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:: جلد 21، شماره 1 - ( مجله چشم پزشكي ايران 1388 ) ::
جلد 21 شماره 1 صفحات 41-46 برگشت به فهرست نسخه ها
Treatment of A and V Pattern Strabismus by Slanting Muscle Insertions in Farabi Eye Hospital
دكتر علیرضا کشتکار جعفری، دكتر معصومه طاهرزاده، دكتر فرامرز انوری، دكتر احمد عامری*، دكتر ایرج احدزادگان، دكتر آسو علی محمودی، دكتر محمدطاهر رجبی
، ahmadameri@yahoo.com
چکیده:   (13065 مشاهده)

Purpose : To evaluate outcome of surgically slanting extraocular muscle insertions in A and V-pattern strabismus

Methods : In this prospective non-randomized interventional case series, we created a slanting surgical reinsertion line with a 3- 4 mm difference between upper and lower corners of the muscles in 16 patients with A or V strabismus (V-Exotropia in 10 patients, A-Exotropia in 1 patient, V-Esotropia in 5 patients). Cases with moderate or marked overaction of oblique muscle were excluded. All patients were followed for 6 months.

Results : V-Exotropia: the average amount of V-pattern was 29.5 ∆ before and 9.2 ∆ after surgery. Slanting surgery reduced the V-pattern in 10 of 10 patients. The mean amount of reduction was 20.3 ∆ (P<0.0001). All anatomical muscle insertions were normal. V-Esotropia: the average amount of the V-pattern was 22.4 ∆ before and 13.2 ∆ after surgery. Slanting surgery reduced V-pattern in 4 of 5 patients. The mean reduction was 9.2 ∆ in the V-pattern (P<0.067) and 28 ∆ in down gaze (P<0.003) and 22 ∆ in primary position (P<0.014). A-Exotropia: (1 patient) A-pattern was 20 ∆ before and 6 ∆ after surgery. Amount of pattern reduction was 14 ∆.

Conclusion : Slanting muscle insertion for correction of A and V strabismus is suitable procedure for reducing A and V-patterns.

 

Iranian Journal of Ophthalmology 200921(1):41-46 © 2009 by the Iranian Society of Ophthalmology
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نوع مطالعه: پژوهشی | موضوع مقاله: عمومى
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Keshtcar-Jafari A, TaherZadeh M, Anvari F, Ameri A, Ahadzadegan I, AliMahmoodi A et al . Treatment of A and V Pattern Strabismus by Slanting Muscle Insertions in Farabi Eye Hospital. Iranian Journal of Ophthalmology. 2009; 21 (1) :41-46
URL: http://irjo.org/article-1-206-fa.html

کشتکار جعفری علیرضا، طاهرزاده معصومه، انوری فرامرز، عامری احمد، احدزادگان ایرج، علی محمودی آسو و همکاران.. Treatment of A and V Pattern Strabismus by Slanting Muscle Insertions in Farabi Eye Hospital. مجله چشم پزشکی ایران. 1388; 21 (1) :41-46

URL: http://irjo.org/article-1-206-fa.html



جلد 21، شماره 1 - ( مجله چشم پزشكي ايران 1388 ) برگشت به فهرست نسخه ها
مجله چشم پزشکی ایران Iranian Journal of Ophthalmology
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