Researchers Find Simple Surgery Fixes Crossed Eyes

Researchers at Children's Hospital Boston have discovered a simple surgery can correct strabismus, misalignment and limited movement of one or more eyes, with a quicker recovery time than previous surgical treatments, according to a Children's Hospital Boston news release.

The new procedure repositions the superior rectus, a muscle that usually moves the eye up, to move the eye outward. Previous procedures repositioned more than one muscle and sometimes resulted in over-correcting and reducing the eye's inward movement or causing the eye to become vertically misaligned. Corrective surgery was then needed. The procedure, known as superior rectus transposition with adjustable medial rectus recession, was performed on 17 patients with complex strabismus who could not move an eye outward.

In the study, horizontal eye movement improved about 45 percent and inward-turning or crossing of the eye improved by about 75 percent. Outward movement also improved at a minimal cost to inward movement. Eight of the 17 patients regained depth perception. Three patients with especially complex problems required a repeat operation.

David Hunter, MD, chief of ophthalmology at Children's Hospital Boston, led the research and results were published in the February issue of Archives of Ophthalmology.

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