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NR 1-3/2007
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Leczenie operacyjne
zeza u pacjentów z pseudofakią
Strabismus surgery in
pseudophakic patients
Olimpia Nowakowska, Wojciech Omulecki,
Anna Broniarczyk-Loba
Z Kliniki Chorób Oczu Uniwersytetu Medycznego w Łodzi
Przykliniczna Poradnia Leczenia Zeza Uniwersyteckiego Szpitala
Klinicznego nr 1 im. N. Barlickiego w Łodzi
Kierownik: prof. dr hab. n. med. Wojciech Omulecki |
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| Summary: |
Purpose: To analyze the
results of strabismus surgery after previous cataract
extraction with primary or secondary IOL implantation
and to determine predicting factors of squint.
Material and methods: Eight patients with squint
deviation after cataract surgery with primary or
secondary IOL implantation were enrolled into this study.
Each patient had complete ophthalmologic and orthoptic
examination. Patients were divided into two groups.
Group I consisted of 5 patients with secondary IOL
implantation after traumatic cataract surgery, and group
II consisted of 3 patients without ocular trauma, with
primary IOL implantation. Five patients from both of
groups had diplopia after IOL implantation.
Results: Strabismus surgery was performed in all cases.
Surgery was combined with preoperative botuline toxin
injections and Fresnel prism correction. Two patients
were treated with adjustable suture technique. Treatment
was successful in all cases. Five patients had no
diplopia in primary position, two of them had occasional
diplopia in secondary positions, while 3 patients with
pour visual acuity achieved only esthetic effect.
Conclusions: 1. Strabismus surgery in patients with
pseudophakia is a complicated procedure which can
optimize visual alignment, improve binocular vision and
reduce diplopia.
2. Patients with diplopia or squint after IOL
implantation ought to be informed about the possibility
of strabismus surgery, both for diplopia and esthetic
effect. |
| Słowa kluczowe: |
zez, leczenie operacyjne,
podwójne widzenie, soczewki wewnątrzgałkowe, zaćma. |
| Key words: |
strabismus, surgery,
diplopia, intraocular lenses, cataract. |
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