Andrea Lembo, Massimiliano Serafino, Edoardo Villani, Paolo Nucci
{"title":"单侧手术治疗双侧不对称解离性垂直偏斜并强优先固定。","authors":"Andrea Lembo, Massimiliano Serafino, Edoardo Villani, Paolo Nucci","doi":"10.3928/01913913-20210708-06","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>To determine the best treatment for dissociated vertical deviation (DVD).</p><p><strong>Methods: </strong>The authors investigated the postoperative results of unilateral surgery for DVD in 14 patients when the visual acuity difference between the two eyes did not result in a postoperative dominance switch. All patients underwent bilateral medial rectus recession for congenital esotropia.</p><p><strong>Results: </strong>With this unilateral surgical procedure, all patients showed a significant improvement of the DVD in the primary position. None of the patients developed hypotropia, anti-elevation syndrome, or inferior oblique overaction in the contralateral (dominant) eye, and no changes were observed in the contralateral eye.</p><p><strong>Conclusions: </strong>Unilateral surgery for DVD in the non-dominant eye in case of strong fixation preference does not create a postoperative manifest DVD in the unoperated dominant eye. <b>[<i>J Pediatr Ophthalmol Strabismus</i>. 2022;59(1):60-64.]</b>.</p>","PeriodicalId":519537,"journal":{"name":"Journal of Pediatric Ophthalmology and Strabismus","volume":" ","pages":"60-64"},"PeriodicalIF":0.0000,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Unilateral Surgery in Bilateral Asymmetrical Dissociated Vertical Deviation With Strong Preferential Fixation.\",\"authors\":\"Andrea Lembo, Massimiliano Serafino, Edoardo Villani, Paolo Nucci\",\"doi\":\"10.3928/01913913-20210708-06\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Purpose: </strong>To determine the best treatment for dissociated vertical deviation (DVD).</p><p><strong>Methods: </strong>The authors investigated the postoperative results of unilateral surgery for DVD in 14 patients when the visual acuity difference between the two eyes did not result in a postoperative dominance switch. All patients underwent bilateral medial rectus recession for congenital esotropia.</p><p><strong>Results: </strong>With this unilateral surgical procedure, all patients showed a significant improvement of the DVD in the primary position. None of the patients developed hypotropia, anti-elevation syndrome, or inferior oblique overaction in the contralateral (dominant) eye, and no changes were observed in the contralateral eye.</p><p><strong>Conclusions: </strong>Unilateral surgery for DVD in the non-dominant eye in case of strong fixation preference does not create a postoperative manifest DVD in the unoperated dominant eye. <b>[<i>J Pediatr Ophthalmol Strabismus</i>. 2022;59(1):60-64.]</b>.</p>\",\"PeriodicalId\":519537,\"journal\":{\"name\":\"Journal of Pediatric Ophthalmology and Strabismus\",\"volume\":\" \",\"pages\":\"60-64\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2022-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Pediatric Ophthalmology and Strabismus\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.3928/01913913-20210708-06\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2021/9/30 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Pediatric Ophthalmology and Strabismus","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.3928/01913913-20210708-06","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2021/9/30 0:00:00","PubModel":"Epub","JCR":"","JCRName":"","Score":null,"Total":0}
Unilateral Surgery in Bilateral Asymmetrical Dissociated Vertical Deviation With Strong Preferential Fixation.
Purpose: To determine the best treatment for dissociated vertical deviation (DVD).
Methods: The authors investigated the postoperative results of unilateral surgery for DVD in 14 patients when the visual acuity difference between the two eyes did not result in a postoperative dominance switch. All patients underwent bilateral medial rectus recession for congenital esotropia.
Results: With this unilateral surgical procedure, all patients showed a significant improvement of the DVD in the primary position. None of the patients developed hypotropia, anti-elevation syndrome, or inferior oblique overaction in the contralateral (dominant) eye, and no changes were observed in the contralateral eye.
Conclusions: Unilateral surgery for DVD in the non-dominant eye in case of strong fixation preference does not create a postoperative manifest DVD in the unoperated dominant eye. [J Pediatr Ophthalmol Strabismus. 2022;59(1):60-64.].
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