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. 2018 Aug 1:2018:3408614.
doi: 10.1155/2018/3408614. eCollection 2018.

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

Nermeen Badawi  1 , Ahmed Taha Ismail  2
Affiliations

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

Nermeen Badawi et al. J Ophthalmol. .

Abstract

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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Figures

Figure 1
Figure 1
A sketch of Y-split recession, side view. (a) The first orientation point (“A”) is given by the middle of the natural muscle insertion. The second orientation point (“B”) is located 6 mm straight behind A. With a compass, the distance rA is marked with color on the globe. The same procedure is repeated from B, with the distance rB. The intersection of the two marked lines indicates the new insertion points for the split-muscle halves. (b) The “control distance” (“C”) ensures correct placement of the new insertion points.
Figure 2
Figure 2
A sketch of de Decker's Faden technique, side view.
Figure 3
Figure 3
Patients' profile showing patients' distribution by age.
Figure 4
Figure 4
Preoperative and postoperative maximum strabismus angles in both groups.
Figure 5
Figure 5
Preoperative and postoperative minimum strabismus angles in both groups.
See this image and copyright information in PMC

References

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