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To Superior Oblique Overaction - One of the best experts on this subject based on the ideXlab platform.
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Tendon Expansion with Fascia Lata in Treatment of A-Pattern Strabismus due
2016Co-Authors: To Superior Oblique OveractionAbstract:Background: In 1991, Wright described a superior oblique expander procedure for Browns Syndrome and superior overac-tion with good results. Originally, this procedure has been per-formed with silicone band expander. The aim of this study was to report the results of treatment of a series of patients with A-pattern strabismus associated with overacting superior oblique muscle using the fascia lata tendon expander technique. Methods: A total of 12 patients with bilateral overaction of the superior oblique muscle and A-pattern strabismus were treated with bilateral superior oblique lengthening with fascia lata according to the values recommended by Wright. Fascia lata was harvested through a lineal incision on the lateral as-pect of the patients ' thigh. Results: The follow-up was 4 to 51 months (mean, 28.8 ± 20.7 months). Mean superior oblique overaction improved from 3.5 ± 0.8 before surgery to 0.8 ± 0.9 after surgery (P<0.001). Mean A-pattern improved from 26.4 ± 8.5 PD to 1.7 ± 7 PD (P<0.001), and subjective intorsion improved from 6 ± 0.7 de-gree to 0.3 ± 1.1 degree (P<0.001). One patient developed over-correction. None of the patients developed recurrence. Conclusion: The fascia lata tendon spacer is a useful procedure in the treatment of A-pattern strabismus due to superior oblique overaction. This technique may be superior to posterior tenec-tomy because of less incidence of superior oblique overaction recurrence; however, the operation time is longer
Garrity, James A - One of the best experts on this subject based on the ideXlab platform.
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When Things Go Wrong: Post Operative Diplopia Orbit/EOM
Spencer S. Eccles Health Sciences Library University of Utah, 2014Co-Authors: Garrity, James AAbstract:A patient wakes up from a craniotomy with right eye pain and double vision from the right eye only. The most likely diagnosis is: Right parietal CVA, Right corneal abrasion, Right Browns Syndrome, Functional. 3 weeks following a left frontal craniotomy there is pain centered over the superior nasal quadrant of the left orbit. Pain is worse with eye movement and there is diplopia with gaze up and right. The most likely diagnosis is: Left trochleitis, Left optic neuritis, Left trigeminal neuralgia, Subarachnoid hemorrhage
