transposição monocular vertical dos músculos retos horizontais em pacientes esotrópicos portadores de anisotropia em a monocular vertical displacement of the horizontal rectus muscles in esotropic patients with "a" pattern

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ID: 206728
2004
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Abstract
OBJETIVO: Estudar a eficácia da transposição vertical monocular dos mús-culos retos horizontais, proposta por Goldstein, em pacientes esotrópicos portadores de anisotropia em A, sem hiperfunção de músculos oblíquos. MÉTODOS: Foram analisados, retrospectivamente, 23 prontuários de pacientes esotrópicos portadores de anisotropia em A > 10delta, submetidos a transposição vertical monocular dos músculos retos horizontais. Os pacientes foram divididos em 2 grupos, de acordo com a magnitude da incomitância pré-operatória; grupo 1 era composto de pacientes com desvio entre 11delta e 20delta e grupo 2 entre 21delta e 30delta. Foram considerados co-mo resultados satisfatórios as correções com A < 10delta ou V < 15delta. RESULTADOS: A média de correção absoluta obtida foi, no grupo 1, de 16,5delta e no grupo 2, de 16,6delta. No grupo 1, 91,6% dos pacientes apresentaram resultados cirúrgicos considerados satisfatórios e no grupo 2, 81,8% (p=0,468). CONCLUSÃO: O procedimento cirúrgico proposto por Goldstein é efetivo, não havendo diferença estatisticamente significante entre a magnitude da anisotropia pré-operatória e a correção obtida.
PURPOSE: To report the effectiveness of the vertical monocular displacement of the horizontal rectus muscles, proposed by Goldstein, in esotropic patients with A pattern, without oblique muscle overaction. METHODS: A retrospective study was performed using the charts of 23 esotropic patients with A pattern > 10delta, submitted to vertical monocular displacement of the horizontal rectus muscles. The patients were divided into 2 groups in agreement with the magnitude of the preoperative deviation, group 1 (11delta to 20delta) and group 2 (21delta to 30delta). Satisfactory results were considered when corrections A < 10delta or V < 15delta were obtained. RESULTS: The average of absolute correction was, in group 1, 16.5delta and, in group 2, 16.6delta. In group 1, 91.6% of the patients presented satisfactory surgical results and in group 2, 81.8% (p = 0.468). CONCLUSION: The surgical procedure, proposed by Goldstein, is effective and there was no statistical difference between the magnitude of the preoperative anisotropia and the obtained correction.
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Authors ;Ana Carolina Toledo Dias;Mauro Goldchmit;Carlos Ramos de Souza Dias;Frederico Augusto Costa Reis
Journal introducing innodb cluster: learning the mysql high availability stack
Year 2004
DOI
10.1590/S0004-27492004000500011
URL
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27492004000500011
Keywords
esotropia

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