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Stepped Strabismus Surgery

PURPOSE: To present stepped strabismus surgery as a novel technique in cases of small to moderate angle strabismus. METHODS: Retrospective chart review of cases of stepped strabismus surgery from 2010 untill 2018. In stepped surgery, the first muscle is operated on under rapid induction-recovery IV...

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Autores principales: Elkamshoushy, Amr, Kassem, Ahmed
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8090981/
https://www.ncbi.nlm.nih.gov/pubmed/33953537
http://dx.doi.org/10.2147/OPTH.S304798
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author Elkamshoushy, Amr
Kassem, Ahmed
author_facet Elkamshoushy, Amr
Kassem, Ahmed
author_sort Elkamshoushy, Amr
collection PubMed
description PURPOSE: To present stepped strabismus surgery as a novel technique in cases of small to moderate angle strabismus. METHODS: Retrospective chart review of cases of stepped strabismus surgery from 2010 untill 2018. In stepped surgery, the first muscle is operated on under rapid induction-recovery IV propofol infusion. Patient is assessed in the OR. If deemed necessary, other muscles are operated on under general anesthesia. No adjustable sutures are used. RESULTS: The technique was used in 22 cases of superior oblique palsy (SOP) (primary position hypertropia in the range of 12–25 prism diopters) and 29 horizontal strabismus cases (angles in the range 12–20 prism diopters). The first step was an inferior oblique myectomy in the SOP cases and a single rectus recession in the horizontal cases. After intraoperative assessment, 31% (16/51) needed additional muscle surgery. After 6 months of follow up, the overall reoperation rate was 9%. The technique was well tolerated by all patients. CONCLUSION: Stepped strabismus surgery is a useful technique for small to moderate angle strabismus cases with the potential for reducing the number of extraocular muscles operated on without compromising the surgical outcome.
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spelling pubmed-80909812021-05-04 Stepped Strabismus Surgery Elkamshoushy, Amr Kassem, Ahmed Clin Ophthalmol Original Research PURPOSE: To present stepped strabismus surgery as a novel technique in cases of small to moderate angle strabismus. METHODS: Retrospective chart review of cases of stepped strabismus surgery from 2010 untill 2018. In stepped surgery, the first muscle is operated on under rapid induction-recovery IV propofol infusion. Patient is assessed in the OR. If deemed necessary, other muscles are operated on under general anesthesia. No adjustable sutures are used. RESULTS: The technique was used in 22 cases of superior oblique palsy (SOP) (primary position hypertropia in the range of 12–25 prism diopters) and 29 horizontal strabismus cases (angles in the range 12–20 prism diopters). The first step was an inferior oblique myectomy in the SOP cases and a single rectus recession in the horizontal cases. After intraoperative assessment, 31% (16/51) needed additional muscle surgery. After 6 months of follow up, the overall reoperation rate was 9%. The technique was well tolerated by all patients. CONCLUSION: Stepped strabismus surgery is a useful technique for small to moderate angle strabismus cases with the potential for reducing the number of extraocular muscles operated on without compromising the surgical outcome. Dove 2021-04-28 /pmc/articles/PMC8090981/ /pubmed/33953537 http://dx.doi.org/10.2147/OPTH.S304798 Text en © 2021 Elkamshoushy and Kassem. https://creativecommons.org/licenses/by-nc/3.0/This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/ (https://creativecommons.org/licenses/by-nc/3.0/) ). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php).
spellingShingle Original Research
Elkamshoushy, Amr
Kassem, Ahmed
Stepped Strabismus Surgery
title Stepped Strabismus Surgery
title_full Stepped Strabismus Surgery
title_fullStr Stepped Strabismus Surgery
title_full_unstemmed Stepped Strabismus Surgery
title_short Stepped Strabismus Surgery
title_sort stepped strabismus surgery
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8090981/
https://www.ncbi.nlm.nih.gov/pubmed/33953537
http://dx.doi.org/10.2147/OPTH.S304798
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