scholarly journals Inferior Oblique Muscle Overaction: Clinical Features and Surgical Management

2019 ◽  
Vol 2019 ◽  
pp. 1-5 ◽  
Author(s):  
Ercan Ozsoy ◽  
Abuzer Gunduz ◽  
Emrah Ozturk
Keyword(s):  
Clinical Features ◽  
Surgical Management ◽  
Medical Records ◽  
Facial Asymmetry ◽  
Oblique Muscle ◽  
Inferior Oblique Muscle ◽  
Convergence Insufficiency ◽  
Abnormal Head ◽  
Patient Groups

Purpose. To further define the clinical features of patients with inferior oblique muscle overaction (IOOA) and evaluate the surgical results in a subgroup of these patients. Methods. The medical records of 173 patients who underwent inferior oblique muscle (IO) weakening surgery due to primary or secondary IOOA were retrospectively reviewed. The patients were assigned a surgical group based on severity of IOOA and presence of dissociated vertical deviation (DVD) or hypertropia. Patients with +1 or +2 IOOA underwent recession, patients with +3 or +4 IOOA underwent myectomy, and patients with any grade of IOOA and DVD or hypertropia underwent anterior transposition (AT) surgery. Results. A total of 286 eyes of 173 patients who underwent surgery due to IOOA were included in the study. IOOA was accompanied by esotropia, exotropia, abnormal head posture (AHP), pattern strabismus, convergence insufficiency, DVD, facial asymmetry, and nystagmus. The most common comorbid disorder was esotropia. The recession was used in 173 eyes, myectomy in 64, and AT in 49. Surgical success was obtained in 96.0% of eyes that underwent recession, in 98.4% of eyes that underwent myectomy, and in 93.9% of eyes that underwent AT. In the follow-up, IOOA occurred in the fellow eye in 36.1% of patients who underwent unilateral surgery. Conclusions. This study is a comprehensive report on the concomitants of the IOOA. Also, it showed that all of the three surgical procedures including recession, myectomy, and AT are effective in the surgical management of IOOA when performed in select patient groups.

scholarly journals The effect of amblyopia on clinical outcomes of children with astigmatism

2021 ◽  
Vol 13 ◽  
pp. 251584142110408
Author(s):  
Burçin Çakır ◽  
Nilgün Özkan Aksoy ◽  
Sedat Özmen ◽  
Özlem Bursalı
Keyword(s):  
Visual Acuity ◽  
Clinical Outcomes ◽  
Medical Records ◽  
Convergence Insufficiency ◽  
Corrected Visual Acuity ◽  
Ocular Deviation ◽  
The Mean ◽  
The Difference ◽  
Best Corrected Visual Acuity

Background: Amblyopia is more common in children with high astigmatism, but factors contributing to development of amblyopia and visual outcomes are not fully understood. Objective: To evaluate the effect of amblyopia on the clinical outcomes in children with ⩾1.75 diopter (D) astigmatism. Methods: We reviewed the medical records of children with ⩾1.75 D astigmatism with and without amblyopia (amblyopes group and non-amblyopes group). The mean age, gender, amount and type of ocular deviation, presence of convergence insufficiency (CI), stereopsis, time of initial spectacle use and follow-up time, differences in best-corrected visual acuity (VoD) and spherical equivalent (SE) between eyes were assessed and compared between the groups. Best-corrected visual acuity (BCVA), mean SE, astigmatism measurements were assessed and compared between amblyopic, fellow, and non-amblyopic eyes. Results: The records included 68 eyes of 34 children with amblyopia and 56 eyes of 28 children without amblyopia. The mean age, gender, amount and type of ocular deviation, presence of CI, stereopsis, time of initial spectacle use, follow-up time, and the difference in SE did not differ between groups. In amblyopes, exodeviation was more common and statistically greater in near (33 cm) than at distance (6 m) (p = 0.005). The mean BCVA and astigmatism values were statistically different between amblyopic, fellow, and non-amblyopic eyes. Conclusion: A greater near than distance exodeviation and higher mean astigmatism value were found in amblyopic children with astigmatism.

