Estrabismo sensorial: estudo de 191 casos

Oliveira, Bráulio Folco Telles de; Bigolin, Silvane; Souza, Murilo Barreto; Polati, Mariza

doi:10.1590/s0004-27492006000100014

Cited by 14 publications

(4 citation statements)

References 7 publications

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“…Most authors perform surgery only on the affected, deviated eye. 8,9 In our institution, there is strong preference towards a monocular recession and resection in unilateral poor vision cases. Three patients underwent bilateral lateral rectus recessions because of bilaterally poor vision.…”

Section: Discussionmentioning

confidence: 94%

“…Published studies had different insights and outcomes as the surgeries performed are highly dependent on surgeon preference and capability. [5][6][7][8] The difficulty in comparing the results of various studies was noted by the authors because of the highly variable age groups and/or different surgical techniques used. [5][6][7][8] In this study, the average time from diagnosis to surgery was 8.97 ± 12.62 years because of non-urgency of the cases, with the primary indication being only for cosmesis.…”

Section: Discussionmentioning

confidence: 99%

“…Several studies performed similar descriptive studies to create a picture of their surgical outcomes with sensory XT. [5][6][7][8][9] A retrospective study by Lajmi et al in 2019 described outcomes in 43 sensory XT patients. On day one postoperatively, 30 patients were orthotropic (70%).…”

Section: Discussionmentioning

confidence: 99%

“…The results of the study showed survival analysis with decreasing probability of maintaining alignment over time which showed similarities with other studies despite the difficulty in comparing the results of various studies because of the highly variable age groups and/or different surgical techniques per study. [5][6][7][8] This study had inherent limitations. The retrospective nature conduct of the study meant absence of control over the uniform treatment of the surgical protocol, the follow-up appointment measurements, and the surgeons.…”

Section: Discussionmentioning

confidence: 99%

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Surgical Outcomes for Sensory Exotropia in a Tertiary Hospital in Manila, Philippines

2023

Acta Med Philipp

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Background and Objective.There is no strict by-the-book rule as to which approach is the best strabismus surgery for patients with sensory exotropia. More commonly, a monocular lateral rectus recession and a medial rectus resection (monocular R & R; MRR) is performed in the eye with a poorer prognosis. Rarely, for larger deviations, a third or fourth horizontal muscle in the better eye is added. This study aimed to determine the outcomes of strabismus surgery performed for sensory exotropia in a tertiary hospital in the Philippines. Methods.The medical records of all patients with sensory exotropia who underwent strabismus surgical correction from January 2015 to December 2019 were retrospectively reviewed.Results. A total of 29 medical records satisfied the inclusion criteria. Mean age at diagnosis and at the time of surgery were 7.5 ± 11.6 (range: 1 to 68 years) and 12.4 ± 16.2 years (range: 1 to 68 years) years old, respectively, with a mean follow-up of 6.2 months (range: 3 to 24 months). After a mean follow-up of 6.2 months, the overall success (alignment in primary position is within 10 prism diopters of orthotropia) was relatively low, where 34% were successful, 65.5% developed recurrence, and none had overcorrections. Survival plots of both surgeries revealed a decline in success probability in achieving desired alignment six months after surgery. Conclusion.We reported the surgical outcomes of 29 patients with sensory exotropia. The general trend realized was that the decline in success rates of good alignment was evident beginning six months post-operatively. The retrospective design serves as a limitation and hence, readers should treat results with caution.

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Section: Discussionmentioning

confidence: 94%