Journal of AAPOS : the official publication of the American Association for Pediatric Ophthalmology and Strabismus
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Comparative Study
Results of combined resection-recession on a single rectus muscle for incomitant deviations-an alternative to the posterior fixation suture.
To compare outcomes of combined resection and recession on previously unoperated single horizontal or vertical rectus muscles in consecutive adult patients with acquired incomitant deviations minimal in primary gaze and maximal in an eccentric gaze position. ⋯ Combined resection-recession single muscle surgery significantly reduces incomitance with minimal effect on primary gaze. It is most effective for treating vertical deviations worse on downgaze with primary gaze deviations of <2Δ and for canine tooth syndrome; the technique was less successful in reducing horizontal incomitance and in cases involving gaze palsies and nystagmus.