A Muscle Transposition Procedure for Abducens Palsy, in Which the Halves of the Vertical Rectus Muscle Bellies Are Sutured Onto the Sclera
Purpose: To review the results of a muscle transposition procedure in which the halves of the vertical rectus muscle bellies are sutured onto the sclera, without tenotomy of vertical recti as in Hummelsheim's procedure or surgical treatment of the lateral rectus (LR) as in Jensen's procedu...
Gespeichert in:
| Veröffentlicht in: | Japanese journal of ophthalmology 2003-05, Vol.47 (3), p.281-286 |
|---|---|
| Hauptverfasser: | , , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 286 |
|---|---|
| container_issue | 3 |
| container_start_page | 281 |
| container_title | Japanese journal of ophthalmology |
| container_volume | 47 |
| creator | Nishida, Yasuhiro Inatomi, Akihiro Aoki, Yoshiko Hayashi, Osamu Iwami, Tatsuya Oda, Sanae Nakamura, Jiro Kani, Kazutaka |
| description | Purpose: To review the results of a muscle transposition procedure in which the halves of the vertical rectus muscle bellies are sutured onto the sclera, without tenotomy of vertical recti as in Hummelsheim's procedure or surgical treatment of the lateral rectus (LR) as in Jensen's procedure.
Methods: Ten patients with abducens palsy received the procedure. We measured the ocular deviation and the field of single binocular vision, and observed the LR using magnetic resonance imaging (MRI).
Results: Preoperative or postoperative deviation was distributed from +27 to +58 prism diopters (PD) or orthophoria to +12 PD, respectively, in 7 patients with unilateral paresis, and +75 to +120 PD or +2 to +37 PD in 3 patients with bilateral paresis. The average correction was 42.4 PD per eye. Seven patients were able to regain the field of single binocular vision at least in the primary position. No postoperative complications were observed. MRI showed that the LR was atrophic and floppy, lacking muscle tension.
Conclusions: Our procedure enabled the patients to obtain satisfactory postoperative results without treatment of the LR or tenotomy of the transposed muscles. This procedure can reduce operative damage to the eye more than Hummelsheim's or Jensen's procedure. |
| doi_str_mv | 10.1016/S0021-5155(03)00021-2 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_73295822</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0021515503000212</els_id><sourcerecordid>73295822</sourcerecordid><originalsourceid>FETCH-LOGICAL-c510t-5b6239cba270d54a0c0fd85e4a3eece1c0d960a6f2031c14fcd5ad9f40abd4f23</originalsourceid><addsrcrecordid>eNqFkV1rFDEUhoModq3-BCU3ioKj-ZydvZK1qBUqLW7Vy5BJTtjI7GTNmSn0L_RXNzu7bS-9Cgee8-bwvIS85OwDZ7z-uGJM8Epzrd8y-Y5Nk3hEZrzmshJC1Y_J7B45Is8Q_xZICSmekiMu5o3gtZ6RmyX9MaLrgF5m2-M2YRxi6ulFTg78mIGGlOmy9aODHumF7fD6PY09_bOObk2HNdBT210B0hSm6TfkITrb0Z_ghhHv0j9D18VCLUviahxKsKfn_ZCmnVUhsn1OnoQSDy8O7zH59fXL5clpdXb-7fvJ8qxymrOh0m0t5MK1VsyZ18oyx4JvNCgrARxwx_yiZrYOgknuuArOa-sXQTHbehWEPCZv9rnbnP6NgIPZRHTlPttDGtHMpVjoRuxAvQddTogZgtnmuLH52nBmdiWYqQSzM2yYNFMJZrf36vDB2G7AP2wdrBfg9QGwWFSFYt5FfOBUo5pGqMJ92nNQdFxFyAZdhL4UE3Oxa3yK_znlFlLEpIc</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>73295822</pqid></control><display><type>article</type><title>A Muscle Transposition Procedure for Abducens Palsy, in Which the Halves of the Vertical Rectus Muscle Bellies Are Sutured Onto the Sclera</title><source>MEDLINE</source><source>Alma/SFX Local Collection</source><creator>Nishida, Yasuhiro ; Inatomi, Akihiro ; Aoki, Yoshiko ; Hayashi, Osamu ; Iwami, Tatsuya ; Oda, Sanae ; Nakamura, Jiro ; Kani, Kazutaka</creator><creatorcontrib>Nishida, Yasuhiro ; Inatomi, Akihiro ; Aoki, Yoshiko ; Hayashi, Osamu ; Iwami, Tatsuya ; Oda, Sanae ; Nakamura, Jiro ; Kani, Kazutaka</creatorcontrib><description>Purpose: To review the results of a muscle transposition procedure in which the halves of the vertical rectus muscle bellies are sutured onto the sclera, without tenotomy of vertical recti as in Hummelsheim's procedure or surgical treatment of the lateral rectus (LR) as in Jensen's procedure.
