Saratov JOURNAL of Medical and Scientific Research

Comparative characteristics of operational access during surgical treatment of strabismus

Year: 2020, volume 16 Issue: №2 Pages: 595-599
Heading: Ophtalmology Article type: Original article
Authors: Gorbenko V.M., Zakharova I.A.
Organization: Medical Diagnostic Centre «Sokol» LLC, S. Fyodorov Eye Microsurgery Federal State Institution

The purpose of the study is to conduct comparative analysis of the two types of surgical approaches used in strabismus surgery: vertical and limbal L-shaped. Material and Methods. Analysis of surgical treatment of strabismus in 137 (205 eyes) patients aged 4 to 15 years was performed. During surgery, access to the surgical field was carried out by a vertical conjunctival incision in 143 cases (69.8%), by limbal incision — in 62 cases (30.2%). Results. Duration of hyperemia and edema in the group with limbal access is significantly shorter than in the group with vertical conjunctival access (12.2±0.14 and 24.5±0.15 days, respectively) (p<0.001). Reactions to suture material in the group with limbal access were shown only in 2 cases (3.2%), and in the group with vertical access — in 23 cases (16.1%) (p<0.01). Conclusion. An individual approach must be taken for each patient, taking into account the goals and scope of the procedure. When performing surgery on two adjacent muscles, preference should be given to conjunctival access, and when working on one muscle, to limbal access. For operations of the reinforcing type, it is preferable to use limbal access, and for weakening operations, it is more advisable to conduct conjunctival access. In children of a younger age group and in patients with a history of allergic reactions, it is better to conduct operations with limbal access.

1. Ferris JD, Davis PIJ. Strabismus Surgery. Moscow, 2014; 332 p.
2. Zhukova OV. New surgical access for operations on the oculomotor muscles. In: Ophthalmology: results and prospects: Thesis of the scientific-practical conference of ophthalmologists with international participation. Moscow, 2015; p. 60-2.
3. Zhukova OV. The method of incision of the tenon capsule in the surgical treatment of strabismus and nystagmus. In: X Congress of Russian Ophthalmologists: Thesis of the conference. Moscow, 2015; p. 278.
4. Avetisov ES. Operations on the eye muscles: Guide to eye surgery. Moscow: Medicine, 1988; p. 425-64.
5. Avetisov ES. Strabismus. Moscow: Medicine, 1977; p. 279-80.
6. Method of access to the oculomotor muscles during strabismus surgery: invention patent/Fokin VP, Gorbenko VM. Patent Number: 2708494. Country: Russia. Year of publication: 2019.
7. Fokin VP, Gorbenko VM. Limbal access to horizontal muscles in the surgical treatment of strabismus. In: New technologies in plastic surgery of the adnexa in case of eye and orbit injuries in emergency situations and catastrophes: Collection of scientific papers. Moscow, 2007; p. 116-8.
8. Zhukova OV, Malov VM, Nikolaeva GA. The nature of the healing of conjunctival sections, depending on their location and the way the edges are fixed: An experimental clinical study. Bulletin of the Orenburg State University 2011; 133 (14): 125-8.
9. Method of fixation of the limbal incision during strabismus surgery: invention patent/Fokin VP, Gorbenko VM. Patent Number: 2713109. Country: Russia. Year of publication: 2020.
10. Hoyt CS, Taylor D. Children's Ophthalmology. Moscow: Binom, 2016; vol. 2, p. 1044-77.

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