Factors Influencing the Postoperative Results in Concomitant Convergent Strabismus

Dunnington, John H.; Regan, Ellen F.

doi:10.1097/00006324-195109000-00008

Cited by 4 publications

(4 citation statements)

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“…In long-term follow-up, the rate of consecutive exotropia was recorded as high as 20% in esotropic cases. 10 In conclusion, our study suggests that, we should not hurry to operate on high hypermetropic partially accommodative cases, which have amblyopia and a longterm history of strabismus. Initial amblyopia treatment in these cases allows time for the resolution of the nonaccomodative component in strabismus.…”

Section: Discussionmentioning

confidence: 65%

Resolution in partially accomodative esotropia during occlusion treatment for amblyopia

Koç¹,

Özal²,

Yaşar³

et al. 2005

Eye

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Purpose To evaluate alignment changes in partially accommodative esotropia during occlusion treatment for amblyopia. Method Changes at the deviation angles of 63 partially accommodative esotropia patients, who had occlusion treatment for amblyopia, were evaluated retrospectively. Results Mean deviation angle at the start of therapy without glasses was 45 PD (10-90 PD) and became 27 PD (5-70 PD) after at least 2 months with glasses. During 12 (2-36) months of occlusion period, mean manifest deviation angle with glasses decreased to 11 PD (0-50) (Po0.001) and amblyopia resolved in 71.5% of the cases. After termination of amblyopia treatment 24 (38%) cases had surgery for the residual deviation but if we had planned surgery before amblyopia treatment, 81% of the patients would have had surgery. Discussion Should amblyopia be treated initially or should we operate first in patients with strabismus and amblyopia together? Our research suggests that we should not hurry to operate in high hypermetropic partially accommodative cases, which have amblyopia and a long-term history of strabismus. Initial amblyopia treatment in these cases allows time for resolution of the nonaccomodative component in strabismus and can significantly decrease the necessity for surgery.

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Section: Discussionmentioning

confidence: 65%

Resolution in partially accomodative esotropia during occlusion treatment for amblyopia

Koç¹,

Özal²,

Yaşar³

et al. 2005

Eye

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“…[12][13][14] The incidences in the reported series of consecutive exotropia ranged from 4 to 20% and initially uncorrected high hyperopia was found to be one of the responsible factors in the development. 15,16 This study showed that neither the size of the deviation nor the amount of refractive error could help differentiate infantile accommodative esotropes from infantile essential esotropes at the beginning of the therapy. The incidence of amblyopia was almost similar in the groups before and after occlusion treatment.…”

Section: Discussionmentioning

confidence: 86%

Is it possible to differentiate early-onset accommodative esotropia from early-onset essential esotropia?

Koç

Özal

Firat

2003

Eye

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Purpose To determine the frequency of Z2.50 diopter (D) hyperopia in infantile esotropia with onset up to the age of 6 months and by evaluating the treatment results of these cases retrospectively, to find the factors that may help to differentiate early-onset accommodative esotropia from early-onset essential esotropia. Methods The charts of 256 patients with infantile esotropia were reviewed. Thirtyseven cases, with hyperopia of Z2.50 D, no other systemic and neurologic disease, and at least 1 year of follow-up, were included in this study. The age at the start of therapy, refractive error, deviation angle, type of therapy (antiaccommodative therapy, surgery) and the presence of amblyopia, latent nystagmus, inferior oblique overaction, dissociated vertical deviation and cross-fixation were recorded for each case.

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“…The incidence in reported series of consecutive exotropia range from 4% to 21% (Dunnington and Regan 1950;Bietti and Bagolini 1965;Ganesh et al 2009). These patients can be classified on the basis of whether the overcorrection was planned, if it occurs in the early or late postoperative period and the potential for BSV.…”

Section: Postoperative Consecutive Exotropia Following Surgery For Prmentioning

confidence: 99%

Exotropia

2013

Diagnosis and Management of Ocular Motility Disorders

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Factors Influencing the Postoperative Results in Concomitant Convergent Strabismus

Cited by 4 publications

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Resolution in partially accomodative esotropia during occlusion treatment for amblyopia

Resolution in partially accomodative esotropia during occlusion treatment for amblyopia

Is it possible to differentiate early-onset accommodative esotropia from early-onset essential esotropia?

Exotropia

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