ABSTRACT
ABSTRACT: Purpose: To report our experience with augmented rectus muscle transposition surgery for the treatment of complex strabismus. Methods: Preoperative and postoperative data of 12 patients who underwent augmented transposition of vertical or horizontal rectus muscles for the treatment of compex strabismus were retrospectively analyzed. Results: Diagnoses included Duane syndrome with esotropia (5), double elevator palsy (6), and medial rectus palsy (1). Mean age was 21.75 years and mean follow-up was 5 months. Compared to the preoperative measurement, postoperatively esotropia in primary position improved a mean of 15 prism diopters in patients with Duane syndrome, hypotropia in primary position improved a mean of 8 prism diopters in patients with double elevator palsy, and orthophoria was obtained in primary position in patient with medial rectus palsy. Conclusions: Augmented vertical or horizontal rectus muscle transposition surgery which enhances the effect of transposition seems to be effective for treatment of complex strabismic disorders.
