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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...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Medknow Publications & Media Pvt Ltd
2017
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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 |
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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 |
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