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Conjunctival mini-flap operation for restrictive strabismus after periocular surgery

Authors
 Kyou Ho Lee  ;  Soolienah Rhiu  ;  Sang Chul Yoona  ;  Kyoung Yul Seo 
Citation
 AMERICAN JOURNAL OF OPHTHALMOLOGY, Vol.156(6) : 1244-1251, 2013 
Journal Title
 AMERICAN JOURNAL OF OPHTHALMOLOGY 
ISSN
 0002-9394 
Issue Date
2013
MeSH
Adult ; Conjunctiva/surgery* ; Diplopia/etiology ; Diplopia/surgery* ; Female ; Humans ; Hyperplasia ; Male ; Middle Aged ; Postoperative Complications* ; Pterygium/surgery ; Retrospective Studies ; Strabismus/etiology ; Strabismus/surgery* ; Surgery, Plastic ; Surgical Flaps* ; Suture Techniques ; Tissue Adhesions ; Visual Acuity/physiology
Keywords
Adult ; Conjunctiva/surgery* ; Diplopia/etiology ; Diplopia/surgery* ; Female ; Humans ; Hyperplasia ; Male ; Middle Aged ; Postoperative Complications* ; Pterygium/surgery ; Retrospective Studies ; Strabismus/etiology ; Strabismus/surgery* ; Surgery, Plastic ; Surgical Flaps* ; Suture Techniques ; Tissue Adhesions ; Visual Acuity/physiology
Abstract
PURPOSE: To investigate the effect of conjunctival mini-flap operation to treat restrictive strabismus in patients with diplopia caused by conjunctival adhesion and hyperplasia after periocular surgery. DESIGN: Case series study. METHODS: Eleven patients with diplopia and restrictive strabismus attributable to conjunctival dysplasia after periocular surgery underwent a conjunctival mini-flap surgery without a muscle operation and were followed-up at 1, 3, and 6 months after surgery. The Hess screen test, binocular single vision field with Goldmann perimetry, and extraocular muscle movement were analyzed pre- and post-operatively. Patient satisfaction with the cosmetic results of conjunctival mini-flap operation was also investigated. RESULTS: The mean preoperative alignment deviation in primary position was 10.4 ± 5.6 prism diopters (PD). Diplopia in the primary position was resolved in 95% of the patients. The mean postoperative deviation was 1.36 ± 2.34 PD at the primary position. No significant complications or recurrences were noted after mean 9.5 ± 4.2 months follow-up. CONCLUSION: Conjunctival mini-flap operation is an effective and safe surgical technique for treating patients with diplopia and restrictive strabismus following periocular surgery.
Full Text
http://www.sciencedirect.com/science/article/pii/S0002939413004650
DOI
10.1016/j.ajo.2013.06.038
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Medical Humanities and Social Sciences (인문사회의학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Ophthalmology (안과학교실) > 1. Journal Papers
Yonsei Authors
Seo, Kyoung Yul(서경률) ORCID logo https://orcid.org/0000-0002-9855-1980
Rhiu, Soolienah(유수리나)
Yoon, Sang Chul(윤상철) ORCID logo https://orcid.org/0000-0003-0454-9597
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/88765
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