Bilateral congenital hypertropic strabismus fixus: A case report

2021 ◽  
pp. 112067212098636
Author(s):  
Qingji Li ◽  
Feng Zhou ◽  
Yingying Lu
Keyword(s):  
Case Report ◽  
Special Form ◽  
Rare Case ◽  
Infratemporal Fossa ◽  
Rectus Muscle ◽  
Oblique Muscle ◽  
Bony Landmark ◽  
Inferior Oblique Muscle ◽  
Muscle Belly

Purpose: To report an unusual and rare case of both eyes fixed in an extreme superomedial position. Case report: A case of 48-year-old woman presented with both eyes fixed in an extreme superomedial position; the microcorneas were covered almost completely by the upper eyelids even when she opened her eyes. A forced duction test was performed to confirm there were severe restrictions in all directions. She underwent disinsertion of the superior and medial rectus muscle, inferior oblique muscle belly transposition and sclera fixation. At the 1-year follow-up, there was improved ocular alignment. Conclusion: This case may be a special form of myopic strabismus fixus. The infratemporal fossa may be a bony landmark related to the etiology of global fixation.

scholarly journals Surgical profile and management of carpal tunnel syndrome among sample of Iraqi patients attending a teaching hospital

2019 ◽  
Vol 6 (5) ◽  
pp. 1477
Author(s):  
Amir Naif Kadum Al-Imari ◽  
Amine Mohammed Bakkour ◽  
Mohammed Hillu Surriah ◽  
Ayaad Makki Saaid
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Clinical Features ◽  
Surgical Management ◽  
Teaching Hospital ◽  
Carpal Tunnel ◽  
Common Condition ◽  
Associated Diseases ◽  
Tunnel Syndrome

Background: Carpal tunnel syndrome (CTS) is a common condition that causes pain, numbness, and weakness in the hands and wrist. CTS affecting female more than male, and diagnosed by EMG and NCS. The aim of this study was to describe the profile and surgical management among sample of Iraqi patients.Methods: Sixty-two patients collected from the neuro-surgical departments of the specialized surgical hospital from June 2015 till June 2018, all patients studied thoroughly regarding age, sex, associated diseases, clinical features, EMG studies, surgery and out come and follow up for at least one year.Results: There was around 2:1 female: male, with age predominant between 40-60 years. All the patients had pain (aching) and most of them numbness, and tingling and only 1/3 had atrophy of muscle of the hand all diagnosed by EMG and NCS, treated surgically results were good compared with other studies regarding complications and final outcome.Conclusions: Surgery for CTS is safe and successful surgery under meticulus procedure and appropriate choice of patients.

scholarly journals The clinical features and outcomes of Tolosa-Hunt syndrome

2021 ◽  
Author(s):  
Shin Yeop Oh
Keyword(s):  
Optic Nerve ◽  
Clinical Features ◽  
Medical Records ◽  
Facial Nerve Palsy ◽  
Ocular Motor ◽  
Hunt Syndrome ◽  
Study Results ◽  
History Of ◽  
The Mean

Abstract Background The objective of this study was to investigate the clinical features and outcomes of Tolosa-Hunt syndrome (THS). Methods A retrospective review of the medical records was performed on patients with THS between March 2016 and January 2020. A total of eleven patients fulfilling the ICHD-3 beta diagnostic criteria for THS were included in this study. Results The average age of the patients with THS was 57.18 ± 13.56 years and the mean duration of recovery was 26.91 ± 24.35 days. All nine patients had orbital or periorbital pain as the first symptom followed by diplopia. Ptosis was found in five patients (45.45%) in the involved eye. Sixth cranial nerve (CN) palsy was most common (eight cases, 72.73%), followed by third and fourth CN palsy (five cases, 45.45%, respectively), optic nerve (two cases, 18.18%), and trigeminal nerve and facial nerve palsy (one case, 9.09%, respectively). One patient with optic nerve (ON) involvement failed to recover visual acuity and the other ten patients completely recovered their ocular motor limitation. All patients were initially treated with steroids. One patient relapsed after five weeks and one patient had a history of THS five years earlier. Conclusions THS responded well to steroid treatment, but if it was accompanied by ON involvement, follow-up with active treatment was important.

N-butyl-2 cyanoacrylate (NBCA) embolus in the graft portal vein after portosystemic collateral embolization in liver transplantation recipient: what is the clinical significance?

