Esotropia asociada a la edad: manifestaciones clínicas y resultados terapéuticos

Sánchez, Pilar Gómez de Liaño; González, G. Olavarri; Sanz, P. Merino; Villafruela, J.C. Escribano

doi:10.1016/j.oftal.2016.04.004

Cited by 7 publications

(2 citation statements)

References 10 publications

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“…ARDE is known to occur in patients over 60 years old and may be related to orbital connective tissue degeneration because of aging [17]. Several characteristics, such as subacute onset and relatively young age at onset, were suggested as ways to differentiate DIE from ARDE in previous reports [18,19]. However, it is still difficult to clearly differentiate these pathologies.…”

Section: Discussionmentioning

confidence: 99%

Comparison of surgical dose response between divergence insufficiency esotropia and non-accommodative esotropia without divergence insufficiency

Park

Lee

2019

PLoS ONE

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Background The study compared the surgical dose-response relationship for divergence insufficiency esotropia (DIE) and non-accommodative esotropia without divergence insufficiency (non-DIE). Methods We carried out a retrospective review of a group of patients with DIE and non-DIE who underwent recession surgery of the medial rectus muscle in both eyes. Linear regression analysis compared surgical dose–response between the two groups. Results In the 15 patients with DIE, the mean preoperative ocular deviation at distant fixation was 25 prism diopters (PD), compared with 3 PD postoperatively. In the 38 non-DIE patients, the mean preoperative ocular deviation was 28 PD, compared with 3 PD postoperatively. The average surgical dose–response was 1.56 PD/mm in the DIE group and 2.91 PD/mm in the non-DIE group ( p < 0.001). Conclusions Surgical dose–response was significantly lower in DIE patients than in non-DIE patients. Augmented MR recession surgery could be regarded as an effective treatment option for patients with DIE. Further study with a larger sample and long-term follow-up is needed to seek the proper extent of surgery in these patients.

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Section: Discussionmentioning

confidence: 99%

Comparison of surgical dose response between divergence insufficiency esotropia and non-accommodative esotropia without divergence insufficiency

Park

Lee

2019

PLoS ONE

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“… 10 , 11 Surgery is not recommended in every case, and tolerance of diplopia in patients with ARDE is somewhat variable. 13 …”

Section: Discussionmentioning

confidence: 99%

Orbital magnetic resonance imaging is useful in age-related distance esotropia

Sánchez

González

Sanz

et al. 2018

Journal of Optometry

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PurposeTo describe findings for orbital magnetic resonance imaging (MRI) in patients with age-related distance esotropia (ARDE).MethodsWe compared 31 orbital MRI from patients with ARDE (77 ± 7 SD years) with 2 control groups: 32 orbits from individuals aged 18–50 years (33 ± 8 SD years) and 16 orbits from individuals aged >60 years (77 ± 7 SD years). MRI scans were acquired using 3D fast field echo in T1 sequence without fat saturation. Exclusion criteria for all groups were neurological or thyroid disease and a relevant ophthalmological history (e.g., high myopia, diplopia from another etiology, complicated cataract surgery, etc.). Muscle displacement and characteristics of the lateral rectus–superior rectus (LR–SR) intermuscular band were analyzed.ResultsThe analysis of the muscles and angles revealed a series of statistically significant differences (p < 0.07) between the groups. Subjects with ARDE had LR pulley positions 1.32 ± 0.19 mm lower than in younger controls, and the medial rectus (MR) pulley positions were 0.68 ± 0.19 mm lower than in younger. Older controls had LR and MR pulley positions 0.85 ± 0.20 mm and 0.49 ± 0.23 mm lower than in younger. ARDE subjects had LR pulley positions 0.46 ± 0.26 mm lower than in older control group. The LR–SR band was absent in 35.5% of ARDE patients and in 12.5% of older control group (p = 0.168).ConclusionsMRI showed that displacements of LR and LR–SR band degeneration could facilitate the diagnosis of patients with ARDE.

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Standard coronal orbital magnetic resonance imaging is an effective technique for diagnosing sagging eye syndrome

Kawai

Goseki

Ishikawa

et al. 2020

Graefes Arch Clin Exp Ophthalmol

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Esotropia asociada a la edad: manifestaciones clínicas y resultados terapéuticos

Cited by 7 publications

References 10 publications

Comparison of surgical dose response between divergence insufficiency esotropia and non-accommodative esotropia without divergence insufficiency

Comparison of surgical dose response between divergence insufficiency esotropia and non-accommodative esotropia without divergence insufficiency

Orbital magnetic resonance imaging is useful in age-related distance esotropia

Standard coronal orbital magnetic resonance imaging is an effective technique for diagnosing sagging eye syndrome

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