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Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
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Author Spotlight: Scope of LE-ULBD as a Safe, Effective, and Minimally Invasive Approach to Treat Lumbar Spinal Stenosis
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[Duane vertical surgical treatment].

M L Merino1, P Gómez de Liaño1, P Merino1

  • 1Sección de Motilidad Ocular, Departamento de Oftalmología, Hospital General Universitario Gregorio Marañón, Madrid, España.

Archivos De La Sociedad Espanola De Oftalmologia
|November 26, 2013
PubMed
Summary

This study explored a surgical technique for vertical incomitance, improving outcomes in 2 of 3 patients. However, residual deviations persisted in most cases, indicating a need for further research.

Keywords:
Duane syndromeDuane syndrome ivEstrabismo restrictivoKushner syndromePapst syndromeRestrictive strabismusSíndrome de DuaneSíndrome de Duane tipo ivSíndrome de KushnerSíndrome de Papst

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Area of Science:

  • Ophthalmology
  • Strabismus Surgery

Background:

  • Vertical incomitance, characterized by palpebral fissure narrowing and pseudo-inferior oblique overaction, presents a surgical challenge.
  • Previous surgical approaches have yielded variable results.

Observation:

  • Three cases of vertical incomitance were treated with lateral rectus muscle elevation and asymmetrical weakening.
  • One case developed Lambda syndrome post-operatively.

Findings:

  • The described surgical technique, involving upper-insertion and recession of lateral rectus muscles, successfully improved vertical incomitance in two out of three patients.
  • A satisfactory outcome was achieved in 66.7% of the cases.

Implications:

  • This surgical approach offers a potential solution for specific types of vertical incomitance.
  • Further investigation is warranted to refine surgical techniques and minimize residual deviations in strabismus management.