Rectus muscle plication using an adjustable suture technique
Purpose Rectus muscle plication is an alternative muscle-strengthening procedure to rectus muscle resection. Possible advantages of rectus muscle plication include a lower risk of “lost” muscles and anterior segment ischemia. Methods This was a retrospective case series describing a surgical procedu...
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| Veröffentlicht in: | Journal of AAPOS 2013-10, Vol.17 (5), p.480-483 |
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| creator | Velez, Federico G., MD Demer, Joseph L., MD, PhD Pihlblad, Matthew S., MD Pineles, Stacy L., MD |
| description | Purpose Rectus muscle plication is an alternative muscle-strengthening procedure to rectus muscle resection. Possible advantages of rectus muscle plication include a lower risk of “lost” muscles and anterior segment ischemia. Methods This was a retrospective case series describing a surgical procedure for rectus muscle plication using an adjustable suture technique that can be used on any of the four rectus muscles. Results A total of 5 adult patients underwent adjustable suture plication procedures. Of these, 2 patients required suture adjustment postoperatively. At the final follow-up visit, all the patients maintained satisfactory ocular alignment within 6Δ of orthotropia for horizontal deviations and 2Δ of orthotropia for vertical deviations. Diplopia was eliminated in all cases with preoperative diplopia. There were no postoperative complications or unexpected shifts in ocular alignment. Conclusions Rectus muscle plication using this adjustable suture technique may serve as an alternative to rectus muscle resection and may be particularly useful in patients who are at risk for anterior segment ischemia or those in whom a shorter anesthesia time is recommended. |
| doi_str_mv | 10.1016/j.jaapos.2013.06.002 |
| format | Article |
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Possible advantages of rectus muscle plication include a lower risk of “lost” muscles and anterior segment ischemia. Methods This was a retrospective case series describing a surgical procedure for rectus muscle plication using an adjustable suture technique that can be used on any of the four rectus muscles. Results A total of 5 adult patients underwent adjustable suture plication procedures. Of these, 2 patients required suture adjustment postoperatively. At the final follow-up visit, all the patients maintained satisfactory ocular alignment within 6Δ of orthotropia for horizontal deviations and 2Δ of orthotropia for vertical deviations. Diplopia was eliminated in all cases with preoperative diplopia. There were no postoperative complications or unexpected shifts in ocular alignment. Conclusions Rectus muscle plication using this adjustable suture technique may serve as an alternative to rectus muscle resection and may be particularly useful in patients who are at risk for anterior segment ischemia or those in whom a shorter anesthesia time is recommended.</description><identifier>ISSN: 1091-8531</identifier><identifier>EISSN: 1528-3933</identifier><identifier>DOI: 10.1016/j.jaapos.2013.06.002</identifier><identifier>PMID: 24160967</identifier><language>eng</language><publisher>United States: Mosby, Inc</publisher><subject>Adult ; Aged ; Humans ; Middle Aged ; Oculomotor Muscles - surgery ; Ophthalmologic Surgical Procedures ; Ophthalmology ; Retrospective Studies ; Strabismus - surgery ; Suture Techniques ; Visual Acuity</subject><ispartof>Journal of AAPOS, 2013-10, Vol.17 (5), p.480-483</ispartof><rights>American Association for Pediatric Ophthalmology and Strabismus</rights><rights>2013 American Association for Pediatric Ophthalmology and Strabismus</rights><rights>Copyright © 2013 American Association for Pediatric Ophthalmology and Strabismus. Published by Mosby, Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c463t-3bcf6f51edae0b7689a3c1758f32776671f4c41199c26e3937b1889912787d823</citedby><cites>FETCH-LOGICAL-c463t-3bcf6f51edae0b7689a3c1758f32776671f4c41199c26e3937b1889912787d823</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.jaapos.2013.06.002$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3549,27923,27924,45994</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24160967$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Velez, Federico G., MD</creatorcontrib><creatorcontrib>Demer, Joseph L., MD, PhD</creatorcontrib><creatorcontrib>Pihlblad, Matthew S., MD</creatorcontrib><creatorcontrib>Pineles, Stacy L., MD</creatorcontrib><title>Rectus muscle plication using an adjustable suture technique</title><title>Journal of AAPOS</title><addtitle>J AAPOS</addtitle><description>Purpose Rectus muscle plication is an alternative muscle-strengthening procedure to rectus muscle resection. Possible advantages of rectus muscle plication include a lower risk of “lost” muscles and anterior segment ischemia. Methods This was a retrospective case series describing a surgical procedure for rectus muscle plication using an adjustable suture technique that can be used on any of the four rectus muscles. Results A total of 5 adult patients underwent adjustable suture plication procedures. Of these, 2 patients required suture adjustment postoperatively. At the final follow-up visit, all the patients maintained satisfactory ocular alignment within 6Δ of orthotropia for horizontal deviations and 2Δ of orthotropia for vertical deviations. Diplopia was eliminated in all cases with preoperative diplopia. There were no postoperative complications or unexpected shifts in ocular alignment. Conclusions Rectus muscle plication using this adjustable suture technique may serve as an alternative to rectus muscle resection and may be particularly useful in patients who are at risk for anterior segment ischemia or those in whom a shorter anesthesia time is recommended.