Home > Archive>Volume 11, Issue 6, 2018 >1053-1055. DOI:10.18240/ijo.2018.06.25
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Lateral rectus muscle recession and the vertical palpebral fissure height: to do or not to do inter-muscular septum dissection?
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Hamidreza Jahanbani-Ardakani. Feiz Hospital, Qods Sq., Isfahan 8174673461, Iran. hamidreza_jahanbaniardakani@yahoo.com

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    Abstract:

    In this study, we aimed to evaluate changes of vertical palpebral fissure height (VPFH) after unilateral lateral rectus muscle recession. Twenty-five and twenty-six patients who were candidates for lateral rectus muscle recession were assigned into “with” and “without” intermuscular septum dissection study arms. The VPFH was measured at one-day before surgery and in two weeks and three months, postoperatively. Three months after surgery, significant increase of VPFH was observed in both groups (Paired t-test; P=0.005). Also, less widening of VPFH was observed in “with intermuscular septum dissection” group (Change in VPFH in “with intermuscular septum dissection” vs “without intermuscular septum dissection” groups: 0.48 mm vs 1.34 mm; ANCOVA test; P<0.001). However, such results were not observed two weeks post-operatively (Change in VPFH in “with intermuscular septum dissection” vs “without intermuscular septum dissection” groups: -0.28 mm vs 0.28 mm; ANCOVA test; P=0.302). Intermuscular septum dissection is recommended in lateral rectus muscle recession to partially prevent the undesirable increment of VPFH.

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Mohammad Ali Abtahi, Alireza Zandi, Eslam Mandegarfard,/et al.Lateral rectus muscle recession and the vertical palpebral fissure height: to do or not to do inter-muscular septum dissection?. Int J Ophthalmol, 2018,11(6):1053-1055

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Publication History
  • Received:February 04,2017
  • Revised:April 17,2018
  • Online: June 18,2018
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