Abstract
Purpose: :
Treating thyroid eye disease-associated strabismus (TED-S)has a history of low success rates. We report a novel technique intreating TED-S by recessing adjacent Tenon layer in addition tostandard muscle recession surgery.
Methods: :
15 patients with preoperative deviations of 25 diopters (D)of strabismus or more were evaluated.
Results: :
Average preoperative measurements for horizontal (H) andvertical (V) deviations were 42.5 +/- 15.7 and 35.2 +/- 18.3 D,respectively. Average postoperative measurements for H and Vdeviations were 3.6 +/- 7.9 and 11.4 +/- 12.9 D, respectively. 11 outof 15 patients achieved binocularity without the use of any prisms.
Conclusions: :
Tenon layer recession may help improve surgical success in TED-S.
Keywords: strabismus: treatment