Inferior rectus recession
an effective procedure?
Southampton Eye Unit
Correspondence to: R J Morris, Southampton Eye Unit, Tremona Road, Southampton SO16 6YD.
Accepted for publication 10 April 1997
AIMS
To examine the postoperative stability of
inferior rectus recession, with particular reference to the incidence
of progressive overcorrection.
METHODS
The results of consecutive patients
undergoing inferior rectus recession over a 3 year period were reviewed.
RESULTS
21 patients underwent inferior rectus
recession, using an adjustable suture technique in all but three cases.
In 16 patients additional vertical muscle surgery was performed at the
time of the inferior rectus recession. All patients were followed for a
minimum of 3 months postoperatively, with a mean follow up of 9.3 months. At the final postoperative visit 11 patients were well aligned,
eight were undercorrected, and two were overcorrected. In five of the
eight undercorrected cases, the residual deviation was the result of
postoperative drift in the direction of the preoperative deviation,
following an initially good alignment. Review of the results failed to
reveal any factor predictive for this postoperative drift.
CONCLUSION
The risk of postoperative
overcorrection following inferior rectus recession should be
considered, but in this study, undercorrection occurred more frequently
than overcorrection. The possible reasons for overcorrection and
undercorrection are discussed.
© 1997 by British Journal of Ophthalmology
Relevant Article
- Corrective measures
- JOHN LEE
Br. J. Ophthalmol. 1997 81: 1025.[Extract] [Full Text] [PDF]
Register for free content
The full back archive is now available for all BMJ Journals. Institutional subscribers may access the entire archive as part of their subscription. Personal subscribers will also have access to all content when logged in. Non-subscribers who register have free access to all articles published before 2006 right back to volume 1 issue 1. Register here to access the free archive of all BMJ Journals.
Don't forget to sign up for content alerts so you keep up to date with all the articles as they are published.
