Decrease in the rate of esotropia surgery in the United Kingdom from 2000 to 2010

Heng, Jacob S; MacEwen, C J

doi:10.1136/bjophthalmol-2012-302726

Cited by 11 publications

(11 citation statements)

References 15 publications

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“…The reduction in the amount of strabismus surgery performed on children over the 14‐year period examined is consistent with previous studies, which also found a decline in paediatric surgery in earlier time periods in England, Scotland, and Canada (although this doesn't appear to be the case in the United States). Paediatric strabismus surgery appears to have been declining from at least as early as 1968: strabismus operations on children decreased from 189 to 64 episodes per 100,000 population between 1968 and 2010 …”

Section: Discussionsupporting

confidence: 89%

“…This issue is relevant to studies that have investigated changes in the frequency of paediatric strabismus surgery because they don't include figures for all children. 9,10,12 It also means that it's theoretically possible that the increases we observe for strabismus surgery on patients aged 15 years or older could be driven by changes in surgery rates for children aged 15 years. However, we are confident this is not the case for the following reasons.…”

Section: Operations For Horizontal Deviationsmentioning

confidence: 99%

“…Given the growing evidence documenting both the negative consequences of strabismus, and benefits of strabismus surgery in adults to rectify it, we wondered whether there has been an accompanying rise in the frequency of strabismus surgery in adults. Several studies have found a decline in the frequency of paediatric strabismus surgery . Other studies have looked at the prevalence of strabismus surgery in patients over 60 or 65 years of age .…”

Section: Introductionmentioning

confidence: 99%

“…Several studies have found a decline in the frequency of paediatric strabismus surgery. [8][9][10][11][12] Other studies have looked at the prevalence of strabismus surgery in patients over 60 13,14 or 65 years of age. 15,16 To our knowledge, however, there are no studies that have investigated recent trends in the frequency of strabismus surgery undertaken in adults as a whole.…”

Section: Introductionmentioning

confidence: 99%

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Is the frequency of adult strabismus surgery increasing?

Astle

Foulsham

Foss

et al. 2016

Ophthalmic Physiologic Optic

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PurposeIn recent years there has been an increase in evidence for the functional and psychosocial benefits of correcting strabismus/heterotropia in adults. This study aimed to establish whether there has been an associated change in the frequency of strabismus surgery performed on adults in England since 2000. Methods Data on strabismus surgery performed in England between 2000 and 2014 were obtained from Hospital Episode Statistics, Health and Social Care Information Centre, England. The frequency of strabismus surgery was analysed for different age groups. Data were considered in the context of total population data for England, obtained from the Office for National Statistics. ResultsThere was little change in the total number of strabismus operations performed in 2000 to 2014 (1% reduction). In the same period the number of operations performed on children aged 0--15 years decreased by 17%. In contrast, there was a 24% increase in the number of strabismus operations performed on patients aged 15 years or older. Conclusions Although strabismus surgery is still most commonly performed on children, the data show there has been a significant increase in the number of strabismus operations performed on adults. We speculate that this increase is connected to the growing weight of evidence detailing the functional and psychosocial consequences of strabismus. These results have potential implications for the delivery of future care.

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Section: Discussionsupporting

confidence: 89%

Section: Operations For Horizontal Deviationsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Is the frequency of adult strabismus surgery increasing?

Astle

Foulsham

Foss

et al. 2016

Ophthalmic Physiologic Optic

View full text Add to dashboard Cite

show abstract

“…Data based on the clinical reviews in Hong Kong and Singapore supported the same trend [ 4 , 5 ]. It is also implied from studies that surgery for childhood esotropia was much more common than surgery for exotropia, although the proportion of surgery for esotropia has continued to decline in UK [ 6 – 8 ], Italy [ 9 ], and USA [ 10 ]. While a study based on an eye center of China showed that surgery for concomitant exotropia was more common than those for esotropia, the amounts of surgery for esotropia also increased from 2003 to 2006.…”

Section: Introductionmentioning

confidence: 99%

Exotropia Is the Main Pattern of Childhood Strabismus Surgery in the South of China: A Six-Year Clinical Review

et al. 2016

Journal of Ophthalmology

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Purpose. To evaluate the distribution pattern and changes of strabismus surgery in children based on the data collected from a local eye hospital in the south of China between 2006 and 2011. Methods. A retrospective analysis of all strabismus surgeries in children (<18 years) performed in the Eye Hospital of Wenzhou Medical University between 2006 and 2011 using the integrated information system. Result. A total of 2,219 strabismus surgeries were performed during the study period, with concomitant exotropia (44% of all surgeries) more than esotropia (27%, χ 2 = 42.7, p < 0.001). Total number of surgeries increased from 250 in 2006 to 508 in 2011, with a significant increase in concomitant exotropia: 38% of all surgeries in 2006 increased to 47% in 2011 (χ 2 = 29.4, p < 0.001). The increase of intermittent exotropia was approximately 26% of all increments of strabismus surgery between 2006 and 2011. Conclusion. Surgery for childhood exotropia was more frequent than esotropia in China. The proportion of exotropia progressively increased, while the proportion of esotropia decreased during these years. Intermittent exotropia was the main increment of strabismus surgery. Further population-based studies are needed to confirm the proportion of surgery and whether the incidence of strabismus surgery increased in China.

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Characteristics and differences of strabismus surgeries performed in private versus public settings: a national multicenter study

2023

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Decrease in the rate of esotropia surgery in the United Kingdom from 2000 to 2010

Abstract: Rates of strabismus surgery in children, especially for esotropia, continued to decrease between 2000 and 2006, but may have stabilised from 2006 to 2010.

Cited by 11 publications

References 15 publications

Is the frequency of adult strabismus surgery increasing?

Is the frequency of adult strabismus surgery increasing?

Exotropia Is the Main Pattern of Childhood Strabismus Surgery in the South of China: A Six-Year Clinical Review

Characteristics and differences of strabismus surgeries performed in private versus public settings: a national multicenter study

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