To compare the results of 2 surgical procedures in the management of vertical shooting in exotropic Duane retraction syndrome (XT-DRS).
This was a prospective, interventional study of consecutive patients with XT-DRS with vertical shooting on adduction operated on from August 2012 to January 2015. A total of 25 patients were identified and were divided into 2 groups: the Y-split (Y) group, which included 12 patients, who underwent Y-splitting with recession of the lateral rectus muscle (LR); and the isolated recession (R) group, which included 13 patients, who underwent isolated LR recession. Surgical outcomes in both groups were compared in terms of improvements in vertical shoots, ocular deviation, and face turn.
Upshoot, downshoot, XT, and face turn showed significant postoperative improvement in both groups (p<0.001). When comparing the groups, the difference in the average correction of the upshoot and downshoot was statistically significant (
In our series, both procedures achieved comparable results in the correction of XT and face turn. The combined Y-split recession procedure attained a more significant improvement of upshoot and downshoot but with higher incidence of postoperative complications.
Eur J Ophthalmol 2016; 26(6): 523 - 528
Article Type: ORIGINAL RESEARCH ARTICLE
AuthorsMohamed Fathy A. Farid
- • Accepted on 02/01/2016
- • Available online on 19/01/2016
- • Published in print on 04/11/2016