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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.
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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.
15 patients with preoperative deviations of 25 diopters (D)of strabismus or more were evaluated.
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.
Tenon layer recession may help improve surgical success in TED-S.
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