</description><subject>Adult</subject><subject>Aged</subject><subject>Humans</subject><subject>Middle Aged</subject><subject>Oculomotor Muscles - surgery</subject><subject>Ophthalmologic Surgical Procedures</subject><subject>Ophthalmology</subject><subject>Retrospective Studies</subject><subject>Strabismus - surgery</subject><subject>Suture Techniques</subject><subject>Visual Acuity</subject><issn>1091-8531</issn><issn>1528-3933</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkUtr3TAQhUVoSdK0_yAEL7uxq5F89YBQKKFJC4FAH2shy-NUrq99o7EK-ffV5SZddJPVCOacOaNvGDsH3gAH9WFsRu93CzWCg2y4ajgXR-wUNsLU0kr5qry5hdpsJJywN0Qj51xZgGN2IlpQ3Cp9yi6_YVgzVdtMYcJqN8Xg17jMVaY431d-rnw_Zlp9V7qU15ywWjH8muNDxrfs9eAnwndP9Yz9vP784-pLfXt38_Xq020dWiXXWnZhUMMGsPfIO62M9TKA3phBCq2V0jC0oQWwNgiFZXfdgTHWgtBG90bIM_b-MHeXlhJLq9tGCjhNfsYlk4O2VUa3XMoibQ_SkBaihIPbpbj16dEBd3tubnQHbm7PzXHlCrdiu3hKyN0W-3-mZ1BF8PEgwPLPPxGToxBxDtjHVAi6fokvJfw_IExxLrSn3_iINC45zYWhA0fCcfd9f7v96UAWt-Ja_gU5CZPg</recordid><startdate>20131001</startdate><enddate>20131001</enddate><creator>Velez, Federico G., MD</creator><creator>Demer, Joseph L., MD, PhD</creator><creator>Pihlblad, Matthew S., MD</creator><creator>Pineles, Stacy L., MD</creator><general>Mosby, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20131001</creationdate><title>Rectus muscle plication using an adjustable suture technique</title><author>Velez, Federico G., MD ; Demer, Joseph L., MD, PhD ; Pihlblad, Matthew S., MD ; Pineles, Stacy L., MD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c463t-3bcf6f51edae0b7689a3c1758f32776671f4c41199c26e3937b1889912787d823</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Humans</topic><topic>Middle Aged</topic><topic>Oculomotor Muscles - surgery</topic><topic>Ophthalmologic Surgical Procedures</topic><topic>Ophthalmology</topic><topic>Retrospective Studies</topic><topic>Strabismus - surgery</topic><topic>Suture Techniques</topic><topic>Visual Acuity</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Velez, Federico G., MD</creatorcontrib><creatorcontrib>Demer, Joseph L., MD, PhD</creatorcontrib><creatorcontrib>Pihlblad, Matthew S., MD</creatorcontrib><creatorcontrib>Pineles, Stacy L., MD</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of AAPOS</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Velez, Federico G., MD</au><au>Demer, Joseph L., MD, PhD</au><au>Pihlblad, Matthew S., MD</au><au>Pineles, Stacy L., MD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Rectus muscle plication using an adjustable suture technique</atitle><jtitle>Journal of AAPOS</jtitle><addtitle>J AAPOS</addtitle><date>2013-10-01</date><risdate>2013</risdate><volume>17</volume><issue>5</issue><spage>480</spage><epage>483</epage><pages>480-483</pages><issn>1091-8531</issn><eissn>1528-3933</eissn><abstract>Purpose Rectus muscle plication is an alternative muscle-strengthening procedure to rectus muscle resection. Possible advantages of rectus muscle plication include a lower risk of “lost” muscles and anterior segment ischemia. Methods This was a retrospective case series describing a surgical procedure for rectus muscle plication using an adjustable suture technique that can be used on any of the four rectus muscles. Results A total of 5 adult patients underwent adjustable suture plication procedures. Of these, 2 patients required suture adjustment postoperatively. At the final follow-up visit, all the patients maintained satisfactory ocular alignment within 6Δ of orthotropia for horizontal deviations and 2Δ of orthotropia for vertical deviations. Diplopia was eliminated in all cases with preoperative diplopia. There were no postoperative complications or unexpected shifts in ocular alignment. Conclusions Rectus muscle plication using this adjustable suture technique may serve as an alternative to rectus muscle resection and may be particularly useful in patients who are at risk for anterior segment ischemia or those in whom a shorter anesthesia time is recommended.</abstract><cop>United States</cop><pub>Mosby, Inc</pub><pmid>24160967</pmid><doi>10.1016/j.jaapos.2013.06.002</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record> |
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| source | Elsevier ScienceDirect Journals Complete - AutoHoldings; MEDLINE |
| subjects | Adult Aged Humans Middle Aged Oculomotor Muscles - surgery Ophthalmologic Surgical Procedures Ophthalmology Retrospective Studies Strabismus - surgery Suture Techniques Visual Acuity |
| title | Rectus muscle plication using an adjustable suture technique |
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