Modified Anterior Superior Oblique Tuck: A Case Series. Issue 4 (1st October 2020)
- Record Type:
- Journal Article
- Title:
- Modified Anterior Superior Oblique Tuck: A Case Series. Issue 4 (1st October 2020)
- Main Title:
- Modified Anterior Superior Oblique Tuck: A Case Series
- Authors:
- Solanes, Federica
Velez, Federico G.
Robbins, Laura
Pineles, Stacy L. - Abstract:
- ABSTRACT: Purpose: Selection of the ideal procedure to correct symptomatic excyclotropia depends on several factors including the degree of torsion and associated vertical, horizontal and pattern deviation. Selective tuck of the anterior temporal torsional fibers of the superior oblique (SO) tendon is an alternative procedure to the classical Harada-Ito. The purpose of this study is to report its stability and results. Methods: Retrospective review of all consecutive patients with symptomatic excyclotorsion of at least 5º (degrees) treated by selectively splitting and tucking the anterior temporal fibers of the SO tendon. Torsion in primary position was measured using the double Maddox Rods. Patients with additional symptomatic vertical or horizontal diplopia underwent simultaneous surgery on other extraocular muscles. Results: Five patients were studied. Mean age was 60 ± 8 years (47–67). Mean postoperative follow-up was 10 ± 8 months (3–21). The mean preoperative torsion of 11º±4º (7º-15º) significantly decreased to 3º±2º ( p = .03) at the first postoperative visit (16 ± 9 days) and 3 ± 2º during the last visit ( P = .03). The procedure corrected 1.4º±0.9º per mm of tuck. Postoperatively no patient complained of torsion. No undesirable vertical or horizontal deviations were noted. Conclusion: This technique is a simple alternative to manage symptomatic excyclotorsion, with significant and stable relief of moderate amounts of torsion and without inducing unexpected verticalABSTRACT: Purpose: Selection of the ideal procedure to correct symptomatic excyclotropia depends on several factors including the degree of torsion and associated vertical, horizontal and pattern deviation. Selective tuck of the anterior temporal torsional fibers of the superior oblique (SO) tendon is an alternative procedure to the classical Harada-Ito. The purpose of this study is to report its stability and results. Methods: Retrospective review of all consecutive patients with symptomatic excyclotorsion of at least 5º (degrees) treated by selectively splitting and tucking the anterior temporal fibers of the SO tendon. Torsion in primary position was measured using the double Maddox Rods. Patients with additional symptomatic vertical or horizontal diplopia underwent simultaneous surgery on other extraocular muscles. Results: Five patients were studied. Mean age was 60 ± 8 years (47–67). Mean postoperative follow-up was 10 ± 8 months (3–21). The mean preoperative torsion of 11º±4º (7º-15º) significantly decreased to 3º±2º ( p = .03) at the first postoperative visit (16 ± 9 days) and 3 ± 2º during the last visit ( P = .03). The procedure corrected 1.4º±0.9º per mm of tuck. Postoperatively no patient complained of torsion. No undesirable vertical or horizontal deviations were noted. Conclusion: This technique is a simple alternative to manage symptomatic excyclotorsion, with significant and stable relief of moderate amounts of torsion and without inducing unexpected vertical or horizontal deviation. … (more)
- Is Part Of:
- Journal of binocular vision and ocular motility. Volume 70:Issue 4(2020)
- Journal:
- Journal of binocular vision and ocular motility
- Issue:
- Volume 70:Issue 4(2020)
- Issue Display:
- Volume 70, Issue 4 (2020)
- Year:
- 2020
- Volume:
- 70
- Issue:
- 4
- Issue Sort Value:
- 2020-0070-0004-0000
- Page Start:
- 157
- Page End:
- 162
- Publication Date:
- 2020-10-01
- Subjects:
- Superior oblique -- excyclotorsion -- modified Harada-Ito procedure -- anterior tuck of the superior oblique
Eye -- Movements -- Periodicals
Eye -- Movement disorders -- Periodicals
Binocular vision -- Periodicals
Binocular vision
Eye -- Movements
Vision, Binocular
Ocular Motility Disorders
Ophthalmology
Periodicals
Periodical
Electronic journals
617.762 - Journal URLs:
- https://www.tandfonline.com/toc/uaoj21/current ↗
http://www.tandfonline.com/ ↗ - DOI:
- 10.1080/2576117X.2020.1801033 ↗
- Languages:
- English
- ISSNs:
- 2576-117X
- Deposit Type:
- Legaldeposit
- View Content:
- Available online (eLD content is only available in our Reading Rooms) ↗
- Physical Locations:
- British Library DSC - BLDSS-3PM
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- 22687.xml