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[The Faden operation in strabismus surgery]
Oftalmologia (Bucharest, Romania : 1990)
|March 28, 2002
Summary
The Faden operation, combined with conventional surgery, shows promising results for correcting convergent strabismus, particularly in pediatric patients. This surgical approach effectively addresses the spatial component of deviation, leading to successful outcomes in most cases.
Area of Science:
- Ophthalmology
- Strabismus Surgery
Background:
- Convergent strabismus, especially with fixation spasm, presents a surgical challenge.
- The Faden operation is a technique used to address specific types of strabismus.
Purpose of the Study:
- To evaluate the indications for the Faden operation.
- To assess the postoperative outcomes of the Faden operation in patients with convergent strabismus.
Main Methods:
- A study of 32 patients with convergent strabismus who underwent Faden operation combined with medial rectus conventional surgery.
- Anesthesia was administered intravenously using ketamine.
Main Results:
- The majority of patients (62.50%) were females aged 0-14 years.
- Successful orthophoria was achieved in 23 cases.
- 8 cases had a remaining deviation of 5-10 prism diopters (PD), and 1 case had a deviation greater than 10 PD.
Conclusions:
- The Faden operation is indicated for correcting the spatial component of strabismus deviation.
- Optimal postoperative results depend on combining the Faden operation with conventional surgery.
- Under- or overcorrection is associated with deficiencies in the accompanying conventional surgical procedures.