J Korean Ophthalmol Soc.  1999 Jan;40(1):228-236.

The Result of Full Tendon Transposition in Paralyzed Strabismus

Affiliations
  • 1The Institute of Vision Research, College of Medicine, Yonsei University.
  • 2Department of Ophthalmology, College of Medicine, Yonsei University.

Abstract

Nine patient with paralyzed strabismus of large deviation(Seven patients with lateral rectus or medial rectus muscle palsy and two patients with double elevator palsy) had full tendon transposition procedure. If remained strabismus was large postoperatively, recession of anatagonist of paralyzed muscle and botulinum toxin infection was performed respectively. Five patients achieved single binocular vision within central 10 degree of visual field. And six patients achieved less than 10 prism diopter of deviation in primary position. Our method compares favorably with previously descrived transposition procedure for muscle palsy in terms of the amount of correction and the extent of the window of single binocular vision with low risk of anterior ischemia syndrome.

Keyword

Botulinum toxin; Full tendon transposition; Palsy

MeSH Terms

Botulinum Toxins
Elevators and Escalators
Humans
Ischemia
Paralysis
Strabismus*
Tendons*
Vision, Binocular
Visual Fields
Botulinum Toxins
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