2017 ◽  
Vol 58 (11) ◽  
pp. 1326-1333 ◽  
Author(s):  
Hye Young Jang ◽  
Kyoung Won Kim ◽  
Jae Hyun Kwon ◽  
Heon-Ju Kwon ◽  
Bohyun Kim ◽  
...  
Keyword(s):  
Portal Vein ◽  
Clinical Features ◽  
Medical Records ◽  
Poor Clinical Outcome ◽  
Portal Flow ◽  
Contrast Enhanced ◽  
Portosystemic Collateral ◽  
Clinical Abnormality ◽  
Transplantation Recipient

Background An N-butyl-2 cyanoacrylate (NBCA) embolus in the graft portal vein was frequently observed after an intraoperative embolization of portosystemic collaterals performed to prevent portal steal in liver transplant (LT) recipients. The radiological and clinical features of NBCA emboli have not yet been described. Purpose To describe radiological and clinical features of NBCA embolus in graft portal vein after portosystemic collateral embolization in LT recipients. Material and Methods A total of 165 consecutive LT recipients who had undergone intraoperative NBCA embolization of varix were found in single institution’s computerized databases of a clinical cohort of LT. Patients were evaluated for NBCA emboli (categorized into major and minor emboli according to location) on first postoperative computed tomography (CT). All electronic medical records and radiologic studies including follow-up was evaluated to determine any radiological and clinical abnormality associated with NBCA embolus. Results NBCA emboli were found in 24% (39/165) of recipients. Although most patients had minor emboli (77%, 30/39) without remarkable ultrasonography (US) abnormalities, seven (78%) of nine recipients with major emboli showed intraluminal echogenic lesions in graft portal vein on grayscale US, and five of them (71%) showed partial portal flow obstruction, although none exhibited any abnormality on contrast-enhanced US. Recipients with NBCA portal emboli showed no significant clinical abnormalities and were discharged safely. NBCA embolus eventually disappeared mostly within six months (82%, 32/39). Conclusion NBCA emboli are frequently observed after portosystemic collateral embolization in LT recipients and are not associated with poor clinical outcome. They may mimic ordinary thromboemboli on US.

scholarly journals Clinical Features and Management of Oral Nonodontogenic Masses in Children

2020 ◽  
Author(s):  
Hao Zhang ◽  
Qiongqiong Zhou ◽  
Weimin Shen
Keyword(s):  
Clinical Features ◽  
Medical Records ◽  
Pediatric Surgery ◽  
Inflammatory Myofibroblastic Tumor ◽  
Clinical Characteristics ◽  
The Other ◽  
Common Location ◽  
Oral Tumors ◽  
Medical University

Abstract Background: There are numerous clinical reports of oral tumors in children. However, the clinical features and management of oral nonodontogenic masses in children were rare reported. The aim of this article is to present a large series of oral nonodontogenic masses in children, analyzing the clinical characteristics of such masses and reviewing the relevant procedures for treatment.Methods: We conducted an observational retrospective study, reviewing medical records of 171 patients who were treated for oral nonodontogenic masses between 2014 and 2019 at the Department of Pediatric Surgery, Children’s Hospital of Nanjing Medical University. Data collected included age, gender, site, pathologic diagnosis and treatment strategy.Results: All patients were hospitalized in our department. Of the 171 cases, all of them were benign, however, only 1 case diagnosed as inflammatory myofibroblastic tumor showed a malignant process. The most frequent type was hemangioma (63.7%), followed by lymphangioma (16.4%), ranula (7.6%). The most common location of oral masses in the buccal mucosa. The second common location was in tongue. 16 cases of hemangioma were located in two or more sites in cavity. And 29 patients (26.6%) of hemangioma and 11 patients (39.3%) lymphangioma of were found other extraoral lesions. With regard to some cases of hemangioma, the other patients commonly undergone surgical resections or sclerotherapy. The follow-up period ranged from 1 to 5 years. The recurrence rate of hemangioma and lymphangioma were 8.3%, 17.9%, respectively.Conclusion: Most of oral nonodontogenic masses are benign, few oral masses are malignant or mimic a malignant process. Surgical resections are the most common treatment with excellent success.

Sign in / Sign up

Export Citation Format

Share Document