Management of vertical deviations after vertical rectus transposition surgery.
Journal Article (Journal Article)
PURPOSE: To describe options for the management of vertical deviations after vertical rectus muscle transposition surgery (VRT). METHODS: Retrospective case series including 7 children who underwent VRT for esotropic Duane syndrome and developed the complication of a vertical deviation. RESULTS: Eighty-two consecutive children underwent VRT for Duane syndrome. Seven eyes of 7 patients (4 boys, 3 girls) were found to have induced vertical deviations postoperatively. Average length of follow-up was 12.7 months (range, 3-28 months). Median induced vertical deviation was 10.1(Delta) (range, 8-12). All patients required only one additional surgery to ameliorate the vertical deviation. At final follow-up, the mean vertical tropic deviation was 0. Six patients were operated on within 4 days of VRT. Surgical strategies included recession of one vertical rectus muscle and repositioning of a posterior fixation suture. CONCLUSIONS: In children undergoing VRT for esotropic Duane syndrome, the complication of a vertical deviation occurred in 8.5% of cases. The vertical deviation was completely ameliorated in each case by one surgical procedure involving recession of one of the transposed muscles.
Full Text
Duke Authors
Cited Authors
- Ruth, AL; Velez, FG; Rosenbaum, AL
Published Date
- February 2009
Published In
Volume / Issue
- 13 / 1
Start / End Page
- 16 - 19
PubMed ID
- 19117778
Electronic International Standard Serial Number (EISSN)
- 1528-3933
Digital Object Identifier (DOI)
- 10.1016/j.jaapos.2008.08.015
Language
- eng
Conference Location
- United States