DR. ASHWINI KORANNE

DR. RUCHI BODAT, DR. SHREYA SHAH, DR. MEHUL SHAH

Abstract

INTRODUCTION:MEDS IS A MONOCULAR ELEVATION DEFICIENCY IN ABDUCTION AND ADDUCTION CHARACTERISED BY HYPOFUNCTION OF SUPERIOR RECTUS AND INFERIOR OBLIQUE

METHODS:IN THIS RETROSPECTIVE COHORT STUDY,ALL MEDS PATIENTS REPORTED DURING 2010-2020 WERE RETRIEVED FROM EMR,DATA EXPORTED IN PRE-TESTED FORMAT AND ANALYSED USING SPSS 22 BASED ON DESCRIPTIVE ANALYSIS AND CROSS-TABULATION.

RESULTS:THE COHORT CONSISTS OF 62 CASES (FEMALES 26,MALES 36)WITH MEAN AGE 17 YEARS. 40 CASES WERE PEDIATRIC.KNAPP DONE IN 39,IR RECESSION IN 35,COMBINED KNAPP+IR RECESSION IN 17,SIGNIFICANT DIFFERENCE WAS FOUND(P=0.04).PTOSIS CORRECTION BY LPS RESECTION IN 21,BROW SUSPENSION IN 23 CASES.THERE WAS NO SIGNIFICANT DIFFERENCE IN THE RESULTS(P=0.234).

CONCLUSION:MEDS IS RARE DISEASE WITH VARIOUS CLINICAL FEATURES.THE SURGICAL MANAGEMENT OF STRABISMUS MAY HAVE MORE SUCCESS FOR THE COMBINED TECHNIQUE THAN FOR THOSE APPLIED ALONE.