Smartest Doc
Bilateral inferior rectus muscle recession in patients with graves orbitopathy: is it effective?
Ophthalmic Plastic and Reconstructive Surgery, 08/17/2012
Jellema HM et al. – Bilateral recession of the inferior rectus muscles in patients with Graves orbitopathy results in a shift of vertical duction range toward upgaze and a significant decrease of excyclodeviation. Overcorrection of cyclodeviation in downgaze has to be considered before planning this type of surgery. Poor preoperative elevation contributes to higher dose–effect responses. Considering all variables, the orthoptic picture does not change after 3 months of surgery.