Modified adjustable suture hang-back recession versus conventional adjustable hang back recession in Strabismus cases: A tertiary care hospital based study

Authors

  • Nagendra Pasupuleti Government Medical College and Hospital, Anantapuramu, Andhra Pradesh, India
  • Padmavathi CG Government Medical College and Hospital, Anantapuramu, Andhra Pradesh, India

DOI:

https://doi.org/10.21276/apjhs.2017.4.1.37

Keywords:

Concomitant Deviation, Hang Back, Modified Adjustable HangBack, Strabismus

Abstract

Aim: To describe and compare modified hang-back recession with conventional hang-back recession in large angle concomitant exotropia. Methods: A prospective, interventional, double blinded, randomised study on adult patients (>18 years) undergoing single eye recession-resection for large angle (>30Prism Dioptres (PD) constant concomitant exotropia (XT) was conducted between July 2014 to December 2015. Patients in Group M underwent modified hang-back lateral rectus recession (LR) with adjustable knot while in Group C underwent conventional hang-back recession with adjustable knot. Outcome parameters studied were readjustment rate, change in deviation at 6 weeks, complications and need for re surgery at 6 months. Results: The groups were comparable in terms of age and pre operative deviation. The patients with the modified hang back (Group M) fared significantly better (p<0.05) than the conventional hang back (Group C) in terms of lesser need for adjustment, greater correction in deviation at 6 weeks and lesser need for re surgery at 6 months. Conclusion: This modification offers several advantages, significantly reduces re surgery requirement and has no added complications

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Author Biographies

Nagendra Pasupuleti, Government Medical College and Hospital, Anantapuramu, Andhra Pradesh, India

Assistant Professor, Department of Anesthesia

Padmavathi CG, Government Medical College and Hospital, Anantapuramu, Andhra Pradesh, India

Assistant Professor, Department of Ophthalmology,

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Published

2017-03-30

How to Cite

Nagendra Pasupuleti, & Padmavathi CG. (2017). Modified adjustable suture hang-back recession versus conventional adjustable hang back recession in Strabismus cases: A tertiary care hospital based study. Asian Pacific Journal of Health Sciences, 4(1), 247–250. https://doi.org/10.21276/apjhs.2017.4.1.37