Plication augmentation of the modified Hummelsheim procedure for treatment of large-angle @entity5971 due to XXXX .

@entity1 @entity5770 @entity1347 @entity5971 @entity2896
BACKGROUND: Multiple procedures have been described to treat a large-angle esodeviation with an associated abduction deficit. We report a plication augmentation of the Hummelsheim procedure for the management of @entity5971 and severe abduction deficit due to @entity2896 . METHODS: The medical records of @entity1 operated on using the plication augmentation Hummelsheim procedure at two tertiary centers were retrospectively reviewed. The surgery involved ipsilateral lateral rectus plication, half muscle transposition of the vertical rectus muscles to the paralytic plicated lateral rectus, Foster augmentation sutures, and ipsilateral medial rectus recession or botulinum toxin injection if it was found to be tight on intraoperative forced duction testing. Pre- and postoperative deviations, ocular motility findings, and complications were noted. RESULTS: A total of 13 @entity1 were included, all of whom had an @entity5971 with profound abduction deficit (-4 or more). Postoperative deviations ranged from 14(  ) of @entity5971 to 14(  ) of @entity5770 , with significant improvement of the abductive motion. No @entity1 developed @entity1347 . CONCLUSIONS: The plication augmentation Hummelsheim procedure resulted in correction of even very large esodeviations and improvement of the abduction force. This procedure may also better preserve the blood supply to the anterior segment compared to other surgical approaches.
