Comparison between conventional recession and adjustable suspension-recession procedure for vertical strabismus in Graves' ophthalmopathy.

Accession number;00A0403337
Title;Comparison between conventional recession and adjustable suspension-recession procedure for vertical strabismus in Graves' ophthalmopathy.
Author;KONO REIKA(Okayama Univ., Sch. of Med.)   OTSUKI HIROSHI(Okayama Univ., Sch. of Med.)   HASEBE SATOSHI(Okayama Univ., Sch. of Med.)   
Journal Title;Japanese Journal of Clinical Ophthalmology
Journal Code:Z0515B
ISSN:0370-5579
VOL.54;NO.3;PAGE.321-325(2000)
Figure&Table&Reference;FIG.3, TBL.4, REF.7
Pub. Country;Japan
Language;Japanese
Abstract;We reviewed the outcome of surgery in 20 cases of Graves' ophthalmopathy with vertical strabismus. Conventional recession of inferior or superior rectus muscle was performed in 13 cases and adjustable suspension-recession was performed in 7 cases. There was no significant difference between the two groups regarding the postoperative correction of eye position per unit of muscle recession. Both groups showed similar rates of postoperative binocular single vision in the primary and reading positions. Overcorrection resulted in 2 cases after suspension-recession procedure. One of the 2 cases showed hypertrophy in the operated and the antagonist muscle. The other case showed mild overcorrection immediately after surgery. Adjustable suture surgery for vertical strabismus with Graves' ophthalmopathy should therefore be undercorrected in the presence of hypertrophy in the operated or the antagonist muscle. (author abst.)