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The Faden operation. When and how to do it

W de Decker

    Transactions of the Ophthalmological Societies of the United Kingdom
    |January 1, 1981
    PubMed
    Summary

    The Faden operation, a posterior muscle fixation technique, effectively addresses eye muscle palsies and congenital strabismus in children. This retrospective study of 400 cases demonstrates its utility in improving head posture and stabilizing eye alignment.

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    Area of Science:

    • Ophthalmology
    • Surgical Techniques
    • Pediatric Eye Care

    Background:

    • The Faden operation involves posterior fixation of an eye muscle to create controlled palsy.
    • It is utilized to manage various strabismus conditions, including palsies and nystagmic amblyopia.
    • Congenital strabismus in children often requires surgical intervention for alignment correction.

    Purpose of the Study:

    • To evaluate the efficacy of the Faden operation in treating eye muscle palsies and congenital strabismus.
    • To assess the impact of bilateral Faden operations on medial rectus muscles for stabilizing eye angles.
    • To analyze technical challenges and postoperative motility following the Faden procedure.

    Main Methods:

    • Retrospective analysis of nearly 400 patients who underwent the Faden operation.
    • Focus on cases involving congenital strabismus and associated head posture issues.
    • Examination of bilateral Faden operations on medial rectus muscles.

    Main Results:

    • The Faden operation proved effective in managing eye muscle palsies and improving head posture.
    • Bilateral medial rectus Faden operations successfully stabilized eye angles in children with congenital strabismus.
    • The study provides insights into technical aspects and postoperative eye movement.

    Conclusions:

    • The Faden operation is a valuable surgical tool for ophthalmologists treating complex strabismus cases.
    • It offers a solution for improving alignment and function in patients with eye muscle imbalances.
    • Further understanding of technical nuances can optimize outcomes and patient mobility.

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