BibTex RIS Kaynak Göster

Bilateral exotropia following pterygium surgery: Case report

Yıl 2014, Cilt: 5 Sayı: 3, - , 01.09.2014
https://doi.org/10.5799/ahinjs.01.2014.03.0439

Öz

We present an evaluation of a bilateral exotropia case following a bilateral pterijium surgery that was treated by medial rectus muscle advancement and right muscle transposition in a 52-year-old women. At the examination performed after pterygium surgery with autograft, adduction in the right eye was lost and in the left eye was restricted. Diplopia was revealed in the primary up-down direction of gaze position. Orbital and magnetic resonance imaging was normal. Bilateral medial rectus advancement was planned but because of right medial rectus muscle was not found during the operation, right muscle transposition and left medial rectus muscle advancement operations were performed. The presence of an incomitant exotropia with diplopia immediately after pterygium surgery should alert us to the possibility of having injured the medial rectus during the surgery and the surgery of pterygium should not be left in unexperienced hands. J Clin Exp Invest 2014; 5 (3): 456-458

Kaynakça

  • Turgut FG, Helvacıoğlu F. Incidence of pterygium in patients admitted to a university hospital. JCEI 2013;4:436-442.
  • Wu K, He M, Xu J, Li S. Pterygium in aged popula- tion in Doumen County, China. Yan Ke Xue Bao 2002;18:181–184.
  • McCarty CA, Fu CL, Taylor HR. Epidemiology of pterygium in Victoria, Australia. Br J Ophthalmol 2000;84:289–292.
  • Zheng K, Cai J, Jhanji V, Chen H. Comparison of pte- rygium recurrence rates after limbal conjunctival au- tograft transplantation and other techniques: meta- analysis. Cornea 2012;31:1422-1427 .
  • Ugrin MC, Molinari A. Disinsertion of the medial rectus following pterygium surgery: signs and management. Strabismus 1999;7:147-152.
  • Kaufman SC, Jacobs DS, Lee WB, et al. Options and adjuvants in surgery for pterygium: A report by the American Academy of Ophthalmology. Ophthalmol- ogy 2013;120:201-218.
  • Ünal M, Durmuş M, Biryılmaz A. Limbal conjunctival autograft transplantation in primary and recurrent pterygium surgery. Turkiye Klinikleri J Ophthalmol 1999;8:37-42.
  • Cherfan CG, Traboulsi EI. Slipped, severed, torn and lost extraocular muscles. Can J Ophthalmol 2011;46:501-519.
  • Jenkins PF, Stavis MI, Jenkins DE III. Esotropia fol- lowing pterygium surgery. Binocul Vis Strabismus Q 2002;17:227-228.
  • Raab EL, Metz HS, Ellis FD. Medial rectus injury after pterygium excision. Arch Ophthalmol 1989;107:1428.
  • Xia Q, Huang Z, Shen DA, Dai H. Clinical analysis of the diplopia and strabismus after ophthalmic surger- ies. Zhonghua Yan Ke Za Zhi 2003;39:727-730.

Pterjium cerrahisi sonrası gelişen bilateral ekzotropya: Olgu sunumu

Yıl 2014, Cilt: 5 Sayı: 3, - , 01.09.2014
https://doi.org/10.5799/ahinjs.01.2014.03.0439

Öz

52 yaşında kadın hastada bilateral pterjium cerrahisi sonrası gelişen bilateral ekzotropyanın değerlendirilmesi ve bunun medial rektus kası ilerletilmesi ve sağ kas transpozisyonu ile tedavisi sunulmuştur. Hastanın otogreftli pterjium operasyonu sonrası muayenesinde sağ gözde adduksiyon hiç yoktu, sol gözde ise adduksiyon kısıtlı idi. Primer yukarı -aşağı bakış yönlerinde diplopi mevcuttu. Orbital ve Manyetik Rezonans görüntülemesi normaldi. Hastaya bilateral medial rektus ilerletilmesi girişimi planlandı ancak operasyon sırasında sağ medial rektus kası bulunamadığından sağ kas transpozisyonu ve sol medial rektus kasına ilerletme operasyonu yapıldı. Pterjium cerrahisi sonrası diplopi ile beraber inkomitant ekzotropya varlığı cerrahi sırasında oluşan medial rektus kas zedelenmesi ihtimalini akla getirmeli ve pterjium cerrahisi tecrübesiz ellere bırakılmamalıdır.

