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Incomitant esotropia following pterygium excision surgery
Noa Ela-Dalman1, Federico G Velez, Arthur L Rosenbaum
1Department of Ophthalmology, Jules Stein Eye Institute, 100 Stein Plaza, UCLA, Los Angeles, CA 90024, USA.
Archives of Ophthalmology (Chicago, Ill. : 1960)
|March 14, 2007
Summary
Incomitant esotropia is a rare complication after pterygium excision. Surgical intervention, including medial rectus muscle recession and scar tissue removal, effectively treats this condition, resolving double vision.
Area of Science:
- Ophthalmology
- Strabismus Surgery
Background:
- Pterygium excision surgery can rarely lead to incomitant esotropia.
- This condition presents with eye misalignment and double vision.
Purpose of the Study:
- To describe the clinical features and management of incomitant esotropia post-pterygium excision.
- To evaluate treatment outcomes for this specific complication.
Main Methods:
- Retrospective review of 6 patients with incomitant esotropia after pterygium excision.
- Analysis of clinical characteristics, surgical interventions, and postoperative outcomes.
Main Results:
- Patients experienced esotropia and limited abduction post-surgery.
- Surgical treatment involved medial rectus muscle recession and scar tissue removal.
- Postoperative outcomes showed improvement in primary position alignment and reduced deviation in abduction.
Conclusions:
- Incomitant esotropia is a serious complication of pterygium excision.
- Medial rectus recession with scar removal is crucial for primary position diplopia.
- Conjunctival scar removal alone may improve abduction-related double vision.
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