[Tenotomy of the superior oblique muscle in treatment of A-pattern strabismus and Brown syndrome].
The superior oblique tenotomy and tenectomy is an very effective and predictable surgical method in correcting the A-pattern in strabismus when overaction of one or both superior oblique muscles is present. In this series of 42 patients with an A-pattern an average correction of 86 to 91% was obtained regardless of the degree of the A-pattern. So we didn't observe any case that was converted from an A- to a serious V-pattern as obviously a less reduction is obtained in lesser degrees of A-pattern. In 11 cases of true but atypical Brown's-syndrome the tenotomy of the superior oblique muscle had a very beneficial effect on the limited movement of the affected eye and a co-existing abnormal head posture.
Stärk
N
N
Abteilung für Kinderaugenheilkunde, Universitäts-Augenklinik Frankfurt/Main.
Fries
U
U
D002648:Child; D004948:Esotropia / Q000601:surgery; D005099:Exotropia / Q000601:surgery; D005500:Follow-Up Studies; D006801:Humans; D009801:Oculomotor Muscles / Q000601:surgery*; D011183:Postoperative Complications / Q000209:etiology*; D013285:Strabismus / Q000601:surgery*; D013536:Suture Techniques; D013577:Syndrome
Die Tenotomie des Musculus obliquus superior zur Behandlung von A-Inkomitanzen und des Brown-Syndroms.