VERTICAL INCOMITANCE FOLLOWING SQUINT SURGERY: WAY TO PREVENTION
*Dr. Sanjoy Chowdhury MS.DO.DNB., Dr. Nilanjan Chowdhury, Dr Priyanka and Dr. Sneha Kumari
ABSTRACT
Aim: Vertical incomitance can occur after muscle surgery, reasons remain unknown. In a prospective study, incidence and treatment was analysed. Material and methods: 40 consecutive esotropes where uniocular recession and resection was done were included in this study. First 20 had standard recession –resection and the rest 20 had hang back medial rectus recession along with resection andsplitting of lateral rectus resection in the same eye. Results: 4 cases in the first group and none in the other had postoperative vertical deviation. Conclusion: Splitting of maximally resected lateral rectus stabilizes the eyeball and prevents postoperative hyper deviation in large esotropes without any complication.
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