Comparison of Rectus Muscle Resection and Rectus Muscle Plication for Ocular Horizontal Strabismus: Comparison of Rectus Muscle Resection and Rectus Muscle Plication for Ocular Horizontal Strabismus

Mohammed Al Ashoor, Senior ophthalmologist at department of Ophthalmology, Basra Teaching Hospital, Basra, Iraq.Follow

Article Type

Original Study

Abstract

Objectives: This study aimed to compare the surgical outcomes of rectus muscle plication with those of standard rectus muscle resection in combination with recession in patients with horizontal ocular deviations._x000D_ Methods: This comparative prospective case-control study was conducted in the Department of Ophthalmology of Basra Teaching Hospital in Iraq from March 2017 to August 2019. Fifty-eight patients (25 male, 33 female; mean age = 3.86 years), including 32 with esotropia and 26 with exotropia, were divided randomly into two treatment groups after a comprehensive preoperative assessment and selection process. They underwent the indicated rectus muscle tightening procedures. During a postoperative follow-up, a surgical success was defined as an alignment of ≤5 prism diopter (PD). Patients with different characteristics were compared statistically, and differences with P-values of ≤0.05 were considered statistically significant._x000D_ Results: Thirty cases (51.7%; 95% confidence interval [CI]: 37.9–65.5%) underwent rectus muscle resection and 28 (48.3%; 95% CI: 34.5–62.1%) underwent rectus muscle plication. Surgical success was achieved in 55 of 58 patients (94.8%; 95% CI: 89.7–100.0%), and there was no statistically significant difference in the achievement of postoperative alignment (≤5 PD) between the groups._x000D_ Conclusions: Both surgical procedures for the treatment of esotropia and exotropia coupled with rectus muscle recession yielded equivalent postoperative surgical alignment results. Plication provided advantages such as a reduced surgical trauma, fewer bloody fields, no slipped muscles, and a reversible outcome._x000D_ Keywords: Plication, Resection, Strabismus, Rectus Muscle, Esotropia, Exotropia

Keywords

Plication, Resection, Strabismus, Rectus Muscle, Esotropia, Exotropia

Recommended Citation

Al Ashoor, Mohammed (2021) "Comparison of Rectus Muscle Resection and Rectus Muscle Plication for Ocular Horizontal Strabismus: Comparison of Rectus Muscle Resection and Rectus Muscle Plication for Ocular Horizontal Strabismus," Iraqi National Journal of Medicine: Vol. 3 : Iss. 2 , Article 3.
Available at: https://doi.org/10.37319/iqnjm.3.2.3