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A. Gaur, R. F. Walters, C. Walker, J. Downes; Results of Strabismus Surgery Enhanced With a Reinforcing Stitch in Large-Angle Horizontal Deviations. Invest. Ophthalmol. Vis. Sci. 2008;49(13):2573.
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A review of the outcome of strabismus surgery with reinforcing stitch for large- angle manifest horizontal deviations.
16 patients who underwent surgery for large angle horizontal strabismus (Range: 35 - 75 Δ.; Mean: 57 Δ) compromising five primary esotropia, five primary exotropia, three consecutive exotropia and three secondary exotropia were evaluated preoperatively and postoperatively. Surgery involved monocular recess-resect procedure with a reinforcing stitch to enhance the effect of resection in all cases.
12 patients ( 75%) were within 10 Δ of orthotropia at their last follow up appointment. All patients were happy with their cosmesis. None of them had horizontal incomitance. The extra correction achieved with the use of reinforcing stitch ranged from 0 - 28 Δ (Mean: 11.5 Δ).
Large-angle horizontal deviations can be successfully approached with monocular recess-resect procedures enhanced with a reinforcing stitch.
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