Methods: Ten patients with abducens palsy received the procedure. We measured the ocular deviation and the field of single binocular vision, and observed the LR using magnetic resonance imaging (MRI).
Results: Preoperative or postoperative deviation was distributed from +27 to +58 prism diopters (PD) or orthophoria to +12 PD, respectively, in 7 patients with unilateral paresis, and +75 to +120 PD or +2 to +37 PD in 3 patients with bilateral paresis. The average correction was 42.4 PD per eye. Seven patients were able to regain the field of single binocular vision at least in the primary position. No postoperative complications were observed. MRI showed that the LR was atrophic and floppy, lacking muscle tension.
Conclusions: Our procedure enabled the patients to obtain satisfactory postoperative results without treatment of the LR or tenotomy of the transposed muscles. This procedure can reduce operative damage to the eye more than Hummelsheim's or Jensen's procedure.</description><identifier>ISSN: 0021-5155</identifier><identifier>EISSN: 1613-2246</identifier><identifier>DOI: 10.1016/S0021-5155(03)00021-2</identifier><identifier>PMID: 12782165</identifier><identifier>CODEN: JJOPA7</identifier><language>eng</language><publisher>Heidelberg: Elsevier Inc</publisher><subject>Abducens Nerve Diseases - diagnosis ; Abducens Nerve Diseases - surgery ; Abducens palsy ; Adolescent ; Adult ; Aged ; anterior segment ischemia ; Biological and medical sciences ; Child ; Female ; Humans ; Hummelsheim's procedure ; Jensen's procedure ; Magnetic Resonance Imaging ; Male ; Medical sciences ; Middle Aged ; muscle transposition ; Oculomotor Muscles - pathology ; Oculomotor Muscles - transplantation ; Ophthalmologic Surgical Procedures ; Sclera - surgery ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Surgery of the eye and orbit ; Suture Techniques ; Vision, Binocular - physiology</subject><ispartof>Japanese journal of ophthalmology, 2003-05, Vol.47 (3), p.281-286</ispartof><rights>2003 Japanese Ophthalmological Society</rights><rights>2003 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c510t-5b6239cba270d54a0c0fd85e4a3eece1c0d960a6f2031c14fcd5ad9f40abd4f23</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,781,785,27929,27930</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=14848824$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12782165$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Nishida, Yasuhiro</creatorcontrib><creatorcontrib>Inatomi, Akihiro</creatorcontrib><creatorcontrib>Aoki, Yoshiko</creatorcontrib><creatorcontrib>Hayashi, Osamu</creatorcontrib><creatorcontrib>Iwami, Tatsuya</creatorcontrib><creatorcontrib>Oda, Sanae</creatorcontrib><creatorcontrib>Nakamura, Jiro</creatorcontrib><creatorcontrib>Kani, Kazutaka</creatorcontrib><title>A Muscle Transposition Procedure for Abducens Palsy, in Which the Halves of the Vertical Rectus Muscle Bellies Are Sutured Onto the Sclera</title><title>Japanese journal of ophthalmology</title><addtitle>Jpn J Ophthalmol</addtitle><description>Purpose: To review the results of a muscle transposition procedure in which the halves of the vertical rectus muscle bellies are sutured onto the sclera, without tenotomy of vertical recti as in Hummelsheim's procedure or surgical treatment of the lateral rectus (LR) as in Jensen's procedure.
Methods: Ten patients with abducens palsy received the procedure. We measured the ocular deviation and the field of single binocular vision, and observed the LR using magnetic resonance imaging (MRI).
Results: Preoperative or postoperative deviation was distributed from +27 to +58 prism diopters (PD) or orthophoria to +12 PD, respectively, in 7 patients with unilateral paresis, and +75 to +120 PD or +2 to +37 PD in 3 patients with bilateral paresis. The average correction was 42.4 PD per eye. Seven patients were able to regain the field of single binocular vision at least in the primary position. No postoperative complications were observed. MRI showed that the LR was atrophic and floppy, lacking muscle tension.
