title: [Small Suture, Large Effect - Therapy of Esohypotropia Associated with Severe Myopia].
abstract: Purpose:To evaluate a dose-response relationship by using Yokoyama procedure we compared a group of inhomogeneous cases with esohypotropia (EHT) associated with high myopia.Methods:We did a retrospective analysis of 7 cases with EHT associated with high myopia, who underwent Yokoyama procedure between 2014 and 2015. Pre- and postoperative orthoptic measurements as well as measurements of axial length were recorded.Results:The average age ranged from 59.5 ± 2.8 (SD) years. The mean value of axial lengths was 32.7 ± 3.2 mm (29-36.4 mm). The angle of esotropia changed from 44.6 ± 35.2 prism dioptres (PD) to 11.4 ± 16.9 PD and the angle of hypotropia changed from 15.4 ± 4.7 to 2.2 ± 5.2 PD postoperatively. All patients underwent Yokoyama procedure with fornix incision, 3 patients with additional medial rectus recession. Abduction and supraduction improved after surgery. The average follow-up was 6 months, the postoperative outcomes were stable.Conclusion:The Yokoyama procedure with or without additional medial rectus recession is an effective surgical treatment of EHT associated with high myopia.
authors.affiliation: Augen-Praxis-Klinik Esslingen, Bereich Strabologie, Neuroophthalmologie und okuloplastische Chirurgie.
authors.forename: A
authors.initials: A
authors.lastname: Atili
authors.affiliation: Augen-Praxis-Klinik Esslingen, Bereich Strabologie, Neuroophthalmologie und okuloplastische Chirurgie.
authors.forename: E
authors.initials: E
authors.lastname: Singer
authors.affiliation: Augen-Praxis-Klinik Esslingen, Bereich Strabologie, Neuroophthalmologie und okuloplastische Chirurgie.
authors.forename: L
authors.initials: L
authors.lastname: Wörz
authors.affiliation: Augen-Praxis-Klinik Esslingen, Bereich Strabologie, Neuroophthalmologie und okuloplastische Chirurgie.
authors.forename: N
authors.initials: N
authors.lastname: Olschewski
mesh_terms: D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009216:Myopia / Q000150:complications* / Q000175:diagnosis / Q000601:surgery*; D009801:Oculomotor Muscles / Q000601:surgery*; D013508:Ophthalmologic Surgical Procedures / Q000379:methods; D019651:Plastic Surgery Procedures / Q000379:methods; D012189:Retrospective Studies; D012720:Severity of Illness Index; D013285:Strabismus / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery*; D013536:Suture Techniques; D016896:Treatment Outcome