dc.creatorEing, Felipe
dc.creatorMorello Abbud, Christine M.
dc.creatorVelasco e Cruz, Antonio Augusto
dc.date.accessioned2013-09-25T13:44:43Z
dc.date.accessioned2018-07-04T16:17:59Z
dc.date.available2013-09-25T13:44:43Z
dc.date.available2018-07-04T16:17:59Z
dc.date.created2013-09-25T13:44:43Z
dc.date.issued2012
dc.identifierOPHTHALMIC PLASTIC AND RECONSTRUCTIVE SURGERY, PHILADELPHIA, v. 28, n. 3, pp. 204-207, MAY-JUN, 2012
dc.identifier0740-9303
dc.identifierhttp://www.producao.usp.br/handle/BDPI/33699
dc.identifier10.1097/IOP.0b013e31824dd8a0
dc.identifierhttp://dx.doi.org/10.1097/IOP.0b013e31824dd8a0
dc.identifier.urihttp://repositorioslatinoamericanos.uchile.cl/handle/2250/1634059
dc.description.abstractPurpose: To quantify the risk of new diplopia in inferomedial orbital decompression performed for cosmetic reasons. Methods: Retrospective analysis of 114 patients with Graves orbitopathy who underwent an inferomedial orbital decompression. No patient had diplopia in any of the gaze positions or optic neuropathy. A single coronal slice 9 mm posterior to the lateral orbital rim was employed to quantify the muscular index of the extraocular recti and of the superior complex. A control group of 56 patients imaged for other reasons were also measured. After surgery the oculomotor status of all patients who complained of diplopia and of 51 patients free of diplopia was measured with the prism and cover test in the primary and secondary gaze positions. Results: The rate of new-onset diplopia was 14.0% (16 patients). Eye deviations were confirmed in 14 patients. Of these, 10 had significant strabismus that warranted surgical or prism treatment. Most patients had esotropia associated with small vertical deviations. The size of the medial and inferior recti was significantly associated with the development of diplopia. The estimated odds for the appearance of diplopia in patients with muscle enlargement was 12.76 (medial rectus) and 5.21 (inferior rectus). Small-angle deviations were also detected in 27.4% of patients who did not experience diplopia. Conclusions: Medial and inferior recti enlargement is a strong predictor of new-onset diplopia. A large number of patients who do not report diplopia also present with small-angle deviations. (Ophthal Plast Reconstr Surg 2012;28:204-207)
dc.languageeng
dc.publisherLIPPINCOTT WILLIAMS & WILKINS
dc.publisherPHILADELPHIA
dc.relationOPHTHALMIC PLASTIC AND RECONSTRUCTIVE SURGERY
dc.rightsCopyright LIPPINCOTT WILLIAMS & WILKINS
dc.rightsclosedAccess
dc.titleCosmetic Orbital Inferomedial Decompression: Quantifying the Risk of Diplopia Associated With Extraocular Muscle Dimensions
dc.typeArtículos de revistas


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