Kaynakça

  • Turgut FG, Helvacıoğlu F. Incidence of pterygium in patients admitted to a university hospital. JCEI 2013;4:436-442.
  • Wu K, He M, Xu J, Li S. Pterygium in aged popula- tion in Doumen County, China. Yan Ke Xue Bao 2002;18:181–184.
  • McCarty CA, Fu CL, Taylor HR. Epidemiology of pterygium in Victoria, Australia. Br J Ophthalmol 2000;84:289–292.
  • Zheng K, Cai J, Jhanji V, Chen H. Comparison of pte- rygium recurrence rates after limbal conjunctival au- tograft transplantation and other techniques: meta- analysis. Cornea 2012;31:1422-1427 .
  • Ugrin MC, Molinari A. Disinsertion of the medial rectus following pterygium surgery: signs and management. Strabismus 1999;7:147-152.
  • Kaufman SC, Jacobs DS, Lee WB, et al. Options and adjuvants in surgery for pterygium: A report by the American Academy of Ophthalmology. Ophthalmol- ogy 2013;120:201-218.
  • Ünal M, Durmuş M, Biryılmaz A. Limbal conjunctival autograft transplantation in primary and recurrent pterygium surgery. Turkiye Klinikleri J Ophthalmol 1999;8:37-42.
  • Cherfan CG, Traboulsi EI. Slipped, severed, torn and lost extraocular muscles. Can J Ophthalmol 2011;46:501-519.
  • Jenkins PF, Stavis MI, Jenkins DE III. Esotropia fol- lowing pterygium surgery. Binocul Vis Strabismus Q 2002;17:227-228.
  • Raab EL, Metz HS, Ellis FD. Medial rectus injury after pterygium excision. Arch Ophthalmol 1989;107:1428.
  • Xia Q, Huang Z, Shen DA, Dai H. Clinical analysis of the diplopia and strabismus after ophthalmic surger- ies. Zhonghua Yan Ke Za Zhi 2003;39:727-730.
Toplam 11 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Bölüm Olgu Sunumu
Yazarlar

Fethiye Gülden Turgut Bu kişi benim

Elvan Yalçın Bu kişi benim

Yayımlanma Tarihi 1 Eylül 2014
Yayımlandığı Sayı Yıl 2014 Cilt: 5 Sayı: 3

Kaynak Göster

APA Turgut, F. G., & Yalçın, E. (2014). Pterjium cerrahisi sonrası gelişen bilateral ekzotropya: Olgu sunumu. Journal of Clinical and Experimental Investigations, 5(3). https://doi.org/10.5799/ahinjs.01.2014.03.0439
AMA Turgut FG, Yalçın E. Pterjium cerrahisi sonrası gelişen bilateral ekzotropya: Olgu sunumu. J Clin Exp Invest. Eylül 2014;5(3). doi:10.5799/ahinjs.01.2014.03.0439
Chicago Turgut, Fethiye Gülden, ve Elvan Yalçın. “Pterjium Cerrahisi Sonrası gelişen Bilateral Ekzotropya: Olgu Sunumu”. Journal of Clinical and Experimental Investigations 5, sy. 3 (Eylül 2014). https://doi.org/10.5799/ahinjs.01.2014.03.0439.
EndNote Turgut FG, Yalçın E (01 Eylül 2014) Pterjium cerrahisi sonrası gelişen bilateral ekzotropya: Olgu sunumu. Journal of Clinical and Experimental Investigations 5 3
IEEE F. G. Turgut ve E. Yalçın, “Pterjium cerrahisi sonrası gelişen bilateral ekzotropya: Olgu sunumu”, J Clin Exp Invest, c. 5, sy. 3, 2014, doi: 10.5799/ahinjs.01.2014.03.0439.
ISNAD Turgut, Fethiye Gülden - Yalçın, Elvan. “Pterjium Cerrahisi Sonrası gelişen Bilateral Ekzotropya: Olgu Sunumu”. Journal of Clinical and Experimental Investigations 5/3 (Eylül 2014). https://doi.org/10.5799/ahinjs.01.2014.03.0439.
JAMA Turgut FG, Yalçın E. Pterjium cerrahisi sonrası gelişen bilateral ekzotropya: Olgu sunumu. J Clin Exp Invest. 2014;5. doi:10.5799/ahinjs.01.2014.03.0439.
MLA Turgut, Fethiye Gülden ve Elvan Yalçın. “Pterjium Cerrahisi Sonrası gelişen Bilateral Ekzotropya: Olgu Sunumu”. Journal of Clinical and Experimental Investigations, c. 5, sy. 3, 2014, doi:10.5799/ahinjs.01.2014.03.0439.
Vancouver Turgut FG, Yalçın E. Pterjium cerrahisi sonrası gelişen bilateral ekzotropya: Olgu sunumu. J Clin Exp Invest. 2014;5(3).