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BARE SCLERA CLOSURE: A SURGICAL APPROACH IN CONGENITAL ESOTROPIA

M.E. Latronico, A. Moramarco, L. Russo, G. Esposti, G. Lasorella
  • M.E. Latronico
    Department of Dentistry and Ophtalmology Section of Ophtalmology, University of Siena, Italy
  • A. Moramarco
    Department of Dentistry and Ophtalmology Section of Ophtalmology, University of Siena, Italy
  • L. Russo
    Department of Dentistry and Ophtalmology Section of Ophtalmology, University of Siena, Italy
  • G. Esposti
    Department of Dentistry and Ophtalmology Section of Ophtalmology, University of Siena, Italy
  • G. Lasorella
    Department of Dentistry and Ophtalmology Section of Ophtalmology, University of Siena, Italy | lasorella@unisi.it

Abstract

Background. The purpose of the authors is to evaluate the efficacy of the bare sclera closure (conjunctival and episcleral tissue recession in association with bimedial recession) in a large cohort with congenital esotropia. Methods. The charts of 140 patients with congenital esotropia, operated on with this tech-nique, were analysed; each patient was assigned to a single group on the basis of their pre-op angle, respectively between 35 and 40 pd (36 cases); between 40 and 50 pd (66 cases); more than 50 pd (38 cases). results. The results were statistically analysed; the p value was statistically significant in the group of patients with a pre-op deviation between 35 and 40 pd with a follow up of 12 months. Conclusions. This technique is a safe and effective procedure and can improve the surgical result through a uniform approach (2 muscles operated on) versus a selective approach (3 or more muscles operated on).

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Submitted: 2012-05-15 12:00:41
Published: 2012-05-15 13:39:58
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Copyright (c) 2012 M.E. Latronico, A. Moramarco, L. Russo, G. Esposti, G. Lasorella

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