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Hoerantner, R; Priglinger, S; Koch, M; Haslwanter, T.
A comparison of two different techniques for oculomotor torque reduction.
ACTA OPHTHALMOL SCANDINAVICA. 2007; 85(7): 734-738. Doi: 10.1111/j.1600-0420.2007.00933.x [OPEN ACCESS]
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Leading authors Med Uni Graz: Hörantner Robert
Co-authors Med Uni Graz: Brandner Martina Christine
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Abstract:: Purpose: To compare the results of two different surgical techniques: 'Cuppers technique', in which the torque of oculomotor rectus muscles is reduced by suturing the muscle to the globe in the posterior half of the globe; and 'Y-split recessions', in which the muscle torque is reduced by Y-splitting the rectus muscles, and reattaching the two halves at an angle to each other. Methods: We carried out a retrospective analysis of the outcome of surgery on 100 patients with infantile esotropia. Results: Both techniques show a sufficient reduction of strabismus angle variability, and minimal and maximal strabismus angle. Conclusions: Both techniques achieve satisfactory results. In addition, the Y-split technique allows for accurate control of the muscle torque and requires no access to the posterior half of the eye, which can facilitate the surgical approach. For a reduction in muscle torque, the Y-split recession is a good alternative to the established Cuppers technique.
Find related publications in this database (using NLM MeSH Indexing): Biomechanics -; Child, Preschool -; Esotropia - physiopathology; Humans - physiopathology; Nystagmus, Physiologic - physiopathology; Oculomotor Muscles - physiopathology; Ophthalmologic Surgical Procedures - methods; Retrospective Studies - methods; Treatment Outcome - methods; Vision, Binocular - physiology; Visual Acuity - physiology
Find related publications in this database (Keywords): strabismus; nystagmus; infantile esotropia; torque reduction