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Full Tendon Transposition Augmented with Posterior Intermuscular Suture and Recession - Resection Surgery

Authors
 Sa Min Hong  ;  Yoon Hee Chang  ;  Sueng Han Han 
Citation
 Korean Journal of Ophthalmology, Vol.20(4) : 254-255, 2006 
Journal Title
 Korean Journal of Ophthalmology 
ISSN
 1011-8942 
Issue Date
2006
MeSH
Adult ; Exotropia/physiopathology ; Exotropia/surgery* ; Eye Movements ; Follow-Up Studies ; Humans ; Male ; Oculomotor Muscles/physiopathology ; Oculomotor Muscles/surgery* ; Suture Techniques* ; Tendon Transfer/methods*
Keywords
Full tendon transposition ;  Monocular elevation deficiency ;  Posterior intermuscular suture
Abstract
Purpose: To report an effect of the full tendon transposition augmented with posterior intermuscular suture and recession-resection surgery, for the patient with monocular elevation deficiency (MED) and large exotropia. Methods: Interventional case report. Full tendon transposition augmented with posterior intermuscular suture and recession-resection surgery was performed for a 26-year-old male patient had monocular elevation deficiency (MED) and large exotropia. Results: Preoperative angle of deviation was 56 prism diopters (PD) hypotropia and 45 PD right exotropia, compared with 18 PD left hypertropia and 10 PD right esotropia postoperatively. Essotropia persisted after 2.5 years, however, and so the right medial rectus was recessed after removal of the previous posterior intermuscular suture. At a three-year follow-up after the second surgery, alignment was straight in the primary position at near and far distances. Conclusions: Full tendon transposition augmented with posterior intermuscular suture and recession-resection surgery was effective for a patient with MED associated with significant horizontal deviation, and a second operation was easily performed when overcorrection occurred.
Files in This Item:
T200601451.pdf Download
DOI
10.3341/kjo.2006.20.4.254
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Ophthalmology (안과학교실) > 1. Journal Papers
Yonsei Authors
Chang, Yoon Hee(장윤희)
Han, Seung Han(한승한) ORCID logo https://orcid.org/0000-0001-8972-4790
Hong, Sa Min(홍사민)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/110442
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