Surgical Management of Primary Inferior Oblique Muscle Overaction: A Subgroup-Specific Surgical Approach

Gunduz, Abuzer; ÖZSOY, Kadir Ercan; ÇANKAYA, Cem; Ozturk, Emrah

doi:10.14744/bej.2020.81904

Surgical Management of Primary Inferior Oblique Muscle Overaction: A Subgroup-Specific Surgical Approach

Kadir Ercan ÖZSOY, (Haseki Eğitim ve Araştırma Hastanesi, Göz Hastalıkları Kliniği, Sağlık Bilimleri Üniversitesi, İstanbul, Türkiye)

Abuzer GÜNDÜZ, (İnönü Üniversitesi, Tıp Fakültesi, Göz Hastalıkları Anabilim Dalı, Malatya, Türkiye)

Emrah ÖZTÜRK, (Malatya Eğitim ve Araştırma Hastanesi, Göz Hastalıkları Kliniği, Malatya, Türkiye)

Cem ÇANKAYA (İnönü Üniversitesi, Tıp Fakültesi, Göz Hastalıkları Anabilim Dalı, Malatya, Türkiye)

BEYOGLU EYE JOURNAL

4 0

Yıl: 2020 Cilt: 5 Sayı: 1 Sayfa Aralığı: 38 - 42 Metin Dili: İngilizce DOI: 10.14744/bej.2020.81904 İndeks Tarihi: 17-05-2021

Surgical Management of Primary Inferior Oblique Muscle Overaction: A Subgroup-Specific Surgical Approach

Öz:

Objectives: The aim of this research was to assess the surgical results of recession and myectomy procedures in a subgroup of patients who had primary inferior oblique muscle overaction.Methods: The records of 94 patients who had been treated due to primary inferior oblique muscle overaction were retrospectively analyzed. The patients were classified into 2 groups according to the severity of the inferior oblique hyperfunction. Recession was performed for patients with a low grade (+1 or +2) inferior oblique hyperfunction, and patients with high grade (+3 or +4) hyperfunction underwent myectomy surgery. Patients demonstrating a horizontal misalignment underwent conventional horizontal muscle surgery along with an inferior oblique weakening procedure.Results: A total of 134 eyes fulfilled the inclusion criteria. Recession was performed in 95 eyes and myectomy in 39. Surgical success was obtained in 96.8% of the eyes that underwent recession and 97.4% of the eyes that underwent myectomy. Residual inferior oblique hyperfunction was observed in 3 eyes after recession and in 1 eye after myectomy. After surgery, about one-quarter of the patients with unilateral inferior oblique overaction subsequently developed a contralateral inferior oblique overaction.Conclusion: The results of this study demonstrated that both recession and myectomy procedures are effective for treating primary inferior oblique hyperfunction with minimal complications when applied in the appropriate patient.

Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

1. Alajbegovic-Halimic J, Zvizdic D, Sahbegovic-Holcner A, Kulanic- Kuduzovic A. Recession Vs Myotomy-Comparative Analysis of Two Surgical Procedures of Weakening Inferior Oblique Muscle Overaction. Med Arch 2015;69:165–8.
2. Sanjari MS, Shahraki K, Nekoozadeh S, Tabatabaee SM, Shahraki K, Aghdam KA. Surgical treatments in inferior oblique muscle overaction. J Ophthalmic Vis Res 2014;9:291–5.
3. Chang BL, Yang SW. Inferior oblique overaction. Korean J Ophthalmol 1988;2:77–81.
4. Wilson ME, Parks MM. Primary inferior oblique overaction in congenital esotropia, accommodative esotropia, and intermittent exotropia. Ophthalmology 1989;96:950–5.
5. Moon K, Lee SY. The effect of graded recession and anteriorization on unilateral superior oblique palsy. Korean J Ophthalmol 2006;20:188–91.
6. Mostafa AM, Kassem RR. Comparative study of unilateral versus bilateral inferior oblique recession/anteriorization in unilateral inferior oblique overaction. Eur J Ophthalmol 2018;28:272–8.
7. Del Monte MA, Parks MM. Denervation and extirpation of the inferior oblique. An improved weakening procedure for marked overaction. Ophthalmology 1983;901178–85.
8. Goncu T, Cakmak S, Akal A, Oguz H. The effect of anterior transposition of the inferior oblique muscle on eyelid configuration and function. Indian J Ophthalmol 2016;64:33–7.
9. Lee DC, Lee SY. Effect of modified graded recession and anteriorization on unilateral superior oblique palsy: a retrospective study. BMC Ophthalmol 2017;17:27.
10. Shipman T, Burke J. Unilateral inferior oblique muscle myectomy and recession in the treatment of inferior oblique muscle overaction: a longitudinal study. Eye (Lond) 2003;17:1013–8.
11. Mims JL 3rd, Wood RC. Bilateral anterior transposition of the inferior obliques. Arch Ophthalmol 1989;107:41–4.
12. Rajavi Z, Molazadeh A, Ramezani A, Yaseri M. A randomized clinical trial comparing myectomy and recession in the management of inferior oblique muscle overaction. J Pediatr Ophthalmol Strabismus 2011;48:375–80.
13. Parks MM. A study of the weakening surgical procedures for eliminating overaction of the inferior oblique. Trans Am Ophthalmol Soc 1971;69:163–87.
14. Min BM, Park JH, Kim SY, Lee SB. Comparison of inferior oblique muscle weakening by anterior transposition or myectomy: a prospective study of 20 cases. Br J Ophthalmol 1999;83:206–8.
15. Davis G, McNeer KW, Spencer RF. Myectomy of the inferior oblique muscle. Arch Ophthalmol 1986;104:855–8.

