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Results of extraocular muscle surgery in WEBINO bilateral internuclear ophthalmoplegia patients
Journal article   Peer reviewed

Results of extraocular muscle surgery in WEBINO bilateral internuclear ophthalmoplegia patients

Gill Roper-Hall, Oscar A Cruz and Sophia M Chung
Journal of AAPOS, Vol.12(3), pp.277-281
06/2008
DOI: 10.1016/j.jaapos.2007.11.013
PMID: 18329922

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Abstract

To evaluate the results of extraocular surgery in patients with large exotropias from "wall-eyed" bilateral internuclear ophthalmoplegia (WEBINO). Eight patients with WEBINO evaluated between November 1994 and October 2006 underwent extraocular muscle surgery. Three patients required a second procedure. An 85% reduction in exodeviation occurred postoperatively. Fusion responses were demonstrable in 87.5% of patients. Other ocular signs of internuclear ophthalmoplegia (INO) such as adduction limitation, abducting nystagmus, and ocular dysmetria also improved. These results were obtained following two-staged unilateral recession-resection procedures in seven patients; the remaining patient underwent bilateral lateral rectus recessions. Binocular outcomes are achievable in patients with WEBINO following extraocular muscle surgery, and associated ocular signs may be reduced or eliminated.
Eye Movements - physiology Follow-Up Studies Humans Middle Aged Male Oculomotor Muscles - physiopathology Treatment Outcome Patient Satisfaction Exotropia - physiopathology Oculomotor Muscles - surgery Adult Female Aged Retrospective Studies Ophthalmologic Surgical Procedures - methods Exotropia - surgery

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