Posterior Fixation Suture or Fadenoperation 1982 Update

Abstract

The posterior fixation suture, or fadenoperation, has been shown to be a highly successful procedure when applied to patients with dissociated vertical deviations and abnormal distance/near relationships. In the former group, inferior oblique surgery and appropriate horizontal surgery are combined. Bilateral DVD patients are operated separately. Recurrent deviations may be corrected by re-operations.

Abnormal distance/near relationships may be reduced by a mean of 13 prism diopters with 70 percent of the patients normalizing their abnormal distance/near relationship without bifocals. Eighty-five percent of the patients who wore preoperative bifocals discarded them postoperatively. The long term stability of both procedures is excellent. Patients with nystagmus blockage syndrome achieved equal success with standard esotropia surgery or with esotropia surgery combined with a posterior fixation suture.

• posterior fixation suture
• faden operation
• dissociated vertical deviation
• esotropia
• high AC/A
• nystagmus blockage syndrome