Comparative study of Y-split recession versus bilateral medial rectus recession for surgical management of infantile esotropia

Nermeen Badawi, Khaled Hegazy Ophthalmology Department, Faculty of Medicine, Menoufiya University, Shebin El-Kom, Menoufiya, Egypt Aim: This prospective study compares the results of bilateral medial rectus recession versus (vs) Y-split recession of medial recti techniques for surgical management...

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Autores principales:	Badawi N, Hegazy K
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2014
Materias:	Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/90b81434476c4085bae357cea1a8f384
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spelling	oai:doaj.org-article:90b81434476c4085bae357cea1a8f3842021-12-02T01:04:40ZComparative study of Y-split recession versus bilateral medial rectus recession for surgical management of infantile esotropia1177-5483https://doaj.org/article/90b81434476c4085bae357cea1a8f3842014-05-01T00:00:00Zhttp://www.dovepress.com/comparative-study-of-y-split-recession-versus-bilateral-medial-rectus--a16994https://doaj.org/toc/1177-5483 Nermeen Badawi, Khaled Hegazy Ophthalmology Department, Faculty of Medicine, Menoufiya University, Shebin El-Kom, Menoufiya, Egypt Aim: This prospective study compares the results of bilateral medial rectus recession versus (vs) Y-split recession of medial recti techniques for surgical management of essential infantile esotropia. Patients and methods: Thirty patients were included in this study and had preoperative infantile esotropia with large angles (ie, >30 prism diopters [PD]). patients were divided into Group A, which underwent bilateral medial rectus (BMR) recession and Group B, which underwent bilateral Y-split recession of medial recti muscles. All patients were subjected to complete ophthalmologic examination and met the criteria for inclusion in this study. The degrees of BMR recessions performed ranged from 6.0–7.5 mm. All operations were performed under general anesthesia. Follow-up visits were conducted at 1 and 2 weeks, and 1, 3, and 6 months postoperatively. Rates of reoperation for residual esotropia and consecutive exotropia were determined. Results: The patients’ preoperative angles of deviation ranged from 30–80 PD. Group A consumed 57% less operative time than Group B. Immediately postoperatively, the Y-splitting technique showed satisfactory results (ie, orthotropic or residual angles ≤15 PD) in 73% of patients vs 67% only for the BMR recession patients. By the end of six months of follow up; 13% of the BMR technique patients vs 27% of the Y-splitting technique patients showed negative change of PD but without reoperation. Conclusion: Our results suggest that, although the Y-splitting technique is more difficult and time consuming, both procedures are effective and have shown comparable results for the correction of horizontal deviation ≤70 PD. Keywords: BMR recession, Y-splitting technique, torque reduction, oculomotor pathology, strabismus, faden operationBadawi NHegazy KDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2014, Iss default, Pp 1039-1045 (2014)
institution	DOAJ
collection	DOAJ
language	EN
topic	Ophthalmology RE1-994
spellingShingle	Ophthalmology RE1-994 Badawi N Hegazy K Comparative study of Y-split recession versus bilateral medial rectus recession for surgical management of infantile esotropia
description	Nermeen Badawi, Khaled Hegazy Ophthalmology Department, Faculty of Medicine, Menoufiya University, Shebin El-Kom, Menoufiya, Egypt Aim: This prospective study compares the results of bilateral medial rectus recession versus (vs) Y-split recession of medial recti techniques for surgical management of essential infantile esotropia. Patients and methods: Thirty patients were included in this study and had preoperative infantile esotropia with large angles (ie, >30 prism diopters [PD]). patients were divided into Group A, which underwent bilateral medial rectus (BMR) recession and Group B, which underwent bilateral Y-split recession of medial recti muscles. All patients were subjected to complete ophthalmologic examination and met the criteria for inclusion in this study. The degrees of BMR recessions performed ranged from 6.0–7.5 mm. All operations were performed under general anesthesia. Follow-up visits were conducted at 1 and 2 weeks, and 1, 3, and 6 months postoperatively. Rates of reoperation for residual esotropia and consecutive exotropia were determined. Results: The patients’ preoperative angles of deviation ranged from 30–80 PD. Group A consumed 57% less operative time than Group B. Immediately postoperatively, the Y-splitting technique showed satisfactory results (ie, orthotropic or residual angles ≤15 PD) in 73% of patients vs 67% only for the BMR recession patients. By the end of six months of follow up; 13% of the BMR technique patients vs 27% of the Y-splitting technique patients showed negative change of PD but without reoperation. Conclusion: Our results suggest that, although the Y-splitting technique is more difficult and time consuming, both procedures are effective and have shown comparable results for the correction of horizontal deviation ≤70 PD. Keywords: BMR recession, Y-splitting technique, torque reduction, oculomotor pathology, strabismus, faden operation
format	article
author	Badawi N Hegazy K
author_facet	Badawi N Hegazy K
author_sort	Badawi N
title	Comparative study of Y-split recession versus bilateral medial rectus recession for surgical management of infantile esotropia
title_short	Comparative study of Y-split recession versus bilateral medial rectus recession for surgical management of infantile esotropia
title_full	Comparative study of Y-split recession versus bilateral medial rectus recession for surgical management of infantile esotropia
title_fullStr	Comparative study of Y-split recession versus bilateral medial rectus recession for surgical management of infantile esotropia
title_full_unstemmed	Comparative study of Y-split recession versus bilateral medial rectus recession for surgical management of infantile esotropia
title_sort	comparative study of y-split recession versus bilateral medial rectus recession for surgical management of infantile esotropia
publisher	Dove Medical Press
publishDate	2014
url	https://doaj.org/article/90b81434476c4085bae357cea1a8f384
work_keys_str_mv	AT badawin comparativestudyofysplitrecessionversusbilateralmedialrectusrecessionforsurgicalmanagementofinfantileesotropia AT hegazyk comparativestudyofysplitrecessionversusbilateralmedialrectusrecessionforsurgicalmanagementofinfantileesotropia
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Comparative study of Y-split recession versus bilateral medial rectus recession for surgical management of infantile esotropia

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