Inferior rectus recession for vertical tropia after cataract surgery.
Four patients with de novo onset of persistent vertical tropia ranging from 4 to 11 prism diopters (PD) after cataract surgery underwent inferior rectus recession. Deviations were stable and fuseable with prism preoperatively for 4 to 6 months. Three patients regained single binocular vision in all fields of gaze. Macular change developed in one eye of a diabetic patient, precluding adequate postoperative assessment. Mechanical and sensory factors, detailed assessment of pertinent preoperative findings, and intraoperative management are discussed. Previous literature is reviewed.
Burns
C L
CL
Suncoast Eye Center, Hudson, FL.
Seigel
L A
LA
D000368:Aged; D002387:Cataract Extraction / Q000009:adverse effects*; D005260:Female; D006801:Humans; D008297:Male; D009132:Muscles / Q000601:surgery; D013285:Strabismus / Q000209:etiology*; D015348:Vision, Binocular