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R Apers

Publications and source records attributed to R Apers.

6 recordsLinked to original sources

Surgery on the extra-ocular muscles after orbital fracture.

We analyzed the files of 61 patients presenting with diplopia due to orbital fractures. Thirty-four patients needed a primary orbital reconstruction and this diminished the complaints of diplopia in most cases. In only 5 cases additional ocular surgery on the extra-ocular muscles was indicated. Of the 27 patients who did not require orbital surgery, 5 underwent extra-ocular muscle surgery to diminish diplopia. We present our guidelines for treatment, based on forced duction testing, ocular motility, primary position and field of binocular single vision.

Diplopia

Postoperative diplopia, also in children.

Permanent diplopia caused by strabismus surgery can also occur in children. In certain cases we see an analogy with the feared and well known persistent diplopia that can occur after anti-suppressive therapy. This article discusses some of these cases and their treatment.

Adolescent

Basic principles for strabismus reinterventions.

Fibro-elastic and mechanical factors are more important in reinterventions than in traditional strabismus surgery. It is imperative to detect them preoperatively and intraoperatively. For this purpose, the patient's personal history and complaints are analysed and some specific examination techniques are discussed such as the intraoperative eye position, the forced duction test, the muscle elasticity test and the spring back test.

Diplopia

Primary exodeviations. Surgical results of 94 patients operated since 1983.

Surgical results of 94 patients with primary exodeviation operated since 1983 are presented. Seventy-five patients where treated bilateral rectus externus muscle recession and 19 patients with recession of rectus externus combined with resection of rectus internus muscle. Both techniques have equal results.

Adolescent