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[Surgery of the superior rectus muscle in children less than 2 years old]
1Marche-en-Famenne, CHU Liège.
Bulletin De La Societe Belge D'Ophtalmologie
|January 1, 1993
Insights
Dextrocardia (DVD) often precedes dextrocardia with situs inversus (DHD) and is typically diagnosed before age two. This study analyzes outcomes of early surgery for DVD, involving medial and superior recti recession, to understand causes of poor results.
Area of Science:
- Ophthalmology
- Pediatric Surgery
Context:
- DVD (Dextrocardia) is a condition diagnosed in early childhood, often appearing before age two.
- Surgical intervention for DVD involves complex procedures on eye muscles.
Purpose:
- To evaluate the efficacy of early surgical correction for Dextrocardia (DVD).
- To identify factors contributing to suboptimal surgical outcomes in DVD patients.
Summary:
- This study details a surgical approach for DVD, combining bilateral medial recti recession with unilateral or bilateral superior recti recession.
- Analysis of surgical outcomes revealed that only 4% of failures were unexplained, suggesting identifiable causes for poor results.
Impact:
- Provides insights into surgical management strategies for Dextrocardia (DVD) in pediatric patients.
- Aims to improve surgical success rates by understanding and addressing the causes of complications.
Abstract:
DVD appears after DHD but is present in most of the cases before the age of 2. This article presents the results of a precocious surgery associating a bilateral recession of the medial recti with a uni or bilateral recession of one or both superior recti. The cause of bad results is analysed. Only 4% of the failures are unexplained.