Comparative Study between Inferior Oblique Muscle Standard Anteriorization versus Myectomy in Primary Inferior Oblique Over Action | ||||
| International Journal of Medical Arts | ||||
| Volume 5, Issue 12, December 2023, Page 3990-3998 PDF (1.37 MB) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ijma.2024.257709.1896 | ||||
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| Authors | ||||
Eman Magdy  1; Abd Elmagid Mohamed Tag El-Din2; Ezzeldin Ramadan Ezzeldin1
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| 1Department of Ophthalmology, Damietta Faculty of Medicine, Al-Azhar University, Damietta, Egypt | ||||
| 2Department of Ophthalmology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt | ||||
| Abstract | ||||
| Background: Surgical procedures for the treatment of intraosseous adhesions [IOOAs] have included a variety of approaches, such as disinsertion, recession, myectomy, and anterior transposition. The Aim of the work: This study aimed to compare between inferior oblique muscle standard anteriorization versus myectomy in primary inferior oblique over action. Patients and Methods: This prospective comparative non randomized interventional study was conducted on 40 eyes. Patients were divided into two equal groups, Group A were treated by inferior oblique standard anteriorization, and Group B were treated by inferior oblique myectomy Results: In terms of the degree of IO overaction, at the baseline the two groups were comparable with no significant difference [P =0.7], 30% of the patients in group 1 versus 40% of the patients in group 2 were mild, 55 % of the patients in group 1 versus 45% of the patients in group 2 were moderate, and 15 % of the patients in group 1 versus 15 % of the patients in group 2 were severe. At 1-week post-operative the IO overaction was disappeared in all patients except one patient in group 2 was +1 IO. At 1, 3, 6 months postoperative, The IO disappeared in 90% of patients in both groups, 5% of the patients in group 1 versus 10% of the patients in group 2 were +1 IO, and only 5% of the patients in group 1 were +2 IO. Conclusion: We have found both standard anteriorization and distal myomectomies of the inferior oblique muscle to be equally successful in weakening the inferior oblique muscle overaction but in severe cases [+4 IOOA]. | ||||
| Keywords | ||||
| Standard Anteriorization; Inferior Oblique Over Action; Myectomy | ||||
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