Bakunowicz-Lazarczyk A, Antosiuk R, Mrugacz M, Stankiewicz A
Katedry Okulistyki i Kliniki Okulistyki Dzieciecej AM w Białymstoku.
Klin Oczna. 1998;100(6):377-9.
The aim of our study was to evaluate the results of the operation on squint with pathological attachment of lateral rectus revealed during surgery.
The study involved 22 children (12 girls and 10 boys) out of 320 children operated on for squint in the years 1993-1996, who had pathological attachment of lateral rectus. Alternating convergent squint was found in 12 children, unilateral in 10. Muscle exposure showed dislocation of lateral rectus attachment--upwards by c. 1.5 mm in 11 children, downwards and obliquely by c. 2 mm in 10 children, in 1 child the upper part of the attachment was shifted forward by 1 mm. During the surgery, in addition to the reduction of squint angle, physiological attachment of the rectus was reconstructed.
The operation restored parallel position of the eyes in 22 children, very good vision was obtained in 12 (54%) with alternating convergent squint, significant improvement in 5 (22%) with unilateral convergent squint, and only slight improvement in the remaining 5 (22.7%) with high initial amblyopia and squint angle from +15 degrees to +30 degrees.