Conclusions: Our procedure enabled the patients to obtain satisfactory postoperative results without treatment of the LR or tenotomy of the transposed muscles. This procedure can reduce operative damage to the eye more than Hummelsheim's or Jensen's procedure.</description><subject>Abducens Nerve Diseases - diagnosis</subject><subject>Abducens Nerve Diseases - surgery</subject><subject>Abducens palsy</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>anterior segment ischemia</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Female</subject><subject>Humans</subject><subject>Hummelsheim's procedure</subject><subject>Jensen's procedure</subject><subject>Magnetic Resonance Imaging</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>muscle transposition</subject><subject>Oculomotor Muscles - pathology</subject><subject>Oculomotor Muscles - transplantation</subject><subject>Ophthalmologic Surgical Procedures</subject><subject>Sclera - surgery</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surgery of the eye and orbit</subject><subject>Suture Techniques</subject><subject>Vision, Binocular - physiology</subject><issn>0021-5155</issn><issn>1613-2246</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkV1rFDEUhoModq3-BCU3ioKj-ZydvZK1qBUqLW7Vy5BJTtjI7GTNmSn0L_RXNzu7bS-9Cgee8-bwvIS85OwDZ7z-uGJM8Epzrd8y-Y5Nk3hEZrzmshJC1Y_J7B45Is8Q_xZICSmekiMu5o3gtZ6RmyX9MaLrgF5m2-M2YRxi6ulFTg78mIGGlOmy9aODHumF7fD6PY09_bOObk2HNdBT210B0hSm6TfkITrb0Z_ghhHv0j9D18VCLUviahxKsKfn_ZCmnVUhsn1OnoQSDy8O7zH59fXL5clpdXb-7fvJ8qxymrOh0m0t5MK1VsyZ18oyx4JvNCgrARxwx_yiZrYOgknuuArOa-sXQTHbehWEPCZv9rnbnP6NgIPZRHTlPttDGtHMpVjoRuxAvQddTogZgtnmuLH52nBmdiWYqQSzM2yYNFMJZrf36vDB2G7AP2wdrBfg9QGwWFSFYt5FfOBUo5pGqMJ92nNQdFxFyAZdhL4UE3Oxa3yK_znlFlLEpIc</recordid><startdate>20030501</startdate><enddate>20030501</enddate><creator>Nishida, Yasuhiro</creator><creator>Inatomi, Akihiro</creator><creator>Aoki, Yoshiko</creator><creator>Hayashi, Osamu</creator><creator>Iwami, Tatsuya</creator><creator>Oda, Sanae</creator><creator>Nakamura, Jiro</creator><creator>Kani, Kazutaka</creator><general>Elsevier Inc</general><general>Springer</general><scope>IQODW</scope><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>20030501</creationdate><title>A Muscle Transposition Procedure for Abducens Palsy, in Which the Halves of the Vertical Rectus Muscle Bellies Are Sutured Onto the Sclera</title><author>Nishida, Yasuhiro ; Inatomi, Akihiro ; Aoki, Yoshiko ; Hayashi, Osamu ; Iwami, Tatsuya ; Oda, Sanae ; Nakamura, Jiro ; Kani, Kazutaka</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c510t-5b6239cba270d54a0c0fd85e4a3eece1c0d960a6f2031c14fcd5ad9f40abd4f23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2003</creationdate><topic>Abducens Nerve Diseases - diagnosis</topic><topic>Abducens Nerve Diseases - surgery</topic><topic>Abducens palsy</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>anterior segment ischemia</topic><topic>Biological and medical sciences</topic><topic>Child</topic><topic>Female</topic><topic>Humans</topic><topic>Hummelsheim's procedure</topic><topic>Jensen's procedure</topic><topic>Magnetic Resonance Imaging</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>muscle transposition</topic><topic>Oculomotor Muscles - pathology</topic><topic>Oculomotor Muscles - transplantation</topic><topic>Ophthalmologic Surgical Procedures</topic><topic>Sclera - surgery</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Surgery of the eye and orbit</topic><topic>Suture Techniques</topic><topic>Vision, Binocular - physiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Nishida, Yasuhiro</creatorcontrib><creatorcontrib>Inatomi, Akihiro</creatorcontrib><creatorcontrib>Aoki, Yoshiko</creatorcontrib><creatorcontrib>Hayashi, Osamu</creatorcontrib><creatorcontrib>Iwami, Tatsuya</creatorcontrib><creatorcontrib>Oda, Sanae</creatorcontrib><creatorcontrib>Nakamura, Jiro</creatorcontrib><creatorcontrib>Kani, Kazutaka</creatorcontrib><collection>Pascal-Francis</collection><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>Japanese