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Related Experiment Video

Updated: Jul 7, 2026

Correction of Presbyopia by Monocular Bi-Aspheric Ablation Profile
05:46

Correction of Presbyopia by Monocular Bi-Aspheric Ablation Profile

Published on: September 20, 2024

Surgical outcome in monocular elevation deficit: a retrospective interventional study.

Rakhi Bandyopadhyay1, Shashikant Shetty, P Vijayalakshmi

  • 1Pediatric Ophthalmology and Strabismus Department, Aravind Eye Hospital, Madurai - 625 020, Tamil Nadu, India.

Indian Journal of Ophthalmology
|February 23, 2008
PubMed
Summary

Monocular elevation deficiency (MED) management requires tailored surgical techniques guided by forced duction tests (FDT). This study shows that appropriate surgical selection leads to satisfactory ocular alignment and improved elevation in MED patients.

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Area of Science:

  • Ophthalmology
  • Strabismus Surgery
  • Pediatric Ophthalmology

Background:

  • Monocular elevation deficiency (MED) presents as a unilateral defect in eye elevation, with varied causes including paretic, restrictive, or combined etiologies.
  • The multifactorial nature of MED necessitates diverse treatment approaches.

Purpose of the Study:

  • To evaluate the outcomes of different surgical procedures for Monocular Elevation Deficiency (MED).
  • To assess the impact of surgical interventions on ocular alignment, elevation improvement, and binocular functions in MED patients.

Main Methods:

  • A retrospective interventional study involving 28 patients diagnosed with MED between June 2003 and August 2006.
  • Surgical procedures included Knapp procedure, inferior rectus recession, or combinations thereof, with surgical choice determined by forced duction test (FDT) results.

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Last Updated: Jul 7, 2026

Correction of Presbyopia by Monocular Bi-Aspheric Ablation Profile
05:46

Correction of Presbyopia by Monocular Bi-Aspheric Ablation Profile

Published on: September 20, 2024

Main Results:

  • A positive FDT was observed in 82% of cases (23/28).
  • 86% of patients (24/28) achieved ocular alignment within 10 prism diopters post-surgery.
  • Elevation improved in 36% of patients (10/28), though no patients gained postoperative binocular vision.

Conclusions:

  • Effective management of MED hinges on selecting the appropriate surgical technique.
  • Utilizing FDT results is crucial for achieving satisfactory surgical outcomes in Monocular Elevation Deficiency.