Extraocular muscle ductions following nasal transposition of the split lateral rectus muscle
Copyright © 2022 Canadian Ophthalmological Society. Published by Elsevier Inc. All rights reserved..
OBJECTIVE: To quantify changes in ductions following nasal transposition of the split lateral rectus muscle (NTSLR) for treating third nerve palsy.
DESIGN: Retrospective cohort study.
PARTICIPANTS: A single eye from each patient with third nerve palsy treated with NTSLR with ocular motility measurements.
METHODS: Observation of changes in pre- and postoperative ductions. Outcome measures including patient demographic and surgical factors associated with the ability to adduct beyond the midline after NTSLR were evaluated using multivariable logistic regression.
RESULTS: A total of 116 patients met the inclusion criteria for this study. The NTSLR significantly decreased abduction (median of 0 limitation [interquartile range (IQR), 0-0] prior to surgery to -4 [IQR, -4 to -3] after NTSLR; p < 0.001), with a corresponding improvement in adduction (median, -5 [IQR, -5 to -4] prior to surgery to -4 [IQR, -4 to -3] after NTSLR; p < 0.001). There was no change in median supraduction or infraduction after NTSLR (p > 0.05). The ability to adduct beyond the midline after NTSLR was demonstrated in 42% of patients. Although not statistically significant, a trend toward a postoperative ability to adduct beyond the midline was seen in patients who had concurrent superior oblique muscle tenotomy (odds ratio [OR] = 5.08; 95% CI, 0.91-40.9) or who were designated with partial rather than complete third nerve palsy (OR = 2.29; 95% CI, 0.82-6.70).
CONCLUSIONS: NTSLR improves the horizontal midline positioning of eyes with third nerve palsy. Most eyes lose the ability to abduct, but some regain a modest ability to adduct while vertical ductions remain unchanged.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2023 |
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| Erschienen: |
2023 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:58 |
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| Enthalten in: |
Canadian journal of ophthalmology. Journal canadien d'ophtalmologie - 58(2023), 6 vom: 11. Dez., Seite 565-569 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Oke, Isdin [VerfasserIn] |
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| Links: |
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| Themen: |
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| Anmerkungen: |
Date Completed 13.11.2023 Date Revised 21.11.2023 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1016/j.jcjo.2022.10.019 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM348856512 |
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| 100 | 1 | |a Oke, Isdin |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Extraocular muscle ductions following nasal transposition of the split lateral rectus muscle |
| 264 | 1 | |c 2023 | |
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| 500 | |a Date Completed 13.11.2023 | ||
| 500 | |a Date Revised 21.11.2023 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a Copyright © 2022 Canadian Ophthalmological Society. Published by Elsevier Inc. All rights reserved. | ||
| 520 | |a OBJECTIVE: To quantify changes in ductions following nasal transposition of the split lateral rectus muscle (NTSLR) for treating third nerve palsy | ||
| 520 | |a DESIGN: Retrospective cohort study | ||
| 520 | |a PARTICIPANTS: A single eye from each patient with third nerve palsy treated with NTSLR with ocular motility measurements | ||
| 520 | |a METHODS: Observation of changes in pre- and postoperative ductions. Outcome measures including patient demographic and surgical factors associated with the ability to adduct beyond the midline after NTSLR were evaluated using multivariable logistic regression | ||
| 520 | |a RESULTS: A total of 116 patients met the inclusion criteria for this study. The NTSLR significantly decreased abduction (median of 0 limitation [interquartile range (IQR), 0-0] prior to surgery to -4 [IQR, -4 to -3] after NTSLR; p < 0.001), with a corresponding improvement in adduction (median, -5 [IQR, -5 to -4] prior to surgery to -4 [IQR, -4 to -3] after NTSLR; p < 0.001). There was no change in median supraduction or infraduction after NTSLR (p > 0.05). The ability to adduct beyond the midline after NTSLR was demonstrated in 42% of patients. Although not statistically significant, a trend toward a postoperative ability to adduct beyond the midline was seen in patients who had concurrent superior oblique muscle tenotomy (odds ratio [OR] = 5.08; 95% CI, 0.91-40.9) or who were designated with partial rather than complete third nerve palsy (OR = 2.29; 95% CI, 0.82-6.70) | ||
| 520 | |a CONCLUSIONS: NTSLR improves the horizontal midline positioning of eyes with third nerve palsy. Most eyes lose the ability to abduct, but some regain a modest ability to adduct while vertical ductions remain unchanged | ||
| 650 | 4 | |a Journal Article | |
| 700 | 1 | |a Lorenz, Birgit |e verfasserin |4 aut | |
| 700 | 1 | |a Basiakos, Sotirios |e verfasserin |4 aut | |
| 700 | 1 | |a Gokyigit, Birsen |e verfasserin |4 aut | |
| 700 | 1 | |a Dodd, Mary-Magdalene Ugo |e verfasserin |4 aut | |
| 700 | 1 | |a Laurent, Erick |e verfasserin |4 aut | |
| 700 | 1 | |a Sadiq, Mohammad Ali |e verfasserin |4 aut | |
| 700 | 1 | |a Goberville, Mitra |e verfasserin |4 aut | |
| 700 | 1 | |a Elkamshoushy, Amr |e verfasserin |4 aut | |
| 700 | 1 | |a Tsai, Chong-Bin |e verfasserin |4 aut | |
| 700 | 1 | |a Gravier, Nicholas |e verfasserin |4 aut | |
| 700 | 1 | |a Speeg-Schatz, Claude |e verfasserin |4 aut | |
| 700 | 1 | |a Shepherd, James Banks |e verfasserin |4 aut | |
| 700 | 1 | |a Saxena, Rohit |e verfasserin |4 aut | |
| 700 | 1 | |a Soni, Ajay |e verfasserin |4 aut | |
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| 700 | 1 | |a Shah, Ankoor S |e verfasserin |4 aut | |
| 700 | 1 | |a Dagi, Linda R |e verfasserin |4 aut | |
| 700 | 0 | |a NTSLR3NP Study Group |e verfasserin |4 aut | |
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