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[Neglected constrained head posture in early childhood strabismus].
W de Decker1, E Dannheim-de Decker
1Klinik für Orth- und Pleoptik, Christian-Albrechts-Universität, Kiel.
Klinische Monatsblatter Fur Augenheilkunde
|September 14, 1999
Summary
A Faden operation on the superior rectus muscle effectively treats abnormal head tilt in early-onset esotropia patients. This surgery significantly improves head posture, leading to socially acceptable appearances.
Area of Science:
- Ophthalmology
- Strabismus Surgery
- Pediatric Ophthalmology
Context:
- Early-onset esotropia can cause abnormal head postures, including severe head tilt.
- Approximately 2% of patients with early-onset esotropia exhibit a head tilt, often towards the dominant eye.
- Divergent Vertical Strabismus (DVD) is a condition associated with specific head positioning tendencies.
Purpose:
- To evaluate the effectiveness of a specific surgical technique for abnormal head postures in early-onset esotropia.
- To compare surgical outcomes for patients tilting towards the dominant eye versus the non-dominant eye.
- To assess the Faden operation's success in correcting head tilt and improving cosmetic appearance.
Summary:
- The study involved 73 patients operated for DVD between 1995-1998.
- 19 patients presented with head tilt towards the dominant eye, and 10 with tilt towards the non-dominant eye (associated with DVD).
- A marked Faden operation on the superior rectus muscle of the elevating eye yielded successful improvements in head posture for most patients, achieving socially acceptable appearances.
Impact:
- The Faden operation is a highly rewarding procedure for correcting head tilt in esotropia patients.
- Surgical success was notably higher compared to the "torsional Kestenbaum" procedure for patients tilting to the dominant side.
- This surgical approach offers a significant improvement in quality of life by correcting abnormal postures.