Linked Life Data

15672930

Source:http://linkedlifedata.com/resource/pubmed/id/15672930

Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
2
pubmed:dateCreated
2005-1-27
pubmed:abstractText
The outstanding clinical symptom of acquired uni- and bilateral trochlear palsy is excyclotropia which increases in down-gaze. Any surgical treatment must aim at reducing this deviation. To achieve this, we have routinely used a modification of the Harada-Ito operation over the last 20 years. The anterior part of the tendon is pulled anteriorly and laterally by a loop of unresorbable suture. This not only increases incyclotorsion but also depression in adduction and reduces the V-pattern. In cases with more than 5 degrees vertical deviation, we performed an additional tuck of the posterior part of the tendon. Our results are compared with those of either superior oblique tuck or combined operations on the oblique muscles published by other authors. They have also used the Harms' tangent screen for quantification of the effect of the operations. In down-gaze, similar results have been obtained but less postoperative Brown's syndrome was found with our modified Harada-Ito procedure. Thus, our modification of the Harada-Ito procedure is an effective and safe approach to the surgical treatment of trochlear palsy with less postoperative limitation of elevation and less torsional overcorrection in up-gaze.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
Jun
pubmed:issn
0927-3972
pubmed:author
pubmed:issnType
Print
pubmed:volume
12
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
75-83
pubmed:dateRevised
2006-11-15
pubmed:meshHeading
pubmed:year
2004
pubmed:articleTitle
A concept for the surgical treatment of trochlear palsy.
pubmed:affiliation
University Eye Hospital, Ludwig-Maximilians University, Munich, Germany. oliver.ehrt@med.uni-muenchen.de
pubmed:publicationType
Journal Article, Comparative Study