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A comparison of two different techniques for oculomotor torque reduction
Article first published online: 16 MAY 2007
DOI: 10.1111/j.1600-0420.2007.00933.x
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How to Cite
Hoerantner, R., Priglinger, S., Koch, M. and Haslwanter, T. (2007), A comparison of two different techniques for oculomotor torque reduction. Acta Ophthalmologica Scandinavica, 85: 734–738. doi: 10.1111/j.1600-0420.2007.00933.x
Publication History
- Issue published online: 18 OCT 2007
- Article first published online: 16 MAY 2007
- Received on November 1st, 2006. Accepted on February 24th, 2007.
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Keywords:
- strabismus;
- nystagmus;
- infantile esotropia;
- torque reduction
Abstract.
Purpose: To compare the results of two different surgical techniques: ‘Cüppers technique’, in which the torque of oculomotor rectus muscles is reduced by suturing the muscle to the globe in the posterior half of the globe; and ‘Y-split recessions’, in which the muscle torque is reduced by Y-splitting the rectus muscles, and reattaching the two halves at an angle to each other.
Methods: We carried out a retrospective analysis of the outcome of surgery on 100 patients with infantile esotropia.
Results: Both techniques show a sufficient reduction of strabismus angle variability, and minimal and maximal strabismus angle.
Conclusions: Both techniques achieve satisfactory results. In addition, the Y-split technique allows for accurate control of the muscle torque and requires no access to the posterior half of the eye, which can facilitate the surgical approach. For a reduction in muscle torque, the Y-split recession is a good alternative to the established Cüppers technique.