journal of ophthalmology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nishida, Yasuhiro</au><au>Inatomi, Akihiro</au><au>Aoki, Yoshiko</au><au>Hayashi, Osamu</au><au>Iwami, Tatsuya</au><au>Oda, Sanae</au><au>Nakamura, Jiro</au><au>Kani, Kazutaka</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A Muscle Transposition Procedure for Abducens Palsy, in Which the Halves of the Vertical Rectus Muscle Bellies Are Sutured Onto the Sclera</atitle><jtitle>Japanese journal of ophthalmology</jtitle><addtitle>Jpn J Ophthalmol</addtitle><date>2003-05-01</date><risdate>2003</risdate><volume>47</volume><issue>3</issue><spage>281</spage><epage>286</epage><pages>281-286</pages><issn>0021-5155</issn><eissn>1613-2246</eissn><coden>JJOPA7</coden><abstract>Purpose: To review the results of a muscle transposition procedure in which the halves of the vertical rectus muscle bellies are sutured onto the sclera, without tenotomy of vertical recti as in Hummelsheim's procedure or surgical treatment of the lateral rectus (LR) as in Jensen's procedure.
Methods: Ten patients with abducens palsy received the procedure. We measured the ocular deviation and the field of single binocular vision, and observed the LR using magnetic resonance imaging (MRI).
Results: Preoperative or postoperative deviation was distributed from +27 to +58 prism diopters (PD) or orthophoria to +12 PD, respectively, in 7 patients with unilateral paresis, and +75 to +120 PD or +2 to +37 PD in 3 patients with bilateral paresis. The average correction was 42.4 PD per eye. Seven patients were able to regain the field of single binocular vision at least in the primary position. No postoperative complications were observed. MRI showed that the LR was atrophic and floppy, lacking muscle tension.
Conclusions: Our procedure enabled the patients to obtain satisfactory postoperative results without treatment of the LR or tenotomy of the transposed muscles. This procedure can reduce operative damage to the eye more than Hummelsheim's or Jensen's procedure.</abstract><cop>Heidelberg</cop><pub>Elsevier Inc</pub><pmid>12782165</pmid><doi>10.1016/S0021-5155(03)00021-2</doi><tpages>6</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0021-5155 |
| ispartof | Japanese journal of ophthalmology, 2003-05, Vol.47 (3), p.281-286 |
| issn | 0021-5155 1613-2246 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_73295822 |
| source | MEDLINE; Alma/SFX Local Collection |
| subjects | Abducens Nerve Diseases - diagnosis Abducens Nerve Diseases - surgery Abducens palsy Adolescent Adult Aged anterior segment ischemia Biological and medical sciences Child Female Humans Hummelsheim's procedure Jensen's procedure Magnetic Resonance Imaging Male Medical sciences Middle Aged muscle transposition Oculomotor Muscles - pathology Oculomotor Muscles - transplantation Ophthalmologic Surgical Procedures Sclera - surgery Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the eye and orbit Suture Techniques Vision, Binocular - physiology |
| title | A Muscle Transposition Procedure for Abducens Palsy, in Which the Halves of the Vertical Rectus Muscle Bellies Are Sutured Onto the Sclera |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-13T09%3A53%3A37IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=A%20Muscle%20Transposition%20Procedure%20for%20Abducens%20Palsy,%20in%20Which%20the%20Halves%20of%20the%20Vertical%20Rectus%20Muscle%20Bellies%20Are%20Sutured%20Onto%20the%20Sclera&rft.jtitle=Japanese%20journal%20of%20ophthalmology&rft.au=Nishida,%20Yasuhiro&rft.date=2003-05-01&rft.volume=47&rft.issue=3&rft.spage=281&rft.epage=286&rft.pages=281-286&rft.issn=0021-5155&rft.eissn=1613-2246&rft.coden=JJOPA7&rft_id=info:doi/10.1016/S0021-5155(03)00021-2&rft_dat=%3Cproquest_cross%3E73295822%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=73295822&rft_id=info:pmid/12782165&rft_els_id=S0021515503000212&rfr_iscdi=true |