Surgical Management of Convergence Excess Esotropia | ||||
| Egyptian Journal of Ophthalmology | ||||
| Volume 3, Issue 3, September 2023, Page 137-142 PDF (103.57 K) | ||||
| Document Type: Original Articles | ||||
| DOI: 10.21608/ejomos.2023.169618.1073 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
Ehab Sultan  1; Manal Ali Kasem 2; Ahmed Mostafa2; Tarek A. Mohsen2; Rasha El-Zeini2
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| 1MOH | ||||
| 2Mansoura Ophthalmic Center, Mansoura University | ||||
| Abstract | ||||
| Propose: The purpose of this study was to evaluate retro-equatorial myopexy (faden operation) of medial rectus muscles for the treatment of near-distance disparity esotropia. Patients & Methods: This study included 14 patients with convergence excess esotropia not responding to bifocal glasses. All patients underwent bimedial recession based on far angle combined with retro-equatorial myopexy at 12–14mm from insertion (faden operation). A satisfactory result was defined as orthophoria or esotropia less than 10 prism diopters (Δ) at near and distance with reduction of the near-distance disparity to less than 10 Δ. All patients were followed up for 1 year in average and 6 months at least for stability of correction and onset consecutive exotropia Results: 1 case (7%) had residual esotropia at far, 2 cases (14%) had residual near–far disparity and no cases had consecutive exotropia; Conclusion: Faden operation is effective in management of convergence excess esotropia. However, it is quite difficult technique. Larger sample size and longer follow-up periods are still needed. | ||||
| Keywords | ||||
| near-distance disparity; esotropia; Ac/A ratio; retroequatorial myopexy; slanted recession | ||||
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