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Published in: International Ophthalmology 11/2023

06-07-2023 | Refractive Errors | Original Paper

Comparison of the results of the modified and classical bi-medial hang-back recession in infantile esotropia

Authors: Diğdem Beğendi, Yaşar Duranoğlu

Published in: International Ophthalmology | Issue 11/2023

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Abstract

Purpose

Bi-medial rectus recession, which can also be performed using a hang-back technique, is one of the surgical treatment options for infantile esotropia (IE). This study has modified the surgical approach, with outcomes compared to the traditional hang-back technique.

Methods

The bi-medial recession was performed with a modified hang-back technique in 120 IE patients and with a traditional hang-back technique in 88 cases. Surgical outcomes were reviewed and compared retrospectively.

Results

The patients in the two groups were compared in terms of surgery time, inferior oblique weakening surgery, and the presence of refractive error. The differences between pre-operative and postoperative first-month, sixth-month, and first-year degrees were statistically significant (p < 0.001).

Conclusions

This modified novel technique aims to avoid unwanted muscle movement in the horizontal and vertical axes and a gap in the middle of the recessed muscle, as seen in the traditional hang-back technique. Further, the modified technique resulted in less over- and under-correction as well as alphabetic pattern deviation.
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Metadata
Title
Comparison of the results of the modified and classical bi-medial hang-back recession in infantile esotropia
Authors
Diğdem Beğendi
Yaşar Duranoğlu
Publication date
06-07-2023
Publisher
Springer Netherlands
Published in
International Ophthalmology / Issue 11/2023
Print ISSN: 0165-5701
Electronic ISSN: 1573-2630
DOI
https://doi.org/10.1007/s10792-023-02805-z

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