NR 6/2003
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Postępy w diagnostyce i leczeniu operacyjnym
zeza u młodzieży i dorosłych
Advancements in diagnosis and surgical treatment of
strabismus in adolescents and adults
Anna Broniarczyk-Loba, Olimpia Nowakowska, Iwona Laudańska-Olszewska,
Wojciech Omulecki
Z Poradni Leczenia Zeza i Kliniki Chorób Oczu Uniwersytetu Medycznego w Łodzi
Kierownik Kliniki: dr hab. n. med. Wojciech Omulecki |
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| Summary: |
Purpose: To present complete process of
pre-operative strabismus diagnosis, which can be used for prediction of post-operative
diplopia in adolescents and adults.
Material and methods: The study involved three patients, who were
qualified for the surgical treatment of strabismus. Complete pre-operative diagnosis
predicting potential post-operative diplopia was performed in all patients. The prismatic
test for diplopia, hyperfunctional muscle botuline toxin injection, and prism correction
were performed.
Results: Regarding the results of tests, two patients were qualified for
surgical treatment. None of them suffered from diplopia after this treatment. The third
patient in pre-operative tests showed unacceptably high risk of intolerable diplopia.
Conclusions: Post-operative diplopia in adolescents and adults represents
a serious problem, especially in susceptible patients. Accurate and complete pre-operative
diagnosis allows for risk reduction in post-operative diplopia. The predictive test for
post-operative diplopia, botuline toxin injection and prism correction in isolation are
not always able, to give a reliable indication, as to the sensory status following
strabismus surgery. A combination of the three above mentioned techniques give more
reliable diagnosis. For patients, who can possibly suffer from post-operative diplopia,
the adjustable suture technique should be applied. |
| Słowa kluczowe: |
dwojenie, botulina, operacje zeza, młodzież, dorośli. |
| Key words: |
diplopia, botuline toxin injection, strabismus surgery in
adolescent and adults. |
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