IngentaConnect A comparison of two different techniques for oculomotor torque re...

Authors: Hoerantner, Robert; Priglinger, Siegfried¹; Koch, Martina²; Haslwanter, Thomas

Source: Acta Ophthalmologica Scandinavica, Volume 85, Number 7, November 2007 , pp. 734-738(5)

Abstract:

. Purpose:

To compare the results of two different surgical techniques: `Cüppers technique', in which the torque of oculomotor rectus muscles is reduced by suturing the muscle to the globe in the posterior half of the globe; and `Y-split recessions', in which the muscle torque is reduced by Y-splitting the rectus muscles, and reattaching the two halves at an angle to each other. Methods:

We carried out a retrospective analysis of the outcome of surgery on 100 patients with infantile esotropia. Results:

Both techniques show a sufficient reduction of strabismus angle variability, and minimal and maximal strabismus angle. Conclusions:

Both techniques achieve satisfactory results. In addition, the Y-split technique allows for accurate control of the muscle torque and requires no access to the posterior half of the eye, which can facilitate the surgical approach. For a reduction in muscle torque, the Y-split recession is a good alternative to the established Cüppers technique.

Keywords: strabismus; nystagmus; infantile esotropia; torque reduction

Document Type: Research article

DOI: 10.1111/j.1600-0420.2007.00933.x

Affiliations: 1: Good Brothers Hospital, Sehschule, Linz, Austria 2: Department of Ophthalmology, University Hospital Graz, Graz, Austria

You have access to the full text article on a website external to Ingentaconnect.

Please click here to view this article on InterScience.

You may be required to register and activate access on InterScience before you can obtain the full text. If you have any queries please contact onlinehelp@oxon.blackwellpublishing.com

A comparison of two different techniques for oculomotor torque reduction