Results and complications in 66 cases using a silicone tendon expander on overacting superior obliques with A- pattern anisotropias.
OBJECTIVE
To supplement limited reports in the literature of the results (outcome)and complications of this procedure with our own recent experience.


METHODS
A total of 66 patients with bilateral overaction of the superior oblique and A-pattern strabismus plus 5 patients with a unilateral overacting superior oblique secondary to inferior oblique palsy were treated with a 7 mm silicone expander.


RESULTS
The fist group of 66 patients had an average preoperative A-pattern of 39.6 prism diopters with an average correction of the A-pattern from the surgery of 36.3 prism diopters.


RESULTS
Of all 137 operations in these 71 patients, three patients had a sterile orbital cellulitis postoperatively successfully treated with steroids. Also, one patient acquired a Brown's Syndrome-like condition postop'. In these four patients, the sub-Tenon's capsule space had been inadvertently entered during surgery. In addition one unilateral superior oblique palsy occurred postoperatively.


CONCLUSIONS
While this procedure has a very high success rate, special care should be taken with this surgery to avoid entering the sub-Tenon's capsule space.
Pollard
Z F
ZF
Department of Ophthalmology Scottish Rite Children's Hospital. zpollard@aol.com
Greenberg
M F
MF
D000293:Adolescent; D000328:Adult; D015858:Anisometropia / Q000601:surgery*; D002648:Child; D002675:Child, Preschool; D006801:Humans; D007223:Infant; D008875:Middle Aged; D009801:Oculomotor Muscles / Q000601:surgery*; D013508:Ophthalmologic Surgical Procedures / Q000009:adverse effects*; D011183:Postoperative Complications; D012086:Reoperation; D012826:Silicone Elastomers; D013285:Strabismus / Q000601:surgery*; D013710:Tendons / Q000601:surgery*; D015625:Tissue Expansion Devices; D016896:Treatment Outcome; D015348:Vision, Binocular
D012826:Silicone Elastomers