April 2011
Volume 52, Issue 14
ARVO Annual Meeting Abstract  |   April 2011
Incidence Of Diplopia After Macular Translocation
Author Affiliations & Notes
  • Giuliano Stramare
    Ospedale Sacro Cuore- Negrar - Verona, Verona, Italy
  • Alessia Menegotti
    Ospedale Sacro Cuore- Negrar - Verona, Verona, Italy
  • Grazia Pertile, IV
    Ophthalmology, Ospedale Sacro Cuore, Negrar, Italy
  • Footnotes
    Commercial Relationships  Giuliano Stramare, None; Alessia Menegotti, None; Grazia Pertile, IV, None
  • Footnotes
    Support  None
Investigative Ophthalmology & Visual Science April 2011, Vol.52, 6378. doi:
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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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      © ARVO (1962-2015); The Authors (2016-present)

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Purpose: : To evaluate incidence of diplopia after full macular translocation and extraocular muscle surgery.

Methods: : 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.

Results: : 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.

Conclusions: : 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.

Keywords: strabismus: treatment • vitreoretinal surgery • choroid: neovascularization 

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