OBJECTIVE To report the effect of weakening the superior rectus and inferior oblique (IO) muscles on ocular rotations. DESIGN Observational case series. We reviewed a 10-year period of medical records of consecutive patients who underwent bilateral 5- to 11-mm (mean, 8.0 mm; SD, 1.1 mm) superior rectus muscle recessions combined with an IO muscle recession, myectomy, or anterior transposition...

PURPOSE To compare the outcomes of unilateral lateral rectus recession between the first operation and second operation for exotropia. METHODS Thirty-two patients who underwent unilateral lateral rectus recession for exotropia of 15 to 20 prism diopters (PD) were investigated. The follow-up period was at least 6 months. We classified 17 patients without a surgical history for exotropia (first...

Background: Strabismus surgery aims to improve the ocular alignment of visual axis & cosmetic appearance studied cases with strabismus. The most common functional benefits are restoration binocular vision, elimination diplopia compensatory head posture.In large-angle exotropia, many surgical methods have been performed, bilateral lateral rectus recession, medial resection recession frequently u...

purpose: to compare the results of conventional hang-back technique (chbt) with that of anchored hang-back technique (ahbt) for bilateral lateral rectus (lr) recession in patients with exotropia. methods: in this randomized clinical trial, 60 patients underwent chbt (group 1) or ahbt (group 2) for lr recession (30 patients in each group). preoperative and postoperative deviation, age, sex, the ...

AIM To examine the association of distance-near disparity with neurological disease in children with intermittent exotropia. METHODS A retrospective analysis was performed of the medical records of all children with intermittent exotropia examined at the Arkansas Children's Hospital between 1989 and 2002. The study group consisted of children with intermittent exotropia who had a near deviati...

PURPOSE To elucidate the genetic or environmental background for clinical features in the three major types of comitant strabismus. METHODS Interview based on a questionnaire asking background factors such as family history of strabismus and abnormalities in pregnancy and delivery was conducted with 101 consecutive patients with infantile esotropia (5-180 months of age), 83 with accommodative...

PURPOSE To report antielevation syndrome with restriction of elevation on abduction in the operated eye and overaction (OA) of the inferior oblique muscle (IO) of the contralateral eye after unilateral IO anteriorization (AT). METHODS Medical records were reviewed retrospectively in 8 of 24 patients who underwent unilateral IOAT. Four patients were referred from other hospitals after the same...

A 4-year-old boy visited the hospital with exotropia after brain hemorrhage caused by trauma. He had undergone decompressive craniectomy and cranioplasty 18 months prior to presentation at our hospital. An alternate prism cover test showed more than 50 prism diopters (PD) of left exotropia when he was fixing with the right eye and 30 PD of right exotropia when he was fixing with the left eye at...

Aim: To examine the association of distance-near disparity with neurological disease in children with intermittent exotropia. Methods: A retrospective analysis was performed of the medical records of all children with intermittent exotropia examined at the Arkansas Children’s Hospital between 1989 and 2002. The study group consisted of children with intermittent exotropia who had a near deviati...