Mohamed A W Hussein1, David K Coats. 1. Cullen Eye Institute, Department of Ophthalmology, Baylor College of Medicine, Texas Children's Hospital, Houston, Texas 77030, USA.
Abstract
PURPOSE: To report the effect on ductions in opposing gaze following augmented horizontal rectus muscle transposition to treat cyclovertical muscle palsies. METHODS: Record review of 5 patients who underwent augmented horizontal rectus muscle transposition for treatment of vertical gaze misalignment secondary to cyclovertical muscle palsy. RESULTS: Ductions in the direction of the palsied muscle improved in all patients. Four patients (80%) developed significant limitation of vertical gaze in the direction opposite that of the palsied muscle. CONCLUSIONS: Augmented transposition surgery for vertical muscle palsy can produce considerable limitation of ductions in the direction opposite to that of the paralyzed muscle.
PURPOSE: To report the effect on ductions in opposing gaze following augmented horizontal rectus muscle transposition to treat cyclovertical muscle palsies. METHODS: Record review of 5 patients who underwent augmented horizontal rectus muscle transposition for treatment of vertical gaze misalignment secondary to cyclovertical muscle palsy. RESULTS: Ductions in the direction of the palsied muscle improved in all patients. Four patients (80%) developed significant limitation of vertical gaze in the direction opposite that of the palsied muscle. CONCLUSIONS: Augmented transposition surgery for vertical muscle palsy can produce considerable limitation of ductions in the direction opposite to that of the paralyzed muscle.