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Clinical features of excyclotorsion in the non-paretic eye of patients with congenital unilateral superior oblique palsy

BACKGROUND: To investigate preoperative clinical features and postoperative results according to the correspondence between excyclotorsion and the paretic eye in patients with congenital unilateral superior oblique palsy (USOP). METHODS: A retrospective review of medical charts was performed. The pa...

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Autores principales: Cha, Eun-Hyang, Ha, Suk-gyu, Suh Shu, Youngwoo, Kim, Seung-Hyun
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8928676/
https://www.ncbi.nlm.nih.gov/pubmed/35296286
http://dx.doi.org/10.1186/s12886-022-02339-5
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author Cha, Eun-Hyang
Ha, Suk-gyu
Suh Shu, Youngwoo
Kim, Seung-Hyun
author_facet Cha, Eun-Hyang
Ha, Suk-gyu
Suh Shu, Youngwoo
Kim, Seung-Hyun
author_sort Cha, Eun-Hyang
collection PubMed
description BACKGROUND: To investigate preoperative clinical features and postoperative results according to the correspondence between excyclotorsion and the paretic eye in patients with congenital unilateral superior oblique palsy (USOP). METHODS: A retrospective review of medical charts was performed. The patients were divided into the accordance (ocular excyclotorsion in the paretic eye) and disaccordance (ocular excyclotorsion in the non-paretic eye) groups. The degree of excyclotorsion (scale, 0–4) was measured. Age, sex, hypertropia at the primary position, fixation preference, inferior oblique overaction, and degree of excyclotorsion were measured. RESULTS: Ninety-eight patients were included in this study. There were 70 (71.4%) and 28 patients (28.6%) in the accordance and disaccordance groups. Sixteen patients (22.9%) in the accordance group and 12 patients (42.9%) in the disaccordance group were aged under 2 years (p = 0.04). A fixation preference of the paretic eye was observed in 2 (2.9%) and 8 (28.6%) patients in the accordance and disaccordance groups (p < 0.01). The postoperative degree of excyclotorsion in the accordance group (0.14 ± 0.39) was lower than that in the disaccordance group (0.28 ± 0.71) (p = 0.01). The residual postoperative excyclotorsion (> 1) were observed in the disaccordance group (14 patients, 50%) and accordance group (16 patients, 22.9%) (p = 0.01). CONCLUSION: Preoperative disaccordance between excyclotorsion and the paretic eye was observed in patients who were under 2 years of age and preferred fixation of the paretic eye. The postoperative degree of excyclotorsion was lower in the accordance group.
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spelling pubmed-89286762022-03-23 Clinical features of excyclotorsion in the non-paretic eye of patients with congenital unilateral superior oblique palsy Cha, Eun-Hyang Ha, Suk-gyu Suh Shu, Youngwoo Kim, Seung-Hyun BMC Ophthalmol Research BACKGROUND: To investigate preoperative clinical features and postoperative results according to the correspondence between excyclotorsion and the paretic eye in patients with congenital unilateral superior oblique palsy (USOP). METHODS: A retrospective review of medical charts was performed. The patients were divided into the accordance (ocular excyclotorsion in the paretic eye) and disaccordance (ocular excyclotorsion in the non-paretic eye) groups. The degree of excyclotorsion (scale, 0–4) was measured. Age, sex, hypertropia at the primary position, fixation preference, inferior oblique overaction, and degree of excyclotorsion were measured. RESULTS: Ninety-eight patients were included in this study. There were 70 (71.4%) and 28 patients (28.6%) in the accordance and disaccordance groups. Sixteen patients (22.9%) in the accordance group and 12 patients (42.9%) in the disaccordance group were aged under 2 years (p = 0.04). A fixation preference of the paretic eye was observed in 2 (2.9%) and 8 (28.6%) patients in the accordance and disaccordance groups (p < 0.01). The postoperative degree of excyclotorsion in the accordance group (0.14 ± 0.39) was lower than that in the disaccordance group (0.28 ± 0.71) (p = 0.01). The residual postoperative excyclotorsion (> 1) were observed in the disaccordance group (14 patients, 50%) and accordance group (16 patients, 22.9%) (p = 0.01). CONCLUSION: Preoperative disaccordance between excyclotorsion and the paretic eye was observed in patients who were under 2 years of age and preferred fixation of the paretic eye. The postoperative degree of excyclotorsion was lower in the accordance group. BioMed Central 2022-03-16 /pmc/articles/PMC8928676/ /pubmed/35296286 http://dx.doi.org/10.1186/s12886-022-02339-5 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Cha, Eun-Hyang
Ha, Suk-gyu
Suh Shu, Youngwoo
Kim, Seung-Hyun
Clinical features of excyclotorsion in the non-paretic eye of patients with congenital unilateral superior oblique palsy
title Clinical features of excyclotorsion in the non-paretic eye of patients with congenital unilateral superior oblique palsy
title_full Clinical features of excyclotorsion in the non-paretic eye of patients with congenital unilateral superior oblique palsy
title_fullStr Clinical features of excyclotorsion in the non-paretic eye of patients with congenital unilateral superior oblique palsy
title_full_unstemmed Clinical features of excyclotorsion in the non-paretic eye of patients with congenital unilateral superior oblique palsy
title_short Clinical features of excyclotorsion in the non-paretic eye of patients with congenital unilateral superior oblique palsy
title_sort clinical features of excyclotorsion in the non-paretic eye of patients with congenital unilateral superior oblique palsy
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8928676/
https://www.ncbi.nlm.nih.gov/pubmed/35296286
http://dx.doi.org/10.1186/s12886-022-02339-5
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