Comparative Study of Y-Split Recession versus Faden Technique for Management of Infantile Esotropia in Egyptians

Purpose. This study compares the results of Y-split recession versus de Decker’s (modified Cüppers) Faden techniques of medial rectus (MR) muscles for the management of essential infantile esotropia (IET). Patients and Methods. Fifty patients had IET divided into Group A who underwent Y-split recess...

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Main Authors: Nermeen Badawi, Ahmed Taha Ismail
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Journal of Ophthalmology
Online Access:http://dx.doi.org/10.1155/2018/3408614
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author Nermeen Badawi
Ahmed Taha Ismail
author_facet Nermeen Badawi
Ahmed Taha Ismail
author_sort Nermeen Badawi
collection DOAJ
description Purpose. This study compares the results of Y-split recession versus de Decker’s (modified Cüppers) Faden techniques of medial rectus (MR) muscles for the management of essential infantile esotropia (IET). Patients and Methods. Fifty patients had IET divided into Group A who underwent Y-split recession of MR muscles and Group B who underwent de Decker’s Faden technique of MR muscles. All patients had complete ophthalmic examination done including deviation angle measurement and met the inclusion criteria of the study. Operations were performed using general anesthesia. Patients were followed up at day 1, week 1, and months 1, 3, and 6 after operation. Results. The mean age distribution for group A was 21.56 months (SD 12.55) and for group B was 21.4 months (SD 12.35), and the mean postoperative follow-up interval was 6 months for both groups. The preoperative maximum angle of deviation in both groups ranged from 15 to 40 degrees, while the minimum angle of deviation ranged from 10 to 20 degrees. Immediately postoperatively both groups showed 88% of patients with satisfactory results (within 10 degrees of orthotropia). Group A showed two patients (8%) with ET and one patient (4%) with exotropia (XT). For group B, it showed one patient (4%) with ET and two patients (8%) with XT. Three patients in each group underwent a second intervention. All patients remained within the satisfactory range. Conclusion. The results of this study suggest that both techniques show comparable results for the correction of IET.
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spelling doaj-art-517342aafda640b3a02d2f5ec93b004c2025-02-03T06:05:55ZengWileyJournal of Ophthalmology2090-004X2090-00582018-01-01201810.1155/2018/34086143408614Comparative Study of Y-Split Recession versus Faden Technique for Management of Infantile Esotropia in EgyptiansNermeen Badawi0Ahmed Taha Ismail1Ophthalmology Department, Faculty of Medicine, Menoufiya University, Shebin El-Kom, Menoufiya, EgyptOphthalmology Department, Faculty of Medicine, Ain-Shams University, Abbaseya, Cairo, EgyptPurpose. This study compares the results of Y-split recession versus de Decker’s (modified Cüppers) Faden techniques of medial rectus (MR) muscles for the management of essential infantile esotropia (IET). Patients and Methods. Fifty patients had IET divided into Group A who underwent Y-split recession of MR muscles and Group B who underwent de Decker’s Faden technique of MR muscles. All patients had complete ophthalmic examination done including deviation angle measurement and met the inclusion criteria of the study. Operations were performed using general anesthesia. Patients were followed up at day 1, week 1, and months 1, 3, and 6 after operation. Results. The mean age distribution for group A was 21.56 months (SD 12.55) and for group B was 21.4 months (SD 12.35), and the mean postoperative follow-up interval was 6 months for both groups. The preoperative maximum angle of deviation in both groups ranged from 15 to 40 degrees, while the minimum angle of deviation ranged from 10 to 20 degrees. Immediately postoperatively both groups showed 88% of patients with satisfactory results (within 10 degrees of orthotropia). Group A showed two patients (8%) with ET and one patient (4%) with exotropia (XT). For group B, it showed one patient (4%) with ET and two patients (8%) with XT. Three patients in each group underwent a second intervention. All patients remained within the satisfactory range. Conclusion. The results of this study suggest that both techniques show comparable results for the correction of IET.http://dx.doi.org/10.1155/2018/3408614
spellingShingle Nermeen Badawi
Ahmed Taha Ismail
Comparative Study of Y-Split Recession versus Faden Technique for Management of Infantile Esotropia in Egyptians
Journal of Ophthalmology
title Comparative Study of Y-Split Recession versus Faden Technique for Management of Infantile Esotropia in Egyptians
title_full Comparative Study of Y-Split Recession versus Faden Technique for Management of Infantile Esotropia in Egyptians
title_fullStr Comparative Study of Y-Split Recession versus Faden Technique for Management of Infantile Esotropia in Egyptians
title_full_unstemmed Comparative Study of Y-Split Recession versus Faden Technique for Management of Infantile Esotropia in Egyptians
title_short Comparative Study of Y-Split Recession versus Faden Technique for Management of Infantile Esotropia in Egyptians
title_sort comparative study of y split recession versus faden technique for management of infantile esotropia in egyptians
url http://dx.doi.org/10.1155/2018/3408614
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