Bimedial rectus muscle elongation versus bimedial rectus muscle recession for the surgical treatment of large-angle infantile esotropia

Manar A Ghali Ophthalmology Department, Faculty of Medicine, Zagazig University, Zagazig, Egypt Purpose: To compare bimedial rectus muscle recession (BMRR; 7–8 mm) and bimedial rectus muscle elongation (BMRE; 6.5–9 mm) for the surgical treatment of large-angle infantile esotrop...

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Autor principal:	Ghali MA
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2017
Materias:	Large angle infantile esotropia bimedial rectus muscle recession bimedial rectus muscle elongation surgical treatment of infantile esotropia Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/b9b6241e6acc4293bf763c21f5fd424b
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spelling	oai:doaj.org-article:b9b6241e6acc4293bf763c21f5fd424b2021-12-02T03:02:52ZBimedial rectus muscle elongation versus bimedial rectus muscle recession for the surgical treatment of large-angle infantile esotropia1177-5483https://doaj.org/article/b9b6241e6acc4293bf763c21f5fd424b2017-10-01T00:00:00Zhttps://www.dovepress.com/bimedial-rectus-muscle-elongation-versus-bimedial-rectus-muscle-recess-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Manar A Ghali Ophthalmology Department, Faculty of Medicine, Zagazig University, Zagazig, Egypt Purpose: To compare bimedial rectus muscle recession (BMRR; 7–8 mm) and bimedial rectus muscle elongation (BMRE; 6.5–9 mm) for the surgical treatment of large-angle infantile esotropia (ET; ≥70 prism diopters [PD]).Patients and methods: Twenty-four patients with large-angle infantile ET were divided into 2 groups; group A (n=12) underwent BMRR and group B (n=12) underwent BMRE. All patients received surgery under general anesthesia and were followed for at least 24 months after surgery. The mean dose-response effect at 24 months was calculated for each patient.Results: The mean preoperative angle of deviation was 79.16±7.64 PD (range, 70–90) in group A and 85.83±9.25 PD (range, 70–100) in group B. The duration of surgery was 55% shorter in group A compared with group B. There were no cases of over-correction, but there were 6 cases of under-correction in group A (50%) and 2 cases of under-correction in group B (16.7%). The mean dose-response effect was 4.42±0.19 PD/mm in group A and 5.45±0.39 PD/mm in group B.Conclusion: BMRE is more effective than BMRR for the surgical treatment of large-angle infantile ET despite a higher level of technical difficulty. Keywords: large-angle infantile esotropia, bimedial rectus muscle recession, bimedial rectus muscle elongation, surgical treatment of infantile esotropiaGhali MADove Medical PressarticleLarge angle infantile esotropiabimedial rectus muscle recessionbimedial rectus muscle elongationsurgical treatment of infantile esotropiaOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 11, Pp 1877-1881 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	Large angle infantile esotropia bimedial rectus muscle recession bimedial rectus muscle elongation surgical treatment of infantile esotropia Ophthalmology RE1-994
spellingShingle	Large angle infantile esotropia bimedial rectus muscle recession bimedial rectus muscle elongation surgical treatment of infantile esotropia Ophthalmology RE1-994 Ghali MA Bimedial rectus muscle elongation versus bimedial rectus muscle recession for the surgical treatment of large-angle infantile esotropia
description	Manar A Ghali Ophthalmology Department, Faculty of Medicine, Zagazig University, Zagazig, Egypt Purpose: To compare bimedial rectus muscle recession (BMRR; 7–8 mm) and bimedial rectus muscle elongation (BMRE; 6.5–9 mm) for the surgical treatment of large-angle infantile esotropia (ET; ≥70 prism diopters [PD]).Patients and methods: Twenty-four patients with large-angle infantile ET were divided into 2 groups; group A (n=12) underwent BMRR and group B (n=12) underwent BMRE. All patients received surgery under general anesthesia and were followed for at least 24 months after surgery. The mean dose-response effect at 24 months was calculated for each patient.Results: The mean preoperative angle of deviation was 79.16±7.64 PD (range, 70–90) in group A and 85.83±9.25 PD (range, 70–100) in group B. The duration of surgery was 55% shorter in group A compared with group B. There were no cases of over-correction, but there were 6 cases of under-correction in group A (50%) and 2 cases of under-correction in group B (16.7%). The mean dose-response effect was 4.42±0.19 PD/mm in group A and 5.45±0.39 PD/mm in group B.Conclusion: BMRE is more effective than BMRR for the surgical treatment of large-angle infantile ET despite a higher level of technical difficulty. Keywords: large-angle infantile esotropia, bimedial rectus muscle recession, bimedial rectus muscle elongation, surgical treatment of infantile esotropia
format	article
author	Ghali MA
author_facet	Ghali MA
author_sort	Ghali MA
title	Bimedial rectus muscle elongation versus bimedial rectus muscle recession for the surgical treatment of large-angle infantile esotropia
title_short	Bimedial rectus muscle elongation versus bimedial rectus muscle recession for the surgical treatment of large-angle infantile esotropia
title_full	Bimedial rectus muscle elongation versus bimedial rectus muscle recession for the surgical treatment of large-angle infantile esotropia
title_fullStr	Bimedial rectus muscle elongation versus bimedial rectus muscle recession for the surgical treatment of large-angle infantile esotropia
title_full_unstemmed	Bimedial rectus muscle elongation versus bimedial rectus muscle recession for the surgical treatment of large-angle infantile esotropia
title_sort	bimedial rectus muscle elongation versus bimedial rectus muscle recession for the surgical treatment of large-angle infantile esotropia
publisher	Dove Medical Press
publishDate	2017
url	https://doaj.org/article/b9b6241e6acc4293bf763c21f5fd424b
work_keys_str_mv	AT ghalima bimedialrectusmuscleelongationversusbimedialrectusmusclerecessionforthesurgicaltreatmentoflargeangleinfantileesotropia
_version_	1718402005117960192

Bimedial rectus muscle elongation versus bimedial rectus muscle recession for the surgical treatment of large-angle infantile esotropia

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