Fat adherence syndrome following inferior oblique surgery: Treatment and outcomes.
OBJECTIVE
Describe surgical treatment and results in a group of patients diagnosed and operated on of fat adherence syndrome following inferior oblique surgery.


METHODS
Retrospective study of 6 cases diagnosed and treated of fat adherence syndrome following inferior oblique surgery. Mean age was 24.67 years (range, 5-41), 3 males, 5 unilateral and 1 bilateral. Mean vertical deviation was 16.16pd (range, 4-25). Esotropia was associated in 4 cases, diplopia in other 2, and anomalous head posture in 3. A good outcome was considered when the final deviation was less than 10pd, with mild limitation of elevation, without anomalous head posture, and a negative duction forced test.


RESULTS
The final vertical deviation was 6.83pd (range, 0-14). A 2-4mm inferior rectus recession was performed on 4 patients associated to an inferior oblique surgery/exploration. All patients were operated on once, except 1 case. A good outcome was achieved in 3 patients. Anomalous head posture was resolved in 2 of 3 cases. Diplopia resolved after surgery. Only one case achieved orthophoria. Mean evolution time was 34.83 months (range, 6-78).


CONCLUSIONS
In the treatment of the fat adherence syndrome, an inferior rectus recession is recommended, associated to inferior oblique exploration or surgery. A good favorable outcome was only achieved in half of the cases with surgical treatment. Limitation of elevation could not be completely resolved in any of the patients.
Ocular Motility Section, Department of Ophthalmology, General University Hospital Gregorio Marañón, Madrid, Spain. Electronic address: pilimerino@gmail.com.
Pilar
P
Merino
Ocular Motility Section, Department of Ophthalmology, General University Hospital Gregorio Marañón, Madrid, Spain.
Irene
I
Blanco
Ocular Motility Section, Department of Ophthalmology, General University Hospital Gregorio Marañón, Madrid, Spain.
Pilar Gómez de
PG
Liaño
D000293:Adolescent; D000328:Adult; D002675:Child, Preschool; D005260:Female; D006801:Humans; D008297:Male; D015835:Ocular Motility Disorders / Q000209:etiology / Q000601:surgery*; D009801:Oculomotor Muscles / Q000601:surgery*; D013508:Ophthalmologic Surgical Procedures / Q000009:adverse effects*; D011183:Postoperative Complications / Q000601:surgery*; D012189:Retrospective Studies; D055815:Young Adult
Cirugía; Cirugía del oblicuo inferior; Fat adherence syndrome; Inferior oblique surgery; Inferior rectus recession; Outcome; Recesión del músculo recto inferior; Resultado; Surgery; Síndrome de adherencia grasa