Oftalʹmologiâ (Jul 2017)

A NEW APPROACH TO THE DOSING DEGREE OF ANTERIOR TRANSPOSITION OF THE INFERIOR OBLIQUE MUSCLE SURGERY FOR VERTICAL STRABISMUS

  • A. V. Tereshchenko,
  • Ju. A. Beliy,
  • I. G. Trifanenkova,
  • A. A. Vydrina

DOI
https://doi.org/10.18008/1816-5095-2017-2-130-135
Journal volume & issue
Vol. 14, no. 2
pp. 130 – 135

Abstract

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Introduction. Strabismus is the deviation of one eye from a common fixation point, associated with impaired of binocular vision. The eye’s position in horizontal and vertical directions looking straight determines the t ype of strabismus. Despite numerous reports of surgical interventions on the vertical action muscles, there is no a differentiated approach to the treatment of patients with this pathology. The search for the optimal methods and principles of surgical treatment of vertical strabismus caused by hyperfunction of the inferior oblique muscle, testifies to the relevance of developing new approaches to eliminate hypertropia depending on its severit y.The purpose — to develop a method of dosing the degree of anterior transposition of the inferior oblique muscle in the surgical treatment of vertical strabismus caused by hyperfunction of the inferior oblique muscle depending on severit y, and to evaluate its clinical efficacy.Patients And Methods. In the period from January 2013 to October 2015 60 children (96 eyes) aged from 3 to 17 years with a vertical strabismus caused by hyperfunction of the inferior oblique muscle were followed-up. All patients underwent a complete pre — and postoperative examinations. All patients received surgical treatment — weakening of the inferior oblique muscle through its anterior dosed transposition.Results. There were no intraoperative complications and specific complications t ypical for weakening surgeries on the inferior oblique muscle. Overcorrection wasn’t registered neither in the case of surgical treatment of large vertical angles of strabismus, no small vertical deviations. Restriction of mobilit y of the eyeballs wasn’t recorded throughout the observation period in any patient. Residual hyperfunction of the inferior oblique muscle was in 3 patients (5%). It did not exceed the value of the vertical, with the fusion and did not require additional surgical treatment.Conclusion. The technology will significantly improve the efficiency and safet y of treatment, reduce the risk of complications and the duration of surgery and anesthesia, the number of surgical treatment stages, to create optimal conditions for the rehabilitation of visual functions in children.

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