gms | German Medical Science

22. Internationaler Kongress der Deutschen Ophthalmochirurgen

18. bis 21.06.2009, Nürnberg

Alternant esotropy and surgical correction in both eyes

Meeting Abstract

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  • Mire Shoshi - University Clinical Center of Kosova, Eye Clinic, Prishtina, Kosova
  • Avdyl Shoshi - Policlinica Shoshi, Prishtina, Kosova
  • Aferdita Bakalli - University Clinical Center of Kosova, Eye Clinic, Prishtina, Kosova
  • Fetije Kastrati - University Clinical Center of Kosova, Eye Clinic, Prishtina, Kosova

22. Internationaler Kongress der Deutschen Ophthalmochirurgen. Nürnberg, 18.-21.06.2009. Düsseldorf: German Medical Science GMS Publishing House; 2009. Doc09docPO 4.7

doi: 10.3205/09doc065, urn:nbn:de:0183-09doc0659

Veröffentlicht: 9. Juli 2009

© 2009 Shoshi et al.
Dieser Artikel ist ein Open Access-Artikel und steht unter den Creative Commons Lizenzbedingungen (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.de). Er darf vervielfältigt, verbreitet und öffentlich zugänglich gemacht werden, vorausgesetzt dass Autor und Quelle genannt werden.


Gliederung

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Purpose: The aim of this presentation is to introduce our experience in treatment of patients with alternant esotropy, by surgical procedure in weakening the function of medial rectus muscle in both eyes.

Methods: In this work are included 77 patients. With surgical method under general anesthesia, we weakened function of medial rectus muscle in both eyes with retro position of muscle, depending of deviation angle. Surgical procedure is applied in patients with alternant esotropy where deviation angle is remained after application of standard methods of treatment like correction of refractory anomalies, occlusion and orthopeloptic trainings.

Results: All of the operated patients are evaluated pre and postoperatively regarding angle deviation in 6m, 1m and Sinoptofor. Up to day the results have shoved to be positive, which means that deviation angle was improved for all of our patients. During period of time 2005–2006 we treated 77 patients with alternant esotropy, where deviation angle in distance of 6m was 37.8 prism diopter before and 6.5 prism diopter after the intervention. In distance of 1m deviation angle was 39.5 prism diopter before and 7.2 prism diopter after intervention.

Conclusions: Alternant Esotropy appears in about 2% of children under age of 3y., or in 3% of all children. Alternant Esotropy with wide deviation angle seeks a number of surgical procedures. It is important measurement of deviation angle before and after surgical operation in order to achieve and keep binocular function after the surgical intervention.