SURGERY OF STRABISMUS IN THE ORTHOPTIC PLEOPTIC SECTION OF THE DEPARTMENT OF OPHTALMOLOGY
Abstract
Background. Since 1996 there have been 446 patients (107 adults) operated for strabismus. This retrospective study (retrospection) indicated that out of those 107 adults 22 of them suffer from convergent concomitant strabismus, 29 from convergent paralytic strabismus, 42 from divergent concomitant strabismus and 14 from divergent paralytic strabismus.
Three cases of strabismus surgery on adult patients are presented. Strabismus is a pathological deviation of one eye turning outwards, inwards, upwards or downwards that has severe consequences for sight and aesthetic appearance of a patient.
Methods. Therapy consisted of ambulatory patient care, surgery and postoperative orthoptic-pleoptic training. In the first case of convergent paralytical strabismus with vertical component, the retroposition of internal rectus muscle, retroposition of inferior rectus muscle and resection of upper rectus muscle were performed. In the second case of divergent strabismus, resection of both internal rectus muscle and retroposition of external rectus muscle on left eye were performed by means of one surgery. In the third case of traumatic divergent paralytic strabismus, the late reconstruction and then resection of internal rectus muscle and retroposition of the external rectus muscle were performed.
Results. Through operative treatment the objective squint angle was diminished and the aesthetic appearance was improved in all three cases.
Conclusions. By means of strabismus surgery the aesthetic appearance of adult patients can be improved and by paralytic strabismus weak-sight (amblyopia), contraction of the eye muscles, ocular torticolis and psychic trauma can be prevented. In order to achieve a permanent result with surgical operation, the continuated postoperative orthoptic-pleoptic training is necessary.
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References
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