TY - JOUR
T1 - Graded marginal recession
T2 - A surgical technique to correct small angle vertical deviations
AU - Brooks, Steven E.
AU - Habib, Larissa
PY - 2016
Y1 - 2016
N2 - Purpose: To describe a novel muscle recession technique to surgically correct small angle vertical deviations in symptomatic adults with fusion potential. Methods: A novel technique involving a graded recession of the medial and lateral poles of a vertical rectus muscle, combined with graded medial and lateral tenotomy of the muscle, was used to treat small vertical deviations. A surgical nomogram was developed based on the configuration of the procedure and its predicted effects. Four patients with small angle hypertropia ranging from 1 to 5 prism diopters (PD) underwent the graded marginal recession procedure and were observed for up to 3 years. Results: Three of the four patients had successful correction of their strabismus and resolution of diplopia, with no complications or induced incomitance. One patient was initially orthotropic but showed a 2 PD regression 1 month postoperatively, eventually requiring additional surgery to achieve stable orthotropia. Conclusions: The graded marginal recession can be safely and effectively used to correct very small vertical deviations in adults with fusion potential. A surgical nomogram can be created to guide predicted corrections in increments of less than 0.5 PD.
AB - Purpose: To describe a novel muscle recession technique to surgically correct small angle vertical deviations in symptomatic adults with fusion potential. Methods: A novel technique involving a graded recession of the medial and lateral poles of a vertical rectus muscle, combined with graded medial and lateral tenotomy of the muscle, was used to treat small vertical deviations. A surgical nomogram was developed based on the configuration of the procedure and its predicted effects. Four patients with small angle hypertropia ranging from 1 to 5 prism diopters (PD) underwent the graded marginal recession procedure and were observed for up to 3 years. Results: Three of the four patients had successful correction of their strabismus and resolution of diplopia, with no complications or induced incomitance. One patient was initially orthotropic but showed a 2 PD regression 1 month postoperatively, eventually requiring additional surgery to achieve stable orthotropia. Conclusions: The graded marginal recession can be safely and effectively used to correct very small vertical deviations in adults with fusion potential. A surgical nomogram can be created to guide predicted corrections in increments of less than 0.5 PD.
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U2 - 10.3928/01913913-20160209-02
DO - 10.3928/01913913-20160209-02
M3 - Article
C2 - 27018881
AN - SCOPUS:84971576749
SN - 0191-3913
VL - 53
SP - 85
EP - 89
JO - Journal of Pediatric Ophthalmology and Strabismus
JF - Journal of Pediatric Ophthalmology and Strabismus
IS - 2
ER -