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NR. 2(II)/2005
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Przednia
transpozycja mięśnia skośnego dolnego jako metoda leczenia
operacyjnego w nadczynności mięśnia skośnego dolnego
Inferior Transposition of the Oblique Anterior Muscle in the
Treatment of the Inferior Oblique Muscle Overaction
Alina Bakunowicz-Łazarczyk, Beata
Urban, Małgorzata Mrugacz
Klinika Okulistyki Dziecięcej Akademii Medycznej w Białymstoku
Kierownik: prof. dr hab. med. Alina Bakunowicz-Łazarczyk |
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| Summary: |
The aim of the study was
to determine whether inferior transposition of the
oblique anterior muscle is beneficial for treatment of
the inferior oblique muscle overaction.
Material and methods: 15 children (6 girls and 9
boys) aged 4 – 14 years (mean 9.1 years) with unilateral
+3 or +4 overacting inferior oblique muscle underwent
unilateral inferior transposition of the oblique
anterior muscle between 1999 and 2003. 9 patients had
horizontal strabismus: 8 children had esotropia from 18
to 60 prism dioptres and 1 child was exotropic with 30
prism dioptres. Inferior oblique muscle was placed at
the temporal border of the inferior rectus muscle.
Results: Residual overaction was observed in 4
cases (26.7%). The inferior oblique action became close
to the normal after anterior transposition in 11 eyes
(73.3%).
Conclusions: inferior transposition of the
oblique anterior is an effective and save method of
treatment in the inferior oblique muscle overaction. |
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| Key words: |
Inferior transposition of
the oblique anterior, inferior oblique muscle
overaction. |
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