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Vivek Patel, Sweta Das, ; Combined Resect and Recess of a Single Rectus Muscle for incomitant strabismus: review of 10 patients with emphasis on surgical dosage. Invest. Ophthalmol. Vis. Sci. 2013;54(15):4710.
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To review our results using a combined resect and recess approach to address incomitant strabismus with particular emphasis on optimizing and standardizing surgical dosages for this technique
A single surgeon, retrospective chart review was performed on 10 consecutive patients with incomitant strabismus who were surgically treated with combined resect and recess of a single rectus muscle using adjustable suture technique
The amount of deviation reduced from a preoperative mean of 11.1 prism diopters (PD) to a postoperative mean of 1.8 PD. Double vision in all fields was eliminated in 9 of 10 patients
A minimum total recession of 6mm is needed to treat incomitant strabismus when approached using combined resect and recess of a single rectus muscle. Our study was limited to medial and inferior rectus surgery. Further studies and more data comprising a larger sample size will be required to help support the hypothesis that a net recession of 2-3 mm has little if any effect on primary gaze alignment, and to develop greater standardization of surgical doses for this technique. A combined resect-recess approach remains a viable and flexible alternative to the fadenoperation to address incomitant strabismus
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