BARE SCLERA CLOSURE: A SURGICAL APPROACH IN CONGENITAL ESOTROPIA
AbstractBackground. 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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Copyright (c) 2012 M.E. Latronico, A. Moramarco, L. Russo, G. Esposti, G. Lasorella
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