A Case of Reinforced Adjustable Fadenoperation.

Kim, So Young; Lim, Hyun Taek

Original Article

Journal of the Korean Ophthalmological Society 2003;44(12):2838-2843.
Published online December 1, 2003.

A Case of Reinforced Adjustable Fadenoperation.

¹Department of Ophthalmology, Soonchunhyang University College of Medicine, Korea.
²Department of Ophthalmology, University of Ulsan College of Medicine, Korea. htlim@amc.seoul.kr

보강 조정 파덴수술 1예

김소영 ( Kim So Yeong ) , 임현택 ( Im Hyeon Taeg )

Abstract

PURPOSE
An adjustable fadenoperation is recently developed surgical procedure which was designed to use adjustable suture by combining resection and recession of a single rectus muscle. An inferior rectus recession, especially on an adjustable suture, has a drawback which allows slippage of the muscle and may cause an postoperative overcorrection. Therefore, we performed so called "Reinforced adjustable fadenoperation", a procedure that added the reinforced fixation suture to the new insertion site of the sclera, and hereby we report the case. METHODS: A fifty three year-old man with right inferior rectus muscle palsy was treated with reinforced adjustable fadenoperation. Under the topical anesthesia, we performed 11 mm resection and adjustable 12 mm recession until diplopia was diappeared. To prevent postoperative slippage of the new insertion, reinforced suture was fixed at the sclera using 5-0 Polyester (Dacron(R)). RESULTS: On postoperative 1 month, ocular motility examination showed an orthophoria in primary gaze and also in down gaze by 25 degrees. Binocular diplopia-free field was expanded except in extreme down gaze. CONCLUSIONS: The reinforced adjustable fadenoperation is a modification of the conventional fadenoperation or the adjustable fadenoperation. It may be applied to the inferior rectus muscle surgery which is known for the slippage of the muscle.

Key Words: Adjustable fadenoperation;Adjustable surgery;Reinforced suture