Resumo

CACERES TOLEDO, María  e  PEREZ MENDONZA, Raiza. Therapeutic variants of restricted strabismus. Rev Cubana Oftalmol [online]. 2009, vol.22, n.2, pp. 8-14. ISSN 1561-3070.

INTRODUCTION: Restricted strabismus is the most common sequelae of thyroid-related orbitopathy. This occurs when the muscles are displaced into the perinasal sinuses. The objective of this paper was to determine the most effective therapy to eliminate diplopia in primary look and reading positions. METHODS: A longitudinal prospective and descriptive study was conducted in 15 patients with restricted strabismus, from May 2006 to February 2007. RESULTS: the use of prisms solved diplopia in 67 % of cases; surgery eliminated this problem in 20 % of cases whereas the rest was corrected with the combination of both methods, reaching 93 % of therapeutic effectiveness. Diplopia did not disappear in one of the cases with strabismus after decompressive orbital surgery. DISCUSSION: The interviewed researchers agreed that this entity prevailed in the female sex. Most of the patients with mild and moderate restrictive strabismus solved their diplopia with the use of prisms. CONCLUSIONS: The use of prisms is the most effective treatment. The evolution of strabismus after decompressive surgery was worse than before the operation.

Palavras-chave : Restricted strabismus; prisms; surgery.

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