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Effect of vertical central plication on vertical deviations.

Yi Ning J Strube1, Kevin Cheung2, Bella R Germano3

  • 1Department of Ophthalmology, Kingston Health Sciences Centre, Queen's University, Kingston, Ontario.

Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus
|March 5, 2024
PubMed
Summary
This summary is machine-generated.

Wright central plication effectively corrects vertical strabismus, reducing deviation by approximately 5 prism diopters. This surgical technique offers a promising solution for various causes of vertical strabismus.

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Area of Science:

  • Ophthalmology
  • Surgical Techniques
  • Strabismus Correction

Background:

  • Vertical strabismus can result from various etiologies, including idiopathic causes, congenital palsies, and prior ocular surgeries.
  • Accurate correction of vertical deviations is crucial for restoring binocular vision and alleviating diplopia.

Purpose of the Study:

  • To evaluate the surgical efficacy of the Wright central plication technique for correcting vertical strabismus.
  • To identify factors influencing surgical outcomes and patient responses to the procedure.

Main Methods:

  • A multicenter, retrospective observational study included 36 patients undergoing vertical rectus central plication.
  • Data were collected from 2017-2022, excluding concurrent strabismus surgeries.
  • Primary outcome: strabismus correction in prism diopters; secondary outcomes: factors affecting results and patient responses.

Main Results:

  • Mean vertical deviation correction was 4.7 prism diopters, with a subgroup showing 5.5 prism diopters.
  • 78% of patients achieved a final deviation of less than 5 prism diopters.
  • Postoperative diplopia resolution occurred in 74% of affected patients, and 63% no longer required prisms.

Conclusions:

  • Wright central plication effectively corrects approximately 5 prism diopters of vertical strabismus across diverse etiologies.
  • The procedure demonstrated a favorable safety profile with no reported complications or induced diplopia.