Cargando…

Modified adjustable suture hang-back recession: Description of technique and comparison with conventional adjustable hang-back recession

PURPOSE: This study aims to describe and compare modified hang-back recession with the conventional hang-back recession in large angle comitant exotropia (XT). METHODS: A prospective, interventional, double-blinded, randomized study on adult patients (>18 years) undergoing single eye recession-re...

Descripción completa

Detalles Bibliográficos
Autores principales: Agrawal, Siddharth, Singh, Vinita, Yadav, Ankur, Bangwal, Sonal, Katiyar, Vishal
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5700590/
https://www.ncbi.nlm.nih.gov/pubmed/29133648
http://dx.doi.org/10.4103/ijo.IJO_326_17
_version_ 1783281154029256704
author Agrawal, Siddharth
Singh, Vinita
Yadav, Ankur
Bangwal, Sonal
Katiyar, Vishal
author_facet Agrawal, Siddharth
Singh, Vinita
Yadav, Ankur
Bangwal, Sonal
Katiyar, Vishal
author_sort Agrawal, Siddharth
collection PubMed
description PURPOSE: This study aims to describe and compare modified hang-back recession with the conventional hang-back recession in large angle comitant exotropia (XT). METHODS: A prospective, interventional, double-blinded, randomized study on adult patients (>18 years) undergoing single eye recession-resection for large angle (>30 prism diopters) constant comitant XT was conducted between January 2011 and December 2015. Patients in Group A underwent modified hang-back lateral rectus recession with adjustable knot while in Group B underwent conventional hang-back recession with an adjustable knot. Outcome parameters studied were readjustment rate, change in deviation at 6 weeks, complications and need for resurgery at 6 months. RESULTS: The groups were comparable in terms of age and preoperative deviation. The patients with the modified hang back (Group A) fared significantly better (P < 0.05) than those with conventional hang back (Group B) in terms of lesser need for adjustment, greater correction in deviation at 6 weeks and lesser need for resurgery at 6 months. CONCLUSION: This modification offers several advantages, significantly reduces resurgery requirement and has no added complications.
format Online
Article
Text
id pubmed-5700590
institution National Center for Biotechnology Information
language English
publishDate 2017
publisher Medknow Publications & Media Pvt Ltd
record_format MEDLINE/PubMed
spelling pubmed-57005902017-12-01 Modified adjustable suture hang-back recession: Description of technique and comparison with conventional adjustable hang-back recession Agrawal, Siddharth Singh, Vinita Yadav, Ankur Bangwal, Sonal Katiyar, Vishal Indian J Ophthalmol Original Article PURPOSE: This study aims to describe and compare modified hang-back recession with the conventional hang-back recession in large angle comitant exotropia (XT). METHODS: A prospective, interventional, double-blinded, randomized study on adult patients (>18 years) undergoing single eye recession-resection for large angle (>30 prism diopters) constant comitant XT was conducted between January 2011 and December 2015. Patients in Group A underwent modified hang-back lateral rectus recession with adjustable knot while in Group B underwent conventional hang-back recession with an adjustable knot. Outcome parameters studied were readjustment rate, change in deviation at 6 weeks, complications and need for resurgery at 6 months. RESULTS: The groups were comparable in terms of age and preoperative deviation. The patients with the modified hang back (Group A) fared significantly better (P < 0.05) than those with conventional hang back (Group B) in terms of lesser need for adjustment, greater correction in deviation at 6 weeks and lesser need for resurgery at 6 months. CONCLUSION: This modification offers several advantages, significantly reduces resurgery requirement and has no added complications. Medknow Publications & Media Pvt Ltd 2017-11 /pmc/articles/PMC5700590/ /pubmed/29133648 http://dx.doi.org/10.4103/ijo.IJO_326_17 Text en Copyright: © 2017 Indian Journal of Ophthalmology http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
spellingShingle Original Article
Agrawal, Siddharth
Singh, Vinita
Yadav, Ankur
Bangwal, Sonal
Katiyar, Vishal
Modified adjustable suture hang-back recession: Description of technique and comparison with conventional adjustable hang-back recession
title Modified adjustable suture hang-back recession: Description of technique and comparison with conventional adjustable hang-back recession
title_full Modified adjustable suture hang-back recession: Description of technique and comparison with conventional adjustable hang-back recession
title_fullStr Modified adjustable suture hang-back recession: Description of technique and comparison with conventional adjustable hang-back recession
title_full_unstemmed Modified adjustable suture hang-back recession: Description of technique and comparison with conventional adjustable hang-back recession
title_short Modified adjustable suture hang-back recession: Description of technique and comparison with conventional adjustable hang-back recession
title_sort modified adjustable suture hang-back recession: description of technique and comparison with conventional adjustable hang-back recession
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5700590/
https://www.ncbi.nlm.nih.gov/pubmed/29133648
http://dx.doi.org/10.4103/ijo.IJO_326_17
work_keys_str_mv AT agrawalsiddharth modifiedadjustablesuturehangbackrecessiondescriptionoftechniqueandcomparisonwithconventionaladjustablehangbackrecession
AT singhvinita modifiedadjustablesuturehangbackrecessiondescriptionoftechniqueandcomparisonwithconventionaladjustablehangbackrecession
AT yadavankur modifiedadjustablesuturehangbackrecessiondescriptionoftechniqueandcomparisonwithconventionaladjustablehangbackrecession
AT bangwalsonal modifiedadjustablesuturehangbackrecessiondescriptionoftechniqueandcomparisonwithconventionaladjustablehangbackrecession
AT katiyarvishal modifiedadjustablesuturehangbackrecessiondescriptionoftechniqueandcomparisonwithconventionaladjustablehangbackrecession