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Treatment for 'A' or 'V' pattern esotropia by slanting muscle insertion
1Department of Ophthalmology, Soroka Medical Centre, Ben-Gurion University of the Negey, Beer-Sheva, Israel.
The British Journal of Ophthalmology
|September 1, 1995
Summary
Slanting muscle insertions effectively eliminate A or V pattern esotropia. This surgical technique offers a viable alternative for patients with esotropia, achieving good alignment in most cases.
Area of Science:
- Ophthalmology
- Strabismus Surgery
Background:
- Traditional treatment for A or V pattern esotropia without vertical muscle overaction involves medial rectus recession and vertical transposition.
- This approach has limitations and alternative methods are explored.
Purpose of the Study:
- To evaluate the efficacy of a novel surgical technique: slanting muscle insertions for A or V pattern esotropia.
- To present surgical outcomes in a series of patients with this specific type of strabismus.
Main Methods:
- A retrospective case series of seven patients with A or V pattern esotropia.
- Surgical technique involved slanting the medial rectus muscle insertions, with differential recession based on the esotropia pattern.
Main Results:
- All seven patients achieved elimination of their A or V patterns.
- Six out of seven patients demonstrated good alignment in all gaze positions post-surgery.
Conclusions:
- Slanting muscle insertions represent a promising alternative surgical approach for A or V pattern esotropia.
- This technique can effectively correct the directional misalignment characteristic of these strabismus types.