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Modified Faden operation –A new surgical technique
Faden operation was first described in 1912. It weakens the muscle in its field of action without much slackening and alteration in the primary position. When combined with recession the weakening effect is more. It is a useful surgery in esotropia with high accommodative convergence, nystagmus bloc...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Medknow Publications & Media Pvt Ltd
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6376826/ https://www.ncbi.nlm.nih.gov/pubmed/30672484 http://dx.doi.org/10.4103/ijo.IJO_952_18 |
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author | Jayakumar, Manjula Vel, Suganya Agarwal, Amar |
author_facet | Jayakumar, Manjula Vel, Suganya Agarwal, Amar |
author_sort | Jayakumar, Manjula |
collection | PubMed |
description | Faden operation was first described in 1912. It weakens the muscle in its field of action without much slackening and alteration in the primary position. When combined with recession the weakening effect is more. It is a useful surgery in esotropia with high accommodative convergence, nystagmus blockage syndrome, dissociated vertical deviation, Duane's retraction syndrome with up or downshoots, and in sixth nerve paresis, where it is performed on the contralateral normal yoke muscle to increase the field of binocular vision. The conventional procedure is cumbersome due to small working space, entanglement of sutures, and posterior location of Faden site which is not easily accessible. We have modified the Faden operation by using a single 5-0 double-armed polyester suture, which is much easier and simpler to perform, and have done it in a series of small angle esotropias combined with recession. This paper demonstrates the surgical technique so that this surgery can be performed with ease by more surgeons. |
format | Online Article Text |
id | pubmed-6376826 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Medknow Publications & Media Pvt Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-63768262019-02-28 Modified Faden operation –A new surgical technique Jayakumar, Manjula Vel, Suganya Agarwal, Amar Indian J Ophthalmol Surgical Technique Faden operation was first described in 1912. It weakens the muscle in its field of action without much slackening and alteration in the primary position. When combined with recession the weakening effect is more. It is a useful surgery in esotropia with high accommodative convergence, nystagmus blockage syndrome, dissociated vertical deviation, Duane's retraction syndrome with up or downshoots, and in sixth nerve paresis, where it is performed on the contralateral normal yoke muscle to increase the field of binocular vision. The conventional procedure is cumbersome due to small working space, entanglement of sutures, and posterior location of Faden site which is not easily accessible. We have modified the Faden operation by using a single 5-0 double-armed polyester suture, which is much easier and simpler to perform, and have done it in a series of small angle esotropias combined with recession. This paper demonstrates the surgical technique so that this surgery can be performed with ease by more surgeons. Medknow Publications & Media Pvt Ltd 2019-02 /pmc/articles/PMC6376826/ /pubmed/30672484 http://dx.doi.org/10.4103/ijo.IJO_952_18 Text en Copyright: © 2019 Indian Journal of Ophthalmology http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. |
spellingShingle | Surgical Technique Jayakumar, Manjula Vel, Suganya Agarwal, Amar Modified Faden operation –A new surgical technique |
title | Modified Faden operation –A new surgical technique |
title_full | Modified Faden operation –A new surgical technique |
title_fullStr | Modified Faden operation –A new surgical technique |
title_full_unstemmed | Modified Faden operation –A new surgical technique |
title_short | Modified Faden operation –A new surgical technique |
title_sort | modified faden operation –a new surgical technique |
topic | Surgical Technique |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6376826/ https://www.ncbi.nlm.nih.gov/pubmed/30672484 http://dx.doi.org/10.4103/ijo.IJO_952_18 |
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