The Result of Full Tendon Transposition in Paralyzed Strabismus.

Yoo, Tae Hwan; Han, Sueng Han; Lee, Kyoung Seob

Original Article

Journal of the Korean Ophthalmological Society 1999;40(1):228-236.
Published online January 1, 1999.

The Result of Full Tendon Transposition in Paralyzed Strabismus.

Tae Hwan Yoo, Sueng Han Han, Kyoung Seob Lee

¹The Institute of Vision Research, College of Medicine, Yonsei University.
²Department of Ophthalmology, College of Medicine, Yonsei University.

마비 사시에서의 총건막 이전술의 효과

유태환(Tae Hwan Yoo),한승한(Seung Han Han),이경섭(Kyoung Seob Lee)

Abstract

Nine patient with paralyzed strabismus of large deviation(Seven patients with lateral rectus or medial rectus muscle palsy and two patients with double elevator palsy) had full tendon transposition procedure. If remained strabismus was large postoperatively, recession of anatagonist of paralyzed muscle and botulinum toxin infection was performed respectively. Five patients achieved single binocular vision within central 10 degree of visual field. And six patients achieved less than 10 prism diopter of deviation in primary position. Our method compares favorably with previously descrived transposition procedure for muscle palsy in terms of the amount of correction and the extent of the window of single binocular vision with low risk of anterior ischemia syndrome.

Key Words: Botulinum toxin;Full tendon transposition;Palsy