Graves Ophthalmopathy, Strabismus, Mechanical
Conditions
Brief summary
The purpose of this study is to evaluate supramaximal rectus recession for strabismus in Grave's Ophthalmopathy
Detailed description
To evaluate the effectiveness and complications of supramaximal rectus recession for large-angle strabismus in Grave's Ophthalmopathy
Interventions
inferior rectus recession is 10mm,medial rectus recession is 9mm,superior rectus recession is 14mm for large-angle strabismus
inferior rectus recession is 7mm,medial rectus recession is 7mm,superior rectus recession is 7mm for large-angle strabismus
Sponsors
Study design
Eligibility
Inclusion criteria
* Clinical diagnosis of Grave's ophthalmopathy * angle of deviation more than 20° * clinically and biochemically euthyroid for at least 3 months; * a stable orthoptic examination for at least 3 months, for example no greater than five prism dioptre change in primary position and no greater than an 8° change in duction * monocular and mainly single extraocular muscle restricted motility
Exclusion criteria
* Patients with suppression, previously diagnosed and/or treated strabismus not related to the thyroid * best-corrected visual acuity (BCVA) less than 0.2 in one or both eyes
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Postoperative deviations | 6 weeks | Postoperative deviations in the primary position were measured in prism diopters |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| binocular single vision | 6 weeks | measure the triple visual function including simultaneous vision, fusion range and distance stereoacuity with synoptophore. |
| stereoacuity | 6 weeks | measure near stereoacuity in downgaze position and distance stereoacuity in primary position with random-dot stereopsis. |
| ocular motility | 6 weeks | evaluate the ocular motility with fixed visual field examination ,scaled from -4 to +4 |