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Bimedial faden recession versus augmented medial rectus recession in the treatment of high ac/a ratio partially accommodative esotropia with large distant near disparity
Journal of the Egyptian Ophthalmological Society • 2019
Publication Information
Authors
Mohammed F. Farid, Ahmed M. Saeed
Keywords
Not Available
Journal
Journal of the Egyptian Ophthalmological Society
Publisher
Wolters Kluwer
Volume
109
Issue
Not Available
Pages
Not Available
publication.type
International
Paper Link
Not Available
Supplementary Materials
Not Available
Abstract
Purpose
The purpose of this study was to compare the results of medial rectus (MR) Faden
recession (FR) with MR augmented recession (AR) in the management of large
distant–near disparity (DND), in convergenceexcess, partially accommodative
esotropia (ET) associated with a high accommodative convergence/
accommodation (AC/A) ratio.
Patients and methods
This is a prospective interventional study of 31 patients with convergence excess
partially accommodative ET associated with a high AC/A ratio. Patients were
divided into two groups. Group FR, which contains 15 patients who were
treated by bimedial FR, and group AR, which contains 16 patients who
underwent augmented MR recession based on the angle of near deviation.
Surgical success was defined as distant and near ET≤10 prism diopter with
shrinkage of high AC/A ratio and high DND.
Results
Surgical success was achieved in 93.3% of cases in the FR group and in 81.2% of
cases in the AR group. In the FR group, mean DND decreased from 33.3±11.5 to
3.06±2.08 prism diopter. For the AR group, mean DND decreased from 25.3±7.1
prism diopter preoperatively to 5.3±2.5 prism diopter postoperatively. The
difference between both groups regarding reduction of DND was statistically
significant (P
The purpose of this study was to compare the results of medial rectus (MR) Faden
recession (FR) with MR augmented recession (AR) in the management of large
distant–near disparity (DND), in convergenceexcess, partially accommodative
esotropia (ET) associated with a high accommodative convergence/
accommodation (AC/A) ratio.
Patients and methods
This is a prospective interventional study of 31 patients with convergence excess
partially accommodative ET associated with a high AC/A ratio. Patients were
divided into two groups. Group FR, which contains 15 patients who were
treated by bimedial FR, and group AR, which contains 16 patients who
underwent augmented MR recession based on the angle of near deviation.
Surgical success was defined as distant and near ET≤10 prism diopter with
shrinkage of high AC/A ratio and high DND.
Results
Surgical success was achieved in 93.3% of cases in the FR group and in 81.2% of
cases in the AR group. In the FR group, mean DND decreased from 33.3±11.5 to
3.06±2.08 prism diopter. For the AR group, mean DND decreased from 25.3±7.1
prism diopter preoperatively to 5.3±2.5 prism diopter postoperatively. The
difference between both groups regarding reduction of DND was statistically
significant (P