A comparison of two different techniques for oculomotor torque reduction

R. Hoerantner, S. Priglinger, M. Koch, Thomas Haslwanter

Research output: Contribution to journalArticle

9 Citations (Scopus)


Purpose: To compare the results of two different surgical techniques: 'Cüppers technique', in which the torque of oculomotor rectus muscles is reduced by suturing the muscle to the globe in the posterior half of the globe; and 'Y-split recessions', in which the muscle torque is reduced by Y-splitting the rectus muscles, and reattaching the two halves at an angle to each other. Methods: We carried out a retrospective analysis of the outcome of surgery on 100 patients with infantile esotropia. Results: Both techniques show a sufficient reduction of strabismus angle variability, and minimal and maximal strabismus angle. Conclusion: Bothtechniques achieve satisfactory results. In addition, the Y-split technique allows for accurate control of the muscle torque and requires no access to the posterior half of the eye, which can facilitate the surgical approach. For a reduction in muscle torque, the Y-split recession is a good alternative to the established Cüppers technique.

Original languageEnglish
Pages (from-to)734-738
Number of pages5
JournalActa Ophthalmologica Scandinavica
Issue number7
Publication statusPublished - Nov 2007


  • Infantile esotropia
  • Nystagmus
  • Strabismus
  • Torque reduction


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