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Sliding shape extraocular muscle transposition with plication: Long-term results

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Abstract

Aim

This study aims to evaluate the long-term results of sliding shape extraocular muscle transposition, which is a novel operation method of delivering both vascular protection and strengthening of the muscles and transposition of the muscles.

Methods

The patients’ files were scanned retrospectively. All patients underwent a complete eye examination in addition to motility examination, both preoperatively and postoperatively. Patients were followed up for at least 1 year. Pre- and postoperative deviation measurement values and transposition effects were compared statistically. The two parameters were evaluated separately.

Results

In patients where 7-mm (or greater) resection was planned, the complete muscle widening transposition procedure was successful. Only two-thirds of transpositions could be achieved in patients who underwent less than 7 mm of strengthening. There was no anterior segment ischemia in the patients who underwent three rectus’ muscle surgery in the same eye. Transposition effects were perfect in those whose vertical deviation was not due to monocular elevation deficiency. While resection effect was excellent in those MED (monocular elevation deficiency) and CEOMF (congenital extraocular muscle fibrosis) cases, transposition effects were limited but found at similar rates as with the standard resection and transposition procedures in CCDD (congenital cranial dis-innervation diseases) (R2–1).

Conclusion

Even transposition effects were limited in CCDD. ‘Sliding shape’ design extraocular muscle plication was found to be a simple, safe, and effective procedure for patients who needed resection and transposition operation.

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Acknowledgements

The authors declare no financial interest about this manuscript.

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Authors and Affiliations

  1. Beyoglu Eye Research and Training Hospital, University of Health Science, Istanbul, Turkey

    Birsen Gokyigit, Asli İnal, Osman Bulut Ocak & Ebru Demet Aygıt

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  1. Birsen Gokyigit
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  2. Asli İnal
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  3. Osman Bulut Ocak
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  4. Ebru Demet Aygıt
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Contributions

BG was involved in concept, design, and writing. AI was involved in supervision, data collecting, and literature search. OBO was involved in analysis and resources. EDA was involved in critical review.

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Correspondence to Birsen Gokyigit.

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Gokyigit, B., İnal, A., Ocak, O.B. et al. Sliding shape extraocular muscle transposition with plication: Long-term results. Int Ophthalmol 41, 3593–3598 (2021). https://doi.org/10.1007/s10792-021-01932-9

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  • DOI: https://doi.org/10.1007/s10792-021-01932-9

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