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Surgical Responses of Medial Rectus Muscle Recession in Thyroid Eye Disease-Related Esotropia

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  • In Jeong Lyu
  • Ju-Yeun Lee
  • Mingui Kong
  • Kyung-Ah Park
  • Sei Yeul Oh

Abstract

We evaluate the surgical outcomes and surgical responses of medial rectus muscle (MR) recession patients with thyroid eye disease (TED)-related esotropia (ET). The surgical dose-response curves 1 week postoperatively and at the final visit were analyzed. Univariable and multivariable linear regression analyses were applied to investigate factors influencing surgical dose-response. A total of 43 patients with TED-related ET that underwent MR recession were included. The final success rate was 86.0% and the rate of undercorrection was 14.0%. The surgical dose-response curves of TED-related ET showed a gentle slope compared with those of standard surgical tables. In the univariable model, simultaneous vertical rectus muscle recession was the only significant factor influencing surgical dose-response of MR recession in TED-related ET (β = -0.397, P = 0.044). In a model adjusted for age, sex, type of surgery, and preoperative horizontal angle of deviation, simultaneous vertical rectus muscle recession showed marginal significance (β = -0.389, P = 0.064). The surgical dose-response curve of TED-related ET was unique. Simultaneous vertical rectus muscle recession was associated with increased surgical dose-response in TED-related ET.

Suggested Citation

  • In Jeong Lyu & Ju-Yeun Lee & Mingui Kong & Kyung-Ah Park & Sei Yeul Oh, 2016. "Surgical Responses of Medial Rectus Muscle Recession in Thyroid Eye Disease-Related Esotropia," PLOS ONE, Public Library of Science, vol. 11(1), pages 1-9, January.
    • Handle: RePEc:plo:pone00:0146779
    DOI: 10.1371/journal.pone.0146779
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