Karim A Gaballah
Journal of the Egyptian Ophthalmological Society 2018 111(4):158-163
Purpose The aim of this study is to evaluate the medial rectus (MR) plication as an alternative to MR muscle resection in adults with exotropia. Patients and methods This prospective study was performed in the period from January 2015 till end of June 2016, on 40 adult patients with constant exotropia, who were divided into two groups: group A including 20 patients who were operated by plication of the MR in one or two eyes, and group B included 20 patients operated by MR resection in one or two eyes. Cases were followed for a period of 1 year till end of June 2017. Results The postoperative correction was comparable in the two groups. There were no significant differences in postoperative correction and stability, but the plication technique could be safer in prevention of muscle loss and prevention of anterior segment ischaemia. Conclusion MR muscle plication technique can be adapted in the surgery of exotropia as a safer technique avoiding the risk of muscle loss and anterior segment ischemia.
Journal of the Egyptian Ophthalmological Society 2018 111(4):158-163
Purpose The aim of this study is to evaluate the medial rectus (MR) plication as an alternative to MR muscle resection in adults with exotropia. Patients and methods This prospective study was performed in the period from January 2015 till end of June 2016, on 40 adult patients with constant exotropia, who were divided into two groups: group A including 20 patients who were operated by plication of the MR in one or two eyes, and group B included 20 patients operated by MR resection in one or two eyes. Cases were followed for a period of 1 year till end of June 2017. Results The postoperative correction was comparable in the two groups. There were no significant differences in postoperative correction and stability, but the plication technique could be safer in prevention of muscle loss and prevention of anterior segment ischaemia. Conclusion MR muscle plication technique can be adapted in the surgery of exotropia as a safer technique avoiding the risk of muscle loss and anterior segment ischemia.