Surgical treatment for paralytic horizontal strabismus

AIM: To observe the effect of surgery for paralytic horizontal strabismus and the paralytic horizontal strabismus performed by Jensen procedure with antagonist muscle of paralytic muscle recession and medial or lateral rectus extra large resection/recession.<p>METHODS: Fifteen cases(17 eyes)with complete or nearly complete paralytic horizontal strabismus from January 2005 to August. 2014 in our hospital were assessed retrospectively,7 eyes of 7 cases with treatment group A were performed Jensen procedure combined antagonist muscle of paralytic muscle recession, 10 eyes of 8 cases with treatment group B were performed medial or lateral rectus extra large resection/recession. seventeen eyes of 15 cases with an average of 21±8.71mo follow-up were observed.<p>RESULTS: All 17 eyes of 15 cases after the operation obtained satisfied effects, 16 eyes of 14 cases obtained ideal long-term effect. One eye of a patient with a 6mo follow-up was undercorrected of 30^△. We found a varying degree of postoperative improvement in visual function. There was a significant reduction in the strabismus angle for distance and near(<i>t</i>=28.71, <i>P</i><0.001; <i>t</i>=36.21, <i>P</i><0.001), broadening of the field of binocular single vision(<i>t</i>=17.96, <i>P</i><0.001), and increase in the motor ability of the paralytic muscle(<i>t</i>=9.20,<i>P</i><0.001).<p>CONCLUSION: Jensen procedure combined antagonist muscle of paralytic muscle recession and medial or lateral rectus extra large resection/recession is a safe and successful method of treatment in complete or nearly complete paralysis horizontal strabismus. Patients achieve orthophoria, improvement of the motor ability, and larger field of binocular single vision for long time