Variante de la técnica de Nishida para la corrección quirúrgica del síndrome de déficit monocular de la elevación
- A. Ortuerta-Olartecoechea 1
- J.A. Reche-Sainz 1
- L. de-Pablo-Gómez-de-Liaño 1
- L. Hernández-Pereira 1
- M. Álvarez-Fernández 1
- M. Ferro-Osuna 1
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1
Hospital Universitario 12 de Octubre
info
ISSN: 0365-6691
Datum der Publikation: 2021
Ausgabe: 96
Nummer: 10
Seiten: 545-548
Art: Artikel
Andere Publikationen in: Archivos de la Sociedad Española de Oftalmologia
Zusammenfassung
Monocular elevation deficiency (MED) is characterized by unilateral limitation of supraductions, similar in adduction and abduction, in addition to hypotropia and ptosis. We describe a case of a 62-year-old woman with long-standing left ptosis who was initially operated with a frontal suspension technique. On subsequent examinations, a MED of that eye was found. The passive duction test was positive, so the inferior rectus was recessed. In addition, a modified Nishida technique was performed, consisting of the scleral anchorage of the superior edges of the rectus, medial and lateral, 12 mm from the corneal limbus in the superonasal and superotemporal quadrants, respectively. Postoperatively, the left eye presented a minimal hypotropia of 3 PD. This modified technnique used here on the horizontal rectus muscles, turned out to be effective and safe for the correction of MED.