Onur Ozalp, Haluk Huseyin Gursoy, Ayse Idil Cakmak, Omur Can Ozdemir, Ertugrul Colak

Vertikal Kaymalarda Orta Do nem Şaşılık Cerrahisi Sonuçlarımız

Vertikal kayma nedeniyle cerrahi uyguladığımız olguların değerlendirilmesi. 2015 Ocak-2016 Haziran tarihleri arasında cerrahi uyguladığımız ve en az 1 yıl takip ettiğimiz olgular değerlendirildi. Cerrahi öncesi ve sonrası kayma açıları (PD) ve alt oblik (AO) fonksiyonları, görme keskinliği (GK), kırılma kusurları, etyolojileri ve uygulanan cerrahiler kaydedildi. Başarı, son muayenede 10 PD altında kayma açısı ve/veya alt oblik hiperfonksiyonunun (AOH) ≤+1 olması olarak tanımlandı. 172 olgunun 32’sinde vertikal kayma nedeniyle cerrahi uygulanmıştır. Primer AOH olguları (grup 1; n=19; 15 ezotropya, 4 egzotropya ile ilişkili) ile diğer etyolojilere (3 tip 3 Duane retraksiyon sendromu, 4 dördüncü sinir felci, 4 disosiye vertikal deviyasyon ve 2 çift elevatör felci) bağlı olan vertikal kaymalar (grup 2; n=13) karşılaştırıldı. Tüm primer AOH ve dördüncü sinir felci olgularında AO geriletmesi uygulandı. Duane sendromuda Y-split ve dış rektus geriletmesi, DVD’de üst rektus geriletme ve çift elevatör felcinde alt rektus geriletmesi uygulandı. Sağ gözde siferik ekivalan değeri (SE) (D) grup 1’de 1,5 (0,75-2,5); grup 2’de ise 0,5 (-0,625-0,875) idi (p=0,014). Sol gözde SE (D) grup 1’de 1,5 (0,75-2,5), grup 2’de ise 0,5 (0,125-1) idi (p=0,024). Grup 1’de AOH’u cerrahi ile 3,16±0,60’dan 0,89±0,81’e düşmüştür (p

Our Midterm Outcomes of Strabismus Surgery in Vertical Deviations

The evaluation of cases operated for vertical deviation. Materials and Methods: Cases operated between January 2015and June 2016 and followed-up for at least 1 year were evaluated. Pre and postoperative angle of deviations (PD), inferior obliquemuscle (IO) functions, refractive errors, etiologies and surgeries performed were noted. Success was defined as alignment with 10PD of orthophoria and/or inferior oblique overaction (IOOA) ≤+1 at the final examination. 32 out of 172 cases, surgery due tovertical deviation was performed. Primary IOOA cases (group 1; n=19; 15 was associated with esotropia, 4 with exotropia) werecompared with cases (group 2; n=13) due to other etiologies [3 Duane retraction syndrome (DRS) type 3, 4 fourth nerve palsy, 4dissociated vertical deviation (DVD), and double elevator palsy (DEP)]. IO recession was performed in all primary IOOA andfourth nerve palsy. Y-split and lateral rectus recession was performed in DRS, superior rectus recession in DVD, and inferior rectusrecession in DEP. Right spherical equivalent (SE) (D) was 1.5 (0.75-2.5) in group 1 and 0.5 (-0.625-0.875) in group 2 (p=0.014).Left SE (D) was 1.5 (0.75-2.5) in group 1 and 0.5 (0.125-1) in group 2 (p=0.024). IOOA decreased from 3.16±0.60 to 0.89±0.81postoperatively in group 1 cases (p

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