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مقاله
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Abstract
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Title:
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Evaluation of adjustable sutures in horizontal non-paralytic strabismus reoperations
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Author(s):
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Reza Hosseini, MD; Mostafa Soltan Sanjari, MD; Seyed-Mahmood Motallebi, MD; Kaveh Abri Aghdam, MD; Reza Asadi, MD
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Presentation Type:
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Poster
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Subject:
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Strabismus & Neuro-ophthalmology
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Others:
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Presenting Author:
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Name:
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Reza Hosseini
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Affiliation :(optional)
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Eye Research Center, Rassoul Akram Hospital, Iran University of Medical Sciences.
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E mail:
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reza.hosseini@yahoo.com
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Phone:
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02188382476
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Mobile:
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09363454787
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Purpose:
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To evaluate the effect and success rate of adjustable sutures in horizontal recurrent or residual non-paralytic strabismus surgery.
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Methods:
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In this retrospective, single-center medical record review, 44 patients who had undergone adjustable suture surgery for post-surgical horizontal recurrent or residual non-paralytic strabismus during the 9 years from 2007 to 2015 were evaluated. Surgery was considered successful if the patients had ≤ 10 prism diopters (PD) of horizontal ocular deviation at distance.
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Results:
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Twenty-eight patients had exotropia and 16 cases had esotropia. The mean age of patients was 21.48 (SD = 12.74) years and the mean pre-injection deviation was 33.18 (SD = 13.71) PD. The success rate at 1-week, 1-month, and 3-month post-injection visit and last visit (with a mean of 8.1 months) were 90.9%, 81.8%, 63.6%, and 59.1% respectively, with statistically significant differences in the angle of deviation compared to pre-injection deviation (p < 0.001 for all of them), and the mean percentage net change in ocular deviations were 103.57%, 104.42%, 107.84%, and 105.18% respectively. Ten patients (22.7%) were over-corrected and 8 cases (18.2%) were under-corrected at last visit. Subconjunctival hemorrhage occurred in 86.4% of patients and no cases of vertical deviation, eye infection, or globe rupture were reported.
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Conclusion:
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Adjustable suture surgery can improve success rate in recurrent or residual non-paralytic strabismus surgeries.
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Attachment:
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5362Poster - Reza Hosseini.pptx
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