Get 20M+ Full-Text Papers For Less Than $1.50/day. Start a 14-Day Trial for You or Your Team.

Learn More →

Modified Nishida Procedure Combined with Lateral Rectus Disabling for Duane Retraction Syndrome

Modified Nishida Procedure Combined with Lateral Rectus Disabling for Duane Retraction Syndrome Duane retraction syndrome (DRS) is a complex congenital cranial dysinnervation disorder. The choice of surgical procedure in esotropic-DRS depends upon several factors that include: the amount of esotropia in the primary position, the presence and severity of palpebral fissure narrowing, globe retraction, presence of medial rectus muscle (MR) contracture, the likelihood of improving abduction, age of the patient, and the presence of binocularity and stereopsis. In the presence of MR contracture, MR recession is performed either alone (unilaterally or bilaterally) or in conjunction with Y splitting plus recession of the lateral rectus muscle (LR) for reducing globe retraction. MR recession, with or without adjustable sutures, may be simultaneously combined with partial thickness vertical rectus muscle transposition (VRT) or with superior rectus muscle transposition (SRT). We describe a novel combination of surgical procedures in the management of esotropic-DRS in two patients. In our first patient, following an initial MR recession combined with LR disinsertion and periosteal fixation (LRDAPF), a modified Nishida procedure was performed. In our second patient following a prior simultaneous MR recession and LR Y splitting with recession, we combined periosteal fixation of the LR with a modified Nishida procedure of the vertical rectus muscles. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of Binocular Vision and Ocular Motility Taylor & Francis

Modified Nishida Procedure Combined with Lateral Rectus Disabling for Duane Retraction Syndrome

Download PDF
6 pages

Loading next page...
 
/lp/taylor-francis/modified-nishida-procedure-combined-with-lateral-rectus-disabling-for-ZHIKiKufd0

References (10)

Publisher
Taylor & Francis
Copyright
© 2023 American Orthoptic Journal Inc.
ISSN
2576-1218
eISSN
2576-117X
DOI
10.1080/2576117X.2023.2197575
Publisher site
See Article on Publisher Site

Abstract

Duane retraction syndrome (DRS) is a complex congenital cranial dysinnervation disorder. The choice of surgical procedure in esotropic-DRS depends upon several factors that include: the amount of esotropia in the primary position, the presence and severity of palpebral fissure narrowing, globe retraction, presence of medial rectus muscle (MR) contracture, the likelihood of improving abduction, age of the patient, and the presence of binocularity and stereopsis. In the presence of MR contracture, MR recession is performed either alone (unilaterally or bilaterally) or in conjunction with Y splitting plus recession of the lateral rectus muscle (LR) for reducing globe retraction. MR recession, with or without adjustable sutures, may be simultaneously combined with partial thickness vertical rectus muscle transposition (VRT) or with superior rectus muscle transposition (SRT). We describe a novel combination of surgical procedures in the management of esotropic-DRS in two patients. In our first patient, following an initial MR recession combined with LR disinsertion and periosteal fixation (LRDAPF), a modified Nishida procedure was performed. In our second patient following a prior simultaneous MR recession and LR Y splitting with recession, we combined periosteal fixation of the LR with a modified Nishida procedure of the vertical rectus muscles.

Journal

Journal of Binocular Vision and Ocular Motility – Taylor & Francis

Published: Jul 3, 2023

Keywords: Duane retraction syndrome; lateral rectus disinsertion and periosteal fixation; modified Nishida procedure; esotropia; Y split recession; globe retraction; palpebral fissure narrowing

There are no references for this article.