Thanh bên bài viết

PDF
Đã xuất bản: 2025-12-24
Số lượt xem tóm tắt: 12
Số lượt xem PDF: 0
DOI: https://doi.org/10.52163/yhc.v66i8.4049
Số xuất bản
Tập 66 VoL.English Version 2
Chuyên mục
Bài báo khoa học
Cách trích dẫn
Anh, N. K., Huy, N. V., & Van, N. T. (2025). EVALUATION OF THE EFFECTIVENESS OF EXTRAOCULAR MUSCLE FENESTRATION SURGERY IN THE TREATMENT OF HORIZONTAL SENSORY STRABISMUS. Tạp Chí Y học Cộng đồng, 66(8). https://doi.org/10.52163/yhc.v66i8.4049

EVALUATION OF THE EFFECTIVENESS OF EXTRAOCULAR MUSCLE FENESTRATION SURGERY IN THE TREATMENT OF HORIZONTAL SENSORY STRABISMUS

Nong Kim Anh1, Nguyen Van Huy1, Nguyen Thanh Van1
1 University of Medicine and Pharmacy – Vietnam National University, Hanoi

Nội dung chính của bài viết

Tóm tắt

Objective: To evaluate the effectiveness of extraocular muscle fenestration surgery in the treatment of horizontal sensory strabismus.


Subjects and Methods: A prospective descriptive study was conducted on 37 patients diagnosed with horizontal sensory strabismus who underwent extraocular muscle fenestration in the Pediatric Ophthalmology Department at Vietnam National Eye Hospital from December 2024 to July 2025. Both male and female patients aged ≥16 years were included.


Results: The study included 37 patients (mean age 27.2 ± 10.8 years), with the majority aged 16–40 years. The mean preoperative deviation angle was 33.5 ± 12.9 PD in sensory exotropia and 37.7 ± 11.8 PD in sensory esotropia. The surgical success rate (<10 PD) was 83.8% for sensory exotropia and 84.6% for sensory esotropia.


Conclusion: Extraocular muscle fenestration achieved high success in ocular alignment, with 83.8% in sensory exotropia and 84.6% in sensory esotropia. The mean deviation angle significantly decreased from 37.7 PD to 2.9 PD (exotropia) and from 33.5 PD to 6.7 PD (esotropia), with stable postoperative outcomes.

Chi tiết bài viết

Từ khóa

sensory strabismus, extraocular muscle fenestration, amblyopia.

Tài liệu tham khảo

1. C.-W. Chen, Qin-Zhu, C.-H. Ma, and J.-Y. Yao, “Evaluation of retinal microvasculature in exotropia with abnormal binocular vision by optical coherence tomography angiography,” BMC Ophthalmology, vol. 23, no. 1, p. 152, Apr. 2023,
2. M. Khorrami-Nejad, A. Alghurab, M. R. Akbari, E. Azizi, and B. Masoomian, “Sensory Strabismus; A Literature Review,” J Binocul Vis Ocul Motil, vol. 74, no. 1, pp. 32–40, 2024.
3. A. M. Chen and S. A. Cotter, “Case Report: Gross Convergence Therapy for the Treatment of Sensory Exotropia in a Patient with Severe Vision Loss,” Clinical Insights in Eyecare, vol. 2, no. 4, Sept. 2024, Accessed: Oct. 12, 2025.
4. I. Hashim and C. Al-Haddad, “Scleral Perforation as a Complication of Strabismus Surgery: A Literature Review,” J Pediatr Ophthalmol Strabismus, vol. 59, no. 4, pp. 214–223, 2022,
5. H. S. Eustis, T. R. Elmer, and G. Ellis, “Postoperative results of absorbable, subconjunctival adjustable sutures,” J AAPOS, vol. 8, no. 3, pp. 240–242, June 2004,
6. M. A. Rageh, A. Awadein, and S. A. Arfeen, “Extraocular muscle fenestration: a novel weakening procedure,” Canadian Journal of Ophthalmology, vol. 55, no. 5, pp. 455–457, Oct. 2020,
7. “Extraocular muscle fenestration: a novel weakening procedure - Canadian Journal of Ophthalmology.” Accessed: Dec. 30, 2024.
8. S. G. Taher, M. A. Rageh, and O. Hashem, “Extra Ocular Muscle Fenestration as a Weakening Maneuver for Surgical Management of Strabismus: A Randomized Pilot Clinical Trial” OPTH, vol. 16, pp. 63–70, Jan. 2022,
9. “Journal of the Egyptian Ophthalmological Society.” Accessed: Oct. 12, 2025.
10. M. Elkhawaga, A. Kassem, and A. Elkamshoushy, “Treatment of intermittent exotropia in children using a lateral rectus fenestration technique,” Journal of the American Association for Pediatric Ophthalmology and Strabismus (JAAPOS), vol. 27, no. 6, p. 343.e1-343.e4, Dec. 2023,