Purpose: To study the results of Carlson & Jampolsky technique in 31 patients with VI nerve palsy.
Methods: We had 23 unilateral and 8 bilateral cases. The mean unilateral preoperative esotropia was 56.8 PD +/- 24 PD (30 PD to 100 PD) and they had a mean postoperative follow-up of 14 +/- 17.9 months (3 to 72). The mean bilateral preoperative esotropia deviation angle in primary position was 74.5 PD +/- 20.7 PD (45 PD to 100 PD) and the mean postoperative follow-up was 14.7 +/- 15.7 months (4 to 47).
Results: In the unilateral group, 18 patients had good results and reoperation was not necessary. Out of 5 patients who were reoperated (2 undercorrections and 3 overcorrections), 2 had to use prismatic glasses. Among the bilateral patients, 2 cases were reoperated (1 undercorrection and 1 overcorrection), and the undercorrected patient remained with esotropia (ET13 PD), and also had to use prismatic glasses.
Conclusions: Carlson & Jampolsky technique was useful to treat patients with VI nerve palsy. We had low reoperation rates and, among the 7 patients who needed a second intervention, only 3 did not achieve good results.
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http://dx.doi.org/10.1590/s0004-27492007000600015 | DOI Listing |
Arq Bras Oftalmol
August 2008
Universidade Federal de São Paulo, São Paulo, SP, Brazil.
Purpose: To study the results of Carlson & Jampolsky technique in 31 patients with VI nerve palsy.
Methods: We had 23 unilateral and 8 bilateral cases. The mean unilateral preoperative esotropia was 56.
We used the Carlson-Jampolsky operation in 10 total paralysis of lateral rectus. Post-operatively 8 had no horizontal deviation in the primary position and had 20 to 25 degrees of abduction. There was limitation of adduction caused by the large medial rectus recession.
View Article and Find Full Text PDFThe authors reported 3 cases of complete lateral rectus palsy treated with the Carlson-Jampolsky transposition technique with readjustable sutures. A fair balance in the primary position with adduction and abduction around 20 degrees were obtained. The EOG tracings recorded in all the cases prior and after surgery showed interesting aspects of this improvement both in the saccadic velocities, and in the amplitude of the movements.
View Article and Find Full Text PDFActively developed horizontal muscle forces and tissue stiffnesses were measured in 29 normal orthophoric volunteer subjects (18 to 33 years old) by means of noninvasive length-tension forceps. Mean active fixation force developed at 50 deg extreme gaze was 26% greater for the medial rectus (74.8 gm) than for the lateral rectus (59.
View Article and Find Full Text PDFArch Ophthalmol
October 1979
A hypothesis, previously proposed, of tight medial rectus muscles in conjunction with tight lateral rectus muscles associated with exodeviations as a cause of lateral incomitancy in intermittent exotropia is supported by clinical management. Three patients with these findings underwent bilateral medial rectus and lateral rectus recessions by means of the adjustable rectus recession technique. Primary position alignment was achieved, and rotations were balanced with the alleviation of the lateral incomitancy.
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