Sohraab Yadav1, Jane Young2, Claire Voas-Clarke2, Ian B Marsh3, Jon M Durnian2. 1. Royal Liverpool University Hospital, Liverpool, UK. Electronic address: sohraab@doctors.org.uk. 2. Royal Liverpool University Hospital, Liverpool, UK. 3. University Hospital Aintree, Liverpool, UK.
Abstract
PURPOSE: To report the results of a series of patients who underwent lateral rectus resection of a single muscle using nonadjustable sutures to correct acquired concomitant esotropia (age-related distance esotropia). METHODS: The medical records of patients with symptomatic age-related distance esotropia who were treated by unilateral lateral rectus resection were retrospectively reviewed. Pre- and postoperative near and distance prism diopter measurements were compared. RESULTS: The average age of the patients was 79.8 years (range, 68-90 years). The mean lateral rectus resection was 4.9 ± 1.3 mm. All patients had complete resolution of diplopia after surgery. Median distance esotropia measurements in primary gaze were reduced from 16.0(Δ) preoperatively to 0(Δ) postoperatively (P < 0.005) at final follow-up. Any preoperative near esotropia was also completely resolved. CONCLUSIONS: In this patient cohort, age-related distance esotropia was effectively managed solely with unilateral lateral rectus resection.
PURPOSE: To report the results of a series of patients who underwent lateral rectus resection of a single muscle using nonadjustable sutures to correct acquired concomitant esotropia (age-related distance esotropia). METHODS: The medical records of patients with symptomatic age-related distance esotropia who were treated by unilateral lateral rectus resection were retrospectively reviewed. Pre- and postoperative near and distance prism diopter measurements were compared. RESULTS: The average age of the patients was 79.8 years (range, 68-90 years). The mean lateral rectus resection was 4.9 ± 1.3 mm. All patients had complete resolution of diplopia after surgery. Median distance esotropia measurements in primary gaze were reduced from 16.0(Δ) preoperatively to 0(Δ) postoperatively (P < 0.005) at final follow-up. Any preoperative near esotropia was also completely resolved. CONCLUSIONS: In this patient cohort, age-related distance esotropia was effectively managed solely with unilateral lateral rectus resection.
Authors: Toshiaki Goseki; Soh Youn Suh; Laura Robbins; Stacy L Pineles; Federico G Velez; Joseph L Demer Journal: Am J Ophthalmol Date: 2019-09-14 Impact factor: 5.258