Clinical Audit of Horizontal Strabismus Surgery in Children in Maharashtra, India

Gogate, Parikshit; Rishikeshi, Nikhil; Taras, Sudhir; Aghor, Megha; Deshpande, Madan

doi:10.3109/09273970903567618

Cited by 5 publications

(7 citation statements)

References 6 publications

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“…In the cosmetic goal group, an excellent outcome was found in 68.8% at the first post-operative visit but dropped to 58.4% at the last visit, while a poor outcome was found in 20.8% at the first visit and increased to 32.5% at the last visit. These findings are generally similar to those in other studies 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13. The reoperation rate was 10.1%, which is within the range of rates reported internationally (6–23.8%) in studies of patients with variable etiology of ET and of different ages 2, 4, 7, 8, 9.…”

Section: Discussionsupporting

confidence: 91%

“…Surgeries to correct ET are reported to have successful outcomes in 48.5–89.7% of cases globally 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13. The large variability in success rates is due to differences in the post-operative angle from orthophoria used to assess outcome, the etiology of ET, the type of procedure, the length of post-operative follow-up, and other associated risk factors.…”

Section: Introductionmentioning

confidence: 99%

“…Due to the unclear unified metrics used to audit the outcomes of strabismus surgery, consent is incomplete. There are currently just a few studies that can be used to inform patients’ about surgical outcome, but none from KSA 10, 12…”

Section: Introductionmentioning

confidence: 99%

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Outcomes of esotropia surgery in Saudi Arabia: An audit from a single center

Sulayem

Bin-Khathlan

2018

Saudi Journal of Ophthalmology

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PurposeTo monitor the outcomes of surgical correction of esotropia in order to improve preoperative counselling for patients and their families.MethodsA retrospective review audit of the medical charts at King Fahad Medical City. All patients treated surgically to correct esotropia, from January 2007 to December 2013. All operated cases were included regardless of age and esotropia etiology. The study used a goal-determined metric to assess the outcomes of strabismus surgery > 6 months post-operatively, and on last follow-up. The risk factors for poor surgical outcomes were identified using a Pareto chart.ResultsA total of 99 cases with sufficient documentation to determine the surgical goal were included in the analysis. The goal was to improve eye contact (cosmetic correction) in 77.8% cases, to establish binocularity in 15.2% cases, to resolve diplopia for 4% cases, and to improve anomalous head posture for 3%. The overall outcome was excellent for 70.7% at the first follow-up and for 57.6% at the final visit. Simultaneous vertical muscle surgery and/or superior oblique muscle palsy were risk factors for poor outcome (odds ratio 3.15, 95% CI 1.11–8.99).ConclusionsExcellent outcome of esotropia surgery in this study is comparable to outcomes reported internationally using the goal determined metrics. Quality improvement processes like the Pareto chart are simple to use and helpful for determining the risk factors associated with poor surgical outcomes after esotropia correction from different etiology.

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Section: Discussionsupporting

confidence: 91%

Section: Introductionmentioning

confidence: 99%

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Outcomes of esotropia surgery in Saudi Arabia: An audit from a single center

Sulayem

Bin-Khathlan

2018

Saudi Journal of Ophthalmology

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“…14,15 Pre-op binocular vision was a significant influencing factor, which was similar to other studies. 9,12 Contrasting results to this has also been presented in various scientific papers. 8,11 Other influencing factors like; age group, diagnosis and pre-op VA were not significant as an influencing factor in our study.…”

Section: Discussionmentioning

confidence: 93%

“…8,9,12,13 Lower surgical success for large angle deviation has also been presented in few studies. 14,15 Pre-op binocular vision was a significant influencing factor, which was similar to other studies.…”

Section: Discussionmentioning

confidence: 99%

An assessment of surgical outcome with the influencing factors of horizontal strabismus surgery

Pandey

Bajracharya

et al. 2017

Asian J Med Sci

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Background: Influencing factors of conventional horizontal surgery for surgical outcome has not been assessed in Nepal. Aims and Objective: To assess the pre-operative factors that influences the surgical outcome of horizontal strabismus surgery. Materials and Methods: The medical records of 68 patients who underwent their first horizontal strabismus surgery at Lumbini Eye Institute from 1 st January to 30 th December 2015 were retrospectively reviewed. The collected clinical data included diagnosis, age group, visual acuity, binocular function, extraocular motility and pre and postoperative deviation. The success of surgery was defined by eye deviation less than 10 prism diopters (PD) at 6 weeks after operation. The influencing factors for surgical success (diagnosis, age group, visual acuity, binocular function, and angle deviations) were analyzed using chi square test and Mann-Whitney -U test, where ever appropriate. Results: Out of 113 patients who underwent strabismus surgery during the year, 68 patients were enrolled in the study. Majority of the patients (27, 39.7%) were >9 years of age and 52.9% were female. Thirty seven patients (54.4%) were esotropic whereas, 31 were exotropic. Preoperatively, angle of deviation ranged from 20 to 90 PD with binocular vision present in 57.4% cases. Overall, success was seen in 26 patients (38.2%). Pre-operative angle of deviation and binocular vision had statistical significance with surgical success (p = 0.012 and 0.026 respectively). Conclusion: Larger angle of deviation and poor binocular vision at presentation has higher failure rate for horizontal strabismus surgery.

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Eficacia y seguridad de la sutura ajustable en estrabismos horizontales: estudio comparativo de niños frente a adultos

Burgos-Blasco²,

Liaño³

et al. 2022

Archivos de la Sociedad Española de Oftalmología

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Clinical Audit of Horizontal Strabismus Surgery in Children in Maharashtra, India

Abstract: Recess-resect procedures had better outcome as compared to bilateral recess procedures, but it was not statistically significant. Clinical audit helped maintain and improve good outcome over the 3 years.

Cited by 5 publications

References 6 publications

Outcomes of esotropia surgery in Saudi Arabia: An audit from a single center

Outcomes of esotropia surgery in Saudi Arabia: An audit from a single center

An assessment of surgical outcome with the influencing factors of horizontal strabismus surgery

Eficacia y seguridad de la sutura ajustable en estrabismos horizontales: estudio comparativo de niños frente a adultos

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