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Giuliano Stramare, Alessia Menegotti, Grazia Pertile, IV; Incidence Of Diplopia After Macular Translocation. Invest. Ophthalmol. Vis. Sci. 2011;52(14):6378.
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To evaluate incidence of diplopia after full macular translocation and extraocular muscle surgery.
We present a retrospective analysis in a consecutive series of 88 patients underwent to full macular translocation and extraocular muscle surgery to counterrotate the eye from January 2003 an December 2007. Al patients had a sensorimotor examinations before surgery and 6-12-18-24 months after surgery.
Preoperative median visual acuity was 1.08 logMAR in operated vs 1,68 in fellow eyes. Postoperative median visual acuity was 0.78 in operated. 15 (13,2%) patients had postoperative diplopia, 3 patients was successfully treated with application of prism lenses, 12 patients required a second extraocular muscle surgery to correct residual extorsion; this surgery was effective in treating diplopia in 11 cases. Overall 87 of 88 (98,8%) patients underwent to macular translocation was free of diplopia after 1 or 2 extraocular muscle surgeries and prismatic correction.
Extraocular muscle surgery is effective at relieving cyclotorsion induced by macular translocation. The majority of patients were free of disabling diplopia after extraocular muscle surgery.
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