Literature DB >> 27057350

Comment on "Early Results of Slanted Recession of the Lateral Rectus Muscle for Intermittent Exotropia with Convergence Insufficiency".

Osman Melih Ceylan1, Onder Ayyildiz2, Gokcen Gokce2, Fatih Mehmet Mutlu2.   

Abstract

Entities:  

Year:  2016        PMID: 27057350      PMCID: PMC4808542          DOI: 10.1155/2016/8236314

Source DB:  PubMed          Journal:  J Ophthalmol        ISSN: 2090-004X            Impact factor:   1.909


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We congratulate Chun and Kang for their successful results which they obtained in children with exotropia with convergence weakness [1]. This issue is one of the controversial topics, in which there are still diverse opinions in its treatment, in which a full consensus cannot be built in surgical treatment, and in which various success rates within the range of 18–67% are reported [2-4]. In slanted recession technique, more reformation at the near than the far is aimed by suturing lower tendons of lateral rectus more backwards than upper tendons [5]. The important point between Chun and Kang's study results and the study results of Snir et al. is 1 mm difference between the upper and lower poles of the slanted recession reducing the near-distance difference by 8.7 PD, 4.6 PD, respectively. There is almost 2-fold difference between the reduction results in the near-distance difference between two studies. The reason for this difference might be that all of the cases are at the age of 4–12 years in Chun and Kang's study but only 6 of twelve cases on which slanted recession is performed are less than twelve years in Snir et al.'s study. Therefore, it is considered that the late period results of the same slanted recession amounts to be applied in various age groups might be different. For this reason, studies in wider series are required in children and adults.
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1.  THE SURGICAL MANAGEMENT OF EXODEVIATIONS.

Authors:  H M BURIAN; B E SPIVEY
Journal:  Am J Ophthalmol       Date:  1965-04       Impact factor: 5.258

2.  Slanted lateral rectus recession for exotropia with convergence weakness.

Authors:  M Snir; R Axer-Siegel; B Shalev; I Sherf; Y Yassur
Journal:  Ophthalmology       Date:  1999-05       Impact factor: 12.079

Review 3.  Resection of both medial rectus muscles in organic convergence insufficiency.

Authors:  G K von Noorden
Journal:  Am J Ophthalmol       Date:  1976-02       Impact factor: 5.258

4.  Unilateral surgery for exotropia with convergence weakness.

Authors:  S P Kraft; A V Levin; R W Enzenauer
Journal:  J Pediatr Ophthalmol Strabismus       Date:  1995 May-Jun       Impact factor: 1.402

5.  Early results of slanted recession of the lateral rectus muscle for intermittent exotropia with convergence insufficiency.

Authors:  Bo Young Chun; Kyung Min Kang
Journal:  J Ophthalmol       Date:  2015-01-26       Impact factor: 1.909

  5 in total

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