April 2010
Volume 51, Issue 13
Free
ARVO Annual Meeting Abstract  |   April 2010
Tenon Layer Recession: A Novel Technique in Addressing Large-Angle Strabismus in Thyroid Eye Disease
Author Affiliations & Notes
  • M. Kazim
    Ophthalmology, Columbia University, New York, New York
  • C. I. Zoumalan
    Ophthalmology, Columbia University, New York, New York
  • G. J. Lelli, Jr.
    Ophthalmology, Weil Cornell Medical Center, New York, New York
  • Footnotes
    Commercial Relationships  M. Kazim, None; C.I. Zoumalan, None; G.J. Lelli, Jr., None.
  • Footnotes
    Support  None.
Investigative Ophthalmology & Visual Science April 2010, Vol.51, 3014. doi:https://doi.org/
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      M. Kazim, C. I. Zoumalan, G. J. Lelli, Jr.; Tenon Layer Recession: A Novel Technique in Addressing Large-Angle Strabismus in Thyroid Eye Disease. Invest. Ophthalmol. Vis. Sci. 2010;51(13):3014. doi: https://doi.org/.

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      © ARVO (1962-2015); The Authors (2016-present)

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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 
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