NR 1-2/2003
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Operacyjne leczenie zezów rozbieżnych
okresowych u młodzieży i dorosłych metodą szwów regulowanych
Adjustable sutures surgery of intermittent divergent
squint in adolescents and adults
Anna Broniarczyk-Loba, Olimpia Nowakowska
Z Katedry i Kliniki Chorób Oczu Akademii Medycznej w Łodzi, Poradnia Leczenia Zeza
Kierownik: dr hab. n. med. Wojciech Omulecki |
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| Summary: |
Purpose: The aim of this study is to
present the results of surgery in intermittent divergent strabismus with adjustable
sutures, and to compare them to the results of conventional technique.
Material and methods: The study group consisted of 25 patients operated
in our department because of intermittent divergent squint with adjustable sutures -
group I and with conventional technique - group II. The age range was from 17 to 46
years in group I and from 14 to 37 years in group II. The results were compared in both of
groups. We assessed the possibility of postoperative eye alignment in hypercorrection from
+4D to +6D (recession / resection) and from +6D to +8D (bilateral recession). Number of
patients without a precise effect was calculated. The eye alignment was changed in the
immediate postoperative period. Quantity of postoperative drift in both groups was
estimated.
Results: The intended eye alignment from +4D to +6D was achieved in 29%
and from +6D to +8D in 31% of patients with adjustable sutures (group I). The eye
alignment in the group II operated with conventional technique was 21% from +4D to +6D and
19% from +6D to +8D.
Conclusions: The use of adjustable sutures in the intermittent divergent
strabismus resulted in more correct alignment and avoidance of diplopia. This method
enables also to limit or enlarge extent of the surgery and leads to significant decrease
of the need for surgical interventions. |
| Słowa kluczowe: |
zez rozbieżny, młodzież i dorośli, leczenie operacyjne
zeza, metoda szwów regulowanych, metoda tradycyjna. |
| Key words: |
divergent squint, adolescents and adults, strabismus
surgery, adjustable sutures, traditional method. |
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