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[The surgical treatment of strabismus and diplopia in Graves-Basedow ophthalmopathy]
B Mirkiewicz-Sieradzka1, E Filipowicz, A Madroszkiewicz
1Katedry i Kliniki Okulistyki CM UJ.
Purpose:
The aim of the study is to evaluate results of surgical treatment of strabismus and diplopia in Graves-Basedow ophthalmopathy.
Material And Methods:
The surgical procedure was performed in 40 patients with horizontal strabismus, horizontal strabismus with vertical deviation or isolated vertical strabismus. There were performed 86 surgical procedures on the eye muscles (in 20 cases adjustable sutures were used).
Results:
Recovery or recovery without binocular single vision was observed in 27 cases (67.5%) and improvement in 11 cases (27.5%).
Conclusions:
The necessary conditions of surgical treatment are stabile euthyreoid state, the stabilization of the angle of strabismus and diplopia. The best results of operation are in the prefibrosis period of the muscle directly. The surgical procedures of weakening the function of muscles and adjustable sutures are recommended. The operations of several stages and atraumatic should be performed.