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Nasal Transposition of the Split Lateral Rectus Muscle for Strabismus Associated with Bilateral 3rd-Nerve Palsy.

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收录情况： ◇ SCIE

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机构： [1]Departments of Ophthalmology, Boston Children's Hospital and Harvard Medical School, Boston, MA, USA. [2]Department of Ophthalmology, Justus Liebig University Giessen, Universitaetsklinikum Giessen and Marburg GmbH, Giessen, Germany. [3]Pediatric Ophthalmology and Strabismus Department, Prof Dr N Reşat Belger Beyoglu Education and Research Eye Hospital, Istanbul, Turkey. [4]Centre d'Ophtalmologie du Lez et Clinique St Jean, Montpellier, France. [5]Centre Ophtalmologique Lauriston, Paris, France. [6]University of Alexandria, Alexandria, Egypt. [7]Department of Ophthalmology, Chia-Yi Christian Hospital, Chia-Yi, Taiwan. [8]Case Western Reserve University School of Medicine, Cleveland, Ohio, USA. [9]Department of Ophthalmology, Duke University School of Medicine, Durham, North Carolina. [10]Stein Eye Institute and Doheny Eye Institute, University of California Los Angeles, Los Angeles, California [11]Pediatric Ophthalmology Division, Dhahran Eye Specialist Hospital, Dhahran, Saudi Arabia. [12]Unité de Strabologie-Polyclinique de l'Atlantique, Nantes-Saint-Herblain Cedex, France. [13]Tianjin Eye Hospital, Tianjin Eye Institute, Tianjin Medical University, Tianjin, People's Republic of China [14]Ophthalmologic Department, Beijing Children Hospital, Capital Medical University, Beijing, People's Republic of China

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To determine success rate and complications associated with nasal transposition of the split lateral rectus muscle (NTSLR) for treating bilateral 3rd-nerve palsy.Retrospective, interventional case series METHODS: : Setting: International, multicenter registry Study population: All patients with bilateral 3rd-nerve palsy treated with NTSLR.Sensorimotor evaluations before and 6-months after unilateral or bilateral NTSLR.Post-operative horizontal alignment ≤ 15 prism diopters (PD), intraoperative technical difficulties, and vision-threatening complications. The association of patient demographics and surgical technique with each outcome was analyzed using multivariable logistic regression.Thirty-four patients were included with a median age of 46 years (Interquartile range [IQR], 25-54 years) at surgery. The most common etiologies were ischemic (29%), neoplastic (15%), and congenital (12%). NTSLR performed unilaterally with alternative surgery on the opposite eye (65%) resulted in a median post-operative exotropia of 18 PD (IQR, 7-35 PD), and when performed bilaterally (35%) resulted in post-operative exotropia of 14 PD (IQR, 5-35 PD). Success was achieved in 50% of cases, intra-operative technical difficulties reported in 18%, and vision-threatening complications occurred in 21%. Attachment of the lateral rectus muscle ≥ 10 mm posterior to the medial rectus insertion was associated with increased vision-threatening complications (OR, 9.0; 95% CI, 1.3-99).NTSLR can address the large-angle exotropia associated with bilateral 3rd-nerve palsy. Surgeons should be aware that posterior placement of the lateral rectus muscle can increase the risk of vision-threatening complications, particularly serous choroidal effusion.Copyright © 2022. Published by Elsevier Inc.

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大类 | 2 区

医学

小类 | 1 区眼科学

最新[2023]版：

大类 | 1 区

医学

小类 | 1 区眼科学

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出版当年[2020]版：

Q1 OPHTHALMOLOGY

最新[2023]版：

Q1 OPHTHALMOLOGY

影响因子： 4.1 最新[2023版] 4.4 最新五年平均 5.258 出版当年[2020版] 5.729 出版当年五年平均 4.013 出版前一年[2019版] 5.488 出版后一年[2021版]

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第一作者机构： [1]Departments of Ophthalmology, Boston Children's Hospital and Harvard Medical School, Boston, MA, USA.

通讯作者：

通讯机构： [1]Departments of Ophthalmology, Boston Children's Hospital and Harvard Medical School, Boston, MA, USA. [*1]Department of Ophthalmology, Boston Children’s Hospital, Fegan 4, 300 Longwood Avenue, Boston, MA 02115. 617-414-2020

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