İnfantil Ezotropyalı Olgularda Bimedial İç Rektus Geriletme ve Faden Cerrahilerinin Karşılaştırılması

Yıl 2023, Cilt: 2 Sayı: 4, 198 - 204, 25.12.2023

Ramazan Birgül , Vuslat Pelitli Gürlü

https://doi.org/10.57221/izmirtip.1285494

Öz

Amaç: İnfantil ezotropyalı (ET) olgu grubunda uygulanan bimedial iç rektus geriletme (bimedial geriletme) ve bimedial iç rektusa Faden sütüru konulması (bimedial Fd) yöntemlerinin etkinliğini karşılaştırmaktır.
Gereç ve Yöntemler: Olgular iki gruba ayrıldı. Birinci grupta bimedial geriletme uygulanan 48 olgu (%45.3) , ikinci grupta bimedial Fd uygulanan 58 olgu (%54.7) mevcuttu.
Sonuçlar: Yapılan cerrahiler sonrası son muayene sonucunda bimedial geriletme grubunda kayma miktarı yakında 5.69 Δ, uzakta 4.84 Δ’ di. Bimedial Fd grubunda yakında kayma miktarı 4.63 Δ, uzakta 3.51 Δ’ di. Bimedial geriletme grubunda 33 (%68.75) olguda başarı elde edilirken; bimedial Fd grubunda 42 (%72.4) olguda başarı elde edildi ve aralarındaki fark istatistiksel olarak anlamlı değildi.
Tartışma: Bu iki cerrahi tip karşılaştırıldığında başarı, konsekütif ekzotropya(XT) ve reoperasyon açısından birbirlerine üstünlükleri yoktu. Sadece disoasiye vertikal deviasyonu (DVD) düzeltici etki bimedial Fd grubunda daha iyiydi.

Anahtar Kelimeler

İnfantil Ezotropya;, Bimedial geriletme;, Faden ameliyatı, Şaşılık;, Ambliyopi .

Comparison of Bimedial Internal Rectus Retraction and Faden Surgeries in Patients with Infantile Esotropia

Öz

Aim: The purpose of the study was to compare the effectiveness of methods of bimedial internal rectus retraction (bimedial retraction) and inserting a Faden suture into the bimedial internal rectus (bimedial Fd) applied in cases of infantile esotropia (ET).
Material and Methods:The cases were divided into two groups:the 48 cases (45.3%) in the first group underwent bimedial retraction and the 58 cases (54.7%) in the second group underwent bimedial Fd.
Results:Final examinations after the surgeries revealed a shift in the bimedial retraction group of 5.69 prism dioptry (Δ) in the close range and 4.84 Δ in the remote range. The shift in the bimedial Fd group was 4.63 Δ in the close range and 3.51 Δ in the remote range. Success was achieved in 33 (68.75%) cases in the bimedial retraction group and in 42 (72.4%) cases in the bimedial Fd group. This difference between the groups was not statistically significant.
Conclusions:Comparison of these two surgery types did not reveal any superiority of one over the other in terms of success, consecutive exotropy (XT) development, or reoperation rates. Only the corrective effect on dissociated vertical deviation (DVD) was better in the bimedial Fd group.

Anahtar Kelimeler

Infantile esotropia;, bimedial retraction, Faden surgery;, strabismus;, amblyopia

Kaynakça

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