OUTCOME OF SURGICAL TREATMENT IN CASES OF DISSOCIATED VERTICAL DEVIATION NOT ASSOCIATED WITH OBLIQUE MUSCLES DYSFUNCTION

Document Type : Original articles: include clinical trials, interventional research, Basic researches and clinically relevant laboratory investigations

Authors

Ophthalmology dept., Faculty of Medicine, Mansoura Univ., Mansoura, Egypt

Abstract

Purpose: To evaluate the outcome of three surgical interventions: Bilateral superior rectus (SR)
recession, bilateral SR Faden surgery, bilateral SR recession with Faden surgery in
management of dissociated vertical deviation (DVD) not associated with oblique muscles
dysfunction. Patients and Methods: This study includes 30 patients with comitant dissociated
vertical deviation, they attended Mansoura Ophthalmic center for surgical management of their
ocular deviation. They were divided into 3 groups according to procedure of the management.
10 patients were operated by bilateral superior rectus recession with Faden procedure (BSRRf),
10 patients operated by bilateral superior rectus recession only (BSRR), and 10 patients were
operated by bilateral superior rectus Faden procedure only (BSRF). The results were
compared. The patients were followed for 6 months postoperative. Results: Orthotropia were
obtained in 9 cases of (BSRRf) group, while it was obtained only in 4 cases of (BSRR) and 2
cases of (BSRf) became orthotropic. Conclusion: Bilateral superior rectus recession with
Faden (BSRRf) is more effective than bilateral superior rectus recession (BSRR) and bilateral
Faden (BSRF) in cases of DVD.

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