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Graefe's Archive for Clinical and Experimental Ophthalmology

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01-06-2010 | Pediatrics

Comparison of hang-back and conventional bimedial rectus recession in infantile esotropia

Authors: Oriel Spierer, Abraham Spierer

Published in: Graefe's Archive for Clinical and Experimental Ophthalmology | Issue 6/2010

Abstract

Purpose

To compare surgical outcome of hang-back and conventional bimedial rectus muscle recession in infantile esotropia.

Patients and methods

The charts of 67 consecutive patients with infantile esotropia who underwent bilateral medial rectus muscle from 1990 through 2005 were retrospectively reviewed. Thirty patients were operated by hang-back technique (group 1) and 37 by conventional bimedial rectus recession in which the tendon was sutured directly to the globe (group 2). In each group, the angle of esotropia (PD - prism diopters) before and 6 months after surgery and the success rate (deviation of ≤10 PD) were documented.

Results

Esotropia improved an average of 39.7 (SD 14.9) PD in group 1 (from a preoperative 42.7 (SD 11.6) PD to 3.0 (SD 8.5) PD postoperatively) and 45.5 (SD 19.3) PD in group 2 (from a preoperative 54.3 (SD 16.8) PD to 8.7 (SD 12.1) PD postoperatively) (p = 0.18, independent sample t-test). Success rate (defined as deviation of ≤10 PD at 6 months postoperative examination) was 83.3% in group 1 and 70.2% in group 2 (p = 0.21, Chi-square). Multivariate logistic regression suggests that surgical outcomes are not significantly influenced by age and preoperative angle of esotropia. No complications occurred in both groups.

Conclusion

Hang-back technique is as effective as the conventional bimedial rectus muscle recession in correcting infantile esotropia.

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Title: Comparison of hang-back and conventional bimedial rectus recession in infantile esotropia
Authors: Oriel Spierer
Abraham Spierer
Publication date: 01-06-2010
Publisher: Springer-Verlag
Published in: Graefe's Archive for Clinical and Experimental Ophthalmology / Issue 6/2010
Print ISSN: 0721-832X
Electronic ISSN: 1435-702X
DOI: https://doi.org/10.1007/s00417-009-1264-6

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Comparison of hang-back and conventional bimedial rectus recession in infantile esotropia

Abstract

Purpose

Patients and methods

Results

Conclusion

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Purpose

Patients and methods

Results

Conclusion

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