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       XXVII Annual Congress of the Iranian Society of Ophthalmology        بـیــست و هفتمین کنــگــره سـالیـانه انـجـمـن چـشـم پـزشـکی ایـــران
مقاله Abstract


Title: Medial rectus plication VS Resection in Exotropic patients (pilot study)
Author(s): Zh.Rajavi, M.Feizy, H.Sabbaghi, N.Behradfar, M.Yaseri; M. Faghihi
Presentation Type: Oral
Subject: Strabismus & Neuro-ophthalmology
Others:
Presenting Author:
Name: Zhale Rajavi
Affiliation :(optional) Imam Hossein and Torfe Medical Centers
E mail: zhalerajavi@gmail.com
Phone: 22170799
Mobile: 09123306590
Purpose:

MR plication has advantages of less trauma, preserving ciliary arteries and reversibility, the purpose of this study is to compare the results of Medial rectus plication with resection on exotropic patients .

Methods:

Method : 20 exotropic patients with age of 17+/-14 year were enrolled in this pilot RCT study . MR plication on 10 patients as case group and MR resection on 10 patients as control groups were performed .follow up was at least 6 weeks.

Results:

Preoperatively exotropia were 38+/-20 and 30+/-13 pd in case and control groups respectively. Post operatively in case group 60% were ortho , 20% exoshift and 20% showed esoshift ( 5+/-3 pd ) with LRUA (-0.5 to -1) in some patients early days post operatively .in control group 90% were ortho and 10% had residual exoshift . Dose response were 4+/-1.5 in cases and 4+/-1.4 pd in controls for each mm of MR (p=0.65 ).

Conclusion:

Although there was no difference between dose response of these 2 methods ,probability of esoshift and LRUA should be warned in early post operative days in MR plication method

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