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[Antinomic horizontal deviations: esodeviation associated with exodeviation. Clinical features and surgery].
1Cabinet d'Ophtalmologie, 11, rue de la Ravinelle, 54000 Nancy.
Journal Francais D'Ophtalmologie
|June 25, 2005
Summary
Antinomic deviations, characterized by exotropia and convergence excess, were treated with lateral recti recess and medial recti fadenoperation. This surgical approach, particularly with adjustable sutures, offers a predictable solution for complex strabismus cases.
Area of Science:
- Ophthalmology
- Strabismus Surgery
- Binocular Vision
Context:
- Antinomic deviations present a complex challenge in strabismus management.
- These deviations involve both outward turning (exodeviation) and inward turning (esodeviation) of the eyes.
- Understanding the underlying mechanisms, such as convergence excess and fixation patterns, is crucial.
Purpose:
- To evaluate the efficacy of lateral recti recess combined with medial recti fadenoperation in treating antinomic deviations.
- To analyze different subtypes of antinomic deviations and their surgical management.
- To assess the safety and predictability of adjustable sutures in lateral recti recess for these complex cases.
Summary:
- Thirty-four patients with antinomic deviations underwent surgery involving lateral recti recess and medial recti fadenoperation.
- Four types of antinomic deviations were identified and treated.
- The study found fadenoperation on medial recti logical for convergence excess and fixation in adduction, with adjustable sutures for lateral recti recess being safer and more predictable.
Impact:
- Provides a surgical strategy for complex strabismus cases involving both exodeviation and esodeviation.
- Highlights the importance of addressing convergence excess and fixation preferences in surgical planning.
- Suggests adjustable sutures as a preferred method for lateral recti recess in challenging antinomic deviations, improving surgical outcomes.
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