articles/637956

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