Table 3.
Eye Position and Surgical Outcomes In Patients With Ocular Myasthenia Gravis
| Pt | Pre-Operative Deviation (PD) | Initial Procedurea | Forced Duction Test | Residual Horizontal Deviation (PD)b | Residual Vertical Deviation (PD)b | Second Pre-Op Horizontal Deviation (PD) | Second Pre-Op Vertical Deviation (PD) | Second Procedure | Second Residual Horizontal Deviation (PD)c | Second Residual Vertical Deviation (PD)c | Final Horizonta l Deviation (PD)d | Final Vertical Deviation (PD)d |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 65 XT | RLRc 8.5, BMRs 7 | OD mild restriction to adduction, OU milld restriction to supraduction | 0 | 10 | −42.5 | 0 | RMRs 5, RLR advanced from 14 to 8 mm from limbus | 0 | −3.5 | 35 | 10 | |
| 2 | 16 LHT | RSRs 4, LIRs 4 | (−) | 0 | 0 | 10 | −45 | LIRc 4.5, LSRs 4.75 | 0 | 0 | 0 | 10 |
| 3 | 20 LHT | RSRs 6.5 | (−) | 0 | 5 | 0 | 4 | |||||
| 4 | 20 XT, 27.5 RHT | LSRs 4.5, BLRc 5.5 | (−) | −6 | 0 | −6 | 10 | RSRc 3.5 | 0 | 0 | 0 | 3 |
| 5 | 28 XT, 25 LHT | LMRs 10, LSRc 8 | OS mild restriction to adduction, mod restriction to depression | −10 | 6 | 12 | 10 | |||||
| 6 | 40 ET, 8 RHT | BMRc 5.5 (transp. Inf ½ TW), LIRc 3 | (−) | 4 | 0 | 8 | 0 | |||||
| 7 | 120 LHT | RIRc 7, LSRc 10 | OD mod limit to supraduction, mild limit to infraduction, OS severe limit to infraduction | 0 | 50 | 0 | 50 | LIR plication 10 | 0 | 0 | 25 | 20 |
| 8 | 90 XT | BLRc 8, BMRs 6 | Limit to adduction OU | 0 | 2 | 15 | 25 | LIRc 5, BMRs 4 | 8 | 10 | −4 | 10 |
| 9 | 14 RHT | LSO Sp 4, LIRc 4 | (−) | 0 | 0 | 0 | 0 |
Procedures: RLRc = right lateral rectus muscle recession, BMRs = bilateral medial rectus muscle resection, RSRs = right superior rectus muscle resection, LIRs = left inferior rectus muscle resection, LSRs = left superior rectus muscle resection, BLRc = bilateral lateral rectus muscle recession, LMRs = left medial rectus muscle resection, LSRc = left superior rectus muscle recession, BMRc = bilateral medial rectus muscle recession, LIRc = left inferior rectus muscle recession, RIRc = right inferior rectus muscle recession, LSO Sp = left superior oblique muscle spacer, RSRc = right superior rectus muscle recession, Inf transp. ½ TW = inferior transposition one-half tendon width for V-pattern. All procedures are amount of surgery performed prior to adjustment.
On Post-operative Day #1 after initial surgery and after adjustment (if performed)
On Post-operative Day #2 after second surgery if performed, and after adjustment (if performed)
On final recorded visit