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2007, Number 1

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Cir Cir 2007; 75 (1)

Unilateral tucking of the inferior rectus muscle for dissociated vertical deviation

Arroyo-Yllanes ME, Escanio-Cortés ME, Pérez-Pérez JF, Murillo-Murillo L

Language: Spanish
References: 23
Page: 7-12
PDF size: 56.65 Kb.


ABSTRACT

Background: There are several options for the treatment of dissociated vertical deviation (DVD). The most discouraging results are those cases of poor vision. The fold of the inferior rectus is presented as a therapeutic option for poor vision.
Methods: Patients with spontaneous DVD and monocular poor vision were included. A maximum folding of the inferior rectus was performed only in the eye with poor vision. Evaluation of the spontaneity and magnitude of the DVD was done in the pre- and postoperatively with a minimum 6-month follow up.
Results: Nineteen patients were included, finding a decrease in the spontaneity (p = 0.05) and the magnitude of the DVD (p = 0.01) at the maximum follow-up time. Limitation of the elevation of 2+ was observed in the immediate postoperative period in all cases. The limitation remained in 16 patients. In two patients, hypotropia of 5 DP was observed in the primary position. No cases of alteration of the lower palpebral position were observed.
Conclusions: Unilateral maximum tucking of the inferior rectus muscle decreases the magnitude and spontaneity of DVD.


REFERENCES

  1. Campomanes-Eguiarte G, Castellanos-Bracamontes A. Estrabismos disociados: Desviación vertical disociada (DVD). En: Temas Selectos de estrabismo. Centro Mexicano de Estrabismo;1993. pp. 111-118.

  2. Helveston EM. Dissociated vertical deviation: a clinical and laboratory study. Trans Am Ophthalmol Soc 1980;78:734-779.

  3. Bielchowsky A. Disturbances of the vertical motor muscles of the eye. Arch Ophthalmol 1938;20:175-200.

  4. Farvardin M, Attarzadeh A. Combined resection and anterior transposition of the inferior oblique muscle for the treatment of moderate to large dissociated vertical deviation associated with inferior oblique muscle overaction. J Pediatr Ophthalmol Strabismus 2002;39:268-272.

  5. Kutluk S, Avilla BS, Von Noorden GK. The prevalence of dissociated vertical deviation in patients with sensory heterotropia. Am J Ophthalmol 1995;119:744-747.

  6. American Academy of Ophthalmology. Basic and Clinical Science Course. Pediatric Ophthalmology and Strabismus. Section 6. 1999-2000. pp. 93-94.

  7. Romero-Apis D. Estrabismo. Primera edición. Mexico: Auroch; 2000. pp. 169-181.

  8. Prieto-Diaz J, Souza-Dias C. Divergencia vertical disociada. En: Estrabismo. Tercera edición. Jims; 1996. pp. 274-293.

  9. Romero-Apis D. Tratamiento óptico en un caso de doble hiperforia disociada. Anal Soc Mex Oftalmol 1970;43:81-85.

  10. Pérez-Pérez JF, Arroyo-Yllanes ME. Comportamiento de la desviación vertical disociada antes y después de la corrección horizontal. Rev Mex Oftalmol 1994;68:131-134.

  11. Esswein MB, Von Noorden GK, Cobum A. Comparison of surgical methods in the treatment of dissociated vertical deviation. Am J Ophthalmol 1992;113:287-290.

  12. Sargent RA. Dissociated hypertropia: surgical treatment. Ophthalmology 1979;86:1428-1440.

  13. Jampolsky A. Symposium on strabismus. Trans New Orleans Acad Ophthalmol St. Louis: C.V. Mosby;1978. pp. 579-584.

  14. Engman JH, Egbert JE, Summers CG, Young TL. Efficacy of inferior oblique anterior transposition placement grading for dissociated vertical deviation. Ophthalmology 2001;108:2045-2050.

  15. Olivares-Medina RM, Arroyo-Yllanes ME. Resultados del tratamiento quirúrgico en la desviación vertical disociada: estudio comparativo. Rev Mex Oftalmol 1995;69:43-47.

  16. Esswein Kapp MB, Von Noorden GK. Treatment of residual dissociated vertical deviation with inferior rectus resection. J Pediatr Ophthalmol Strabismus 1994;31:262-264.

  17. Pacheco EM, Guyton DL, Repka M. Changes in eyelid position accompanying vertical rectus muscle surgery and prevention of lower lid retraction with adjustable surgery. J Pediatr Ophthalmol Strabismus 1992;29:265-272.

  18. Mallette RA, Repka MX, Guyton DL. Superior rectus suspension recession for dissociated vertical deviation: a report of 59 operations. Binocular Vision 1987;2:209:215.

  19. Magoon E, Cruciger M, Jampolsky A. Dissociated vertical deviation: an asymmetric condition treated with large bilateral superior rectus recession. J Pediatr Ophthalmol Strabismus 1982;19:152-156.

  20. Schwartz T, Scott W. Unilateral superior rectus recession for the treatment of dissociated vertical deviation. J Pediatr Ophthalmol Strabismus 1991;28:219-222.

  21. Elliot RL, Nankin SJ. Anterior transposition of the inferior oblique. J Pediatr Ophthalmol Strabismus 1981;8:35.

  22. Acosta-Silva M, Campomanes G. Cirugía de cuatro oblicuos para desviación vertical disociada y síndrome. En: A. Souza-Dias C. Anales del XIV Congreso del Consejo Latinoamericano de Estrabismo, Sao Paulo, Brasil;2000.

  23. Raab EL. Dissociative vertical deviation. J Pediatr Ophthalmol Strabismus 1970;7:146.




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