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Title
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Nonadjustable strabismus surgery for restrictive thyroid eye disease
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Author
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Abstract
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| We evaluated the results of nonadjustable strabismus surgery in patients with restrictive thyroid eye disease without and after 3-wall orbital decompression. Sixteen patients had primary extraocular muscle surgery (group 1) and 19 patients needed first 3-wall orbital decompression (group 2). The most affected muscles were recessed and sometimes the contralateral overacting inferior oblique was disinserted. In group 1 fourteen patients (87,5%) were entirely free of diplopia after one operation, 1 patient (6.25%) had binocular single vision with a small prism and 1 (6.25%) needed a re-operation. In group 2 eleven patients (57.9%) were free of diplopia, 1 (5.25%) had diplopia in extreme gaze directions, 1 (5.25%) was corrected with a prism and 6 patients (31.6%) were re-operated. Nonadjustable strabismus surgery gives good functional results in patients with restrictive thyroid eye disease. Three-wall orbital decompression with combined ocular motility disturbances increases the re-operation rate. |
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Language
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English
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Source (book)
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9th Meeting of the International Strabismological Association, April 17-20, 2002, Sydney, Australia
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Publication
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Lisse
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Swets & Zeitlinger
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2003
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ISBN
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90-265-1942-7
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Volume/pages
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p. 333-336
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ISI
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000181918800066
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