ANALYSIS OF SURGICAL MANAGEMENT OF A-V PATTERN DEVIATIONS
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2018, Vol 5, Issue 4
Abstract
BACKGROUND A and V patterns have been commonly seen in at least one fifth of esotropia and exotropia. This study emphasizes on the efficiency of transposition along with recession/resection surgery of horizontal and oblique muscles in correction of A-V pattern deviations. MATERIALS AND METHODS A prospective study was carried out on 50 eyes of 25 patients who underwent either transposition and recession/resection surgery (R-R surgery) of horizontal muscles or oblique muscles weakening and R-R surgery of horizontal muscles with A-V pattern deviations at Regional Institute of Ophthalmology and Govt. Ophthalmic Hospital, Chennai for the period of 1 year. Surgeries done by single surgeon was taken for the study. RESULTS The patients underwent either transposition and R-R surgery of horizontal muscles or oblique muscle weakening and R-R surgery of horizontal muscles depending upon the type and degree of deviation and the degree of oblique muscle over action. The postoperative correction of degree of deviation, improvement in amblyopia and attainment of BSV were assessed at the end of 1 st and 8th week. CONCLUSION Transposition of horizontal and oblique muscle surgeries yielded correction of degree of deviation, improvement of vision in amblyopia and improvement in binocular single vision.
Authors and Affiliations
Sivakumar K, Umamaheswari T. G
Keywords
Related Articles
- EP ID EP451029
- DOI 10.18410/jebmh/2018/75
- Views 52
- Downloads 0
VARIATIONS IN THE DIVISION OF COMMON CAROTID ARTERY AND IN THE COURSE OF SUPERIOR THYROID ARTERY: A CASE REPORT
Common carotid arteries on either side show frequent variations in their anatomy. This poses interpretational difficulties during interventional procedures in surgery, interventional radiology and angiography. Knowledge...
OBSERVATIONS WITH SURGICAL MANAGEMENT OF GYNAECOLOGICAL CANCERS- AH REGIONAL CANCER CENTRE EXPERIENCE
BACKGROUND Oncosurgery plays a very important role in management of gynaecological cancers. With modern anaesthetic techniques, blood transfusion services and intensive care facilities, gyn-oncosurgery in the form of pri...
CLINICO-PATHOLOGICAL CORRELATION OF LYMHADENOPATHY IN HIV POSITIVE PATIENTS
BACKGROUND: Lymphadenopathy is common in HIV infected individuals as lymphoid tissue is a major target and reservoir of the Human immunodeficiency virus (HIV) as well for opportunistic infections. AIM: Clinical assessmen...
RIFAMPICIN CONTAINING ATT REGIMEN AS AN EMERGING CAUSE OF THROMBOEMBOLIC COMPLICATIONS
BACKGROUND In India, most of the anti-tuberculosis regimens under Revised National Tuberculosis Control Programme (RNTCP) are rifampicin based. Venous Thrombosis (VT) is a rare side effect of rifampicin and very few case...
A RARE CASE OF QUADRIPLEGIA DUE TO SPINAL EPIDURAL HAEMATOMA FOLLOWING SPINAL ANAESTHESIA
Quadriplegia following spinal anaesthesia due to spinal epidural haematoma is a rare but critical complication that usually occurs within 24 hours to a few days of the procedure. I report a case of a 32 year old male who...