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First Author: I.Pastukh UKRAINE
Co Author(s): N. Goncharova
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To present and analyze results of surgical treatment of adult patients with paralytic squint: sixth nerve palsy 1-st group, third nerve palsy 2-nd group.
Ophthalmology Department, Kharkov Medical Academy of Postgraduate Education, Ukraine
1-st group - surgical treatment was used on 14 patients (17 eyes) with total lateral rectus (LR) paralyses. The causes were 5 eyes traumatic, 7 eyes inflammatory, 2 eyes neoplastic, 3 eyes congenital. Weakening of medial rectus (MR) and three muscle transfer technique in our modification were done. 2-nd group - surgical treatment (LR recession and MR resection) was used on 2 patients (2 eyes) with posttraumatic divergent squint.
1-st group - five years data of 12 patients (13 eyes) showed good functional and cosmetic results. The eyes are parallel in the primary position, and there is no diplopia on looking straight ahead. For all patient abduction is limited. The binocular vision was restored in primary position in all these cases. Two patients with binocular long-standing six nerve palsy had remaining esotropia in primary position. 2-nd group two years data of 2 patients (2 eyes) showed ortotropia and binocular vision in primary position, adduction is limited.
Surgical treatment of patients with paralytic squint allows to achieve ortotropia and to restore binocular single vision in primary position in most of the cases.