APA	ÖZSOY K, Gunduz A, Ozturk E, ÇANKAYA C (2020). Surgical Management of Primary Inferior Oblique Muscle Overaction: A Subgroup-Specific Surgical Approach. , 38 - 42. 10.14744/bej.2020.81904
Chicago	ÖZSOY Kadir Ercan,Gunduz Abuzer,Ozturk Emrah,ÇANKAYA Cem Surgical Management of Primary Inferior Oblique Muscle Overaction: A Subgroup-Specific Surgical Approach. (2020): 38 - 42. 10.14744/bej.2020.81904
MLA	ÖZSOY Kadir Ercan,Gunduz Abuzer,Ozturk Emrah,ÇANKAYA Cem Surgical Management of Primary Inferior Oblique Muscle Overaction: A Subgroup-Specific Surgical Approach. , 2020, ss.38 - 42. 10.14744/bej.2020.81904
AMA	ÖZSOY K,Gunduz A,Ozturk E,ÇANKAYA C Surgical Management of Primary Inferior Oblique Muscle Overaction: A Subgroup-Specific Surgical Approach. . 2020; 38 - 42. 10.14744/bej.2020.81904
Vancouver	ÖZSOY K,Gunduz A,Ozturk E,ÇANKAYA C Surgical Management of Primary Inferior Oblique Muscle Overaction: A Subgroup-Specific Surgical Approach. . 2020; 38 - 42. 10.14744/bej.2020.81904
IEEE	ÖZSOY K,Gunduz A,Ozturk E,ÇANKAYA C "Surgical Management of Primary Inferior Oblique Muscle Overaction: A Subgroup-Specific Surgical Approach." , ss.38 - 42, 2020. 10.14744/bej.2020.81904
ISNAD	ÖZSOY, Kadir Ercan vd. "Surgical Management of Primary Inferior Oblique Muscle Overaction: A Subgroup-Specific Surgical Approach". (2020), 38-42. https://doi.org/10.14744/bej.2020.81904

APA	ÖZSOY K, Gunduz A, Ozturk E, ÇANKAYA C (2020). Surgical Management of Primary Inferior Oblique Muscle Overaction: A Subgroup-Specific Surgical Approach. BEYOGLU EYE JOURNAL, 5(1), 38 - 42. 10.14744/bej.2020.81904
Chicago	ÖZSOY Kadir Ercan,Gunduz Abuzer,Ozturk Emrah,ÇANKAYA Cem Surgical Management of Primary Inferior Oblique Muscle Overaction: A Subgroup-Specific Surgical Approach. BEYOGLU EYE JOURNAL 5, no.1 (2020): 38 - 42. 10.14744/bej.2020.81904
MLA	ÖZSOY Kadir Ercan,Gunduz Abuzer,Ozturk Emrah,ÇANKAYA Cem Surgical Management of Primary Inferior Oblique Muscle Overaction: A Subgroup-Specific Surgical Approach. BEYOGLU EYE JOURNAL, vol.5, no.1, 2020, ss.38 - 42. 10.14744/bej.2020.81904
AMA	ÖZSOY K,Gunduz A,Ozturk E,ÇANKAYA C Surgical Management of Primary Inferior Oblique Muscle Overaction: A Subgroup-Specific Surgical Approach. BEYOGLU EYE JOURNAL. 2020; 5(1): 38 - 42. 10.14744/bej.2020.81904
Vancouver	ÖZSOY K,Gunduz A,Ozturk E,ÇANKAYA C Surgical Management of Primary Inferior Oblique Muscle Overaction: A Subgroup-Specific Surgical Approach. BEYOGLU EYE JOURNAL. 2020; 5(1): 38 - 42. 10.14744/bej.2020.81904
IEEE	ÖZSOY K,Gunduz A,Ozturk E,ÇANKAYA C "Surgical Management of Primary Inferior Oblique Muscle Overaction: A Subgroup-Specific Surgical Approach." BEYOGLU EYE JOURNAL, 5, ss.38 - 42, 2020. 10.14744/bej.2020.81904
ISNAD	ÖZSOY, Kadir Ercan vd. "Surgical Management of Primary Inferior Oblique Muscle Overaction: A Subgroup-Specific Surgical Approach". BEYOGLU EYE JOURNAL 5/1 (2020), 38-42. https://doi.org/10.14744/bej.2020.81904