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Medial rectus Faden operations with or without recession for partially accommodative esotropia associated with a high accommodative convergence to accommodation ratio
  1. Serpil Akar1,
  2. Birsen Gokyigit1,
  3. Nihat Sayın2,
  4. Ahmet Demirok3,
  5. Omer Faruk Yilmaz3
  1. 1Pediatric Ophthalmology and Strabismus Department, Professor Dr N Reşat Belger Beyoglu Education and Research Eye Hospital, Istanbul, Turkey
  2. 2Department of Ophthalmology, Zonguldak, Devrek State Hospital, Zonguldak, Turkey
  3. 3Professor Dr N Reşat Belger Beyoglu Education and Research Eye Hospital, Istanbul, Turkey
  1. Correspondence to Serpil Akar, Pediatric Ophthalmology and Strabismus Department, Professor Dr N Reşat Belger Beyoglu Education and Research Eye Hospital, Acibadem Cad, Yurtsever Sok., Alsancak sitesi, E Blk, Da:19 Acibadem/Kadikoy/Istanbul, Turkey; akarserpil{at}yahoo.com

Abstract

Aims To evaluate the results of Faden operations on the medial rectus (MR) muscles with or without recession for the treatment of partially accommodative esotropia associated with a high accommodative convergence to accommodation (AC : A) ratio and to determine whether there was a decrease in the effects of posterior fixation over time.

Methods In this retrospective study, 108 of 473 patients who underwent surgery for partially accommodative esotropia with a high AC : A ratio received Faden operations on both MR muscles, and 365 received symmetric MR muscle recessions combined with a Faden operation.

Results For the Faden operation, a satisfactory outcome of 76.9% at 1 month postoperation, decreased to 71.3% by the final follow-up visit (mean 4.8 years). A moderate positive correlation was observed between the increase in the postoperative near deviation and postoperative time. For the Faden operations combined with MR recession, a satisfactory outcome of 78.9% at 1 month post-operation, decreased to 78.4% by the final follow-up visit.

Conclusion A Faden operation of the MR muscles with or without recession is an effective surgical option for treating partially accommodative esotropia associated with a high AC : A ratio. For Faden operations of the MR muscles without recession, the effects of the posterior fixation decline over time.

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