DISSOCIATED VERTICAL DEVIATION - WHAT IS THE MOST EFFECTIVE SURGICAL APPROACH

LORENZ, B and RAAB, I and BOERGEN, KP (1992) DISSOCIATED VERTICAL DEVIATION - WHAT IS THE MOST EFFECTIVE SURGICAL APPROACH. JOURNAL OF PEDIATRIC OPHTHALMOLOGY & STRABISMUS, 29 (1). pp. 21-29. ISSN 0191-3913,

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Abstract

In a retrospective study on 42 patients who had surgery between 1982 and 1990, the immediate as well as the long-term effect of three different surgical procedures on the dissociated vertical deviation (DVD) was studied. The procedures were: Faden operation of Cuppers of the superior rectus muscle 12 to 14 mm posterior to its insertion (10 patients); Faden operation of the superior rectus muscle 12 to 14 mm posterior to its initial insertion combined with a 3-millimeter recession of the muscle (7 patients); and large recession of the superior rectus muscle of 10 mm in a hang-loose technique (25 patients). The initial effect on the DVD was similar in the Faden group and in the group of the large recession. However, the long-term effect of the Faden operation was clearly superior to the large recessions. The Faden operation must be combined with a recession of the superior rectus muscle of at least 3 mm to avoid undercorrections if the original angle of deviation is larger than 14 prism diopters. The results are compared with those of other authors.

Item Type: Article
Uncontrolled Keywords: ;
Depositing User: Dr. Gernot Deinzer
Last Modified: 19 Oct 2022 08:44
URI: https://pred.uni-regensburg.de/id/eprint/54710

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