Large-Angle Strabismus: Can a Single Surgical Procedure Achieve a Successful Outcome?

Thomas, Simmy; Guha, Sujata

doi:10.3109/09273972.2010.525778

Cited by 25 publications

(20 citation statements)

References 21 publications

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“…In our study, we conclude that the prevalence of secondary surgery in squinted eye patients was low, but With regard to the results of treating amblyopia by occlusion , there were a high number in delaying treating amblyopia which may suggest the distance of the patients' domicile from hospital or lack of education , So we recommend the importance of inform and educate other health care practitioners, including primary care physicians, as well as teachers, parents, and patients about the visual complications of strabismus and the availability of treatment and management. Also screening is very important especially in developing countries as the early treatment is essential for a good visual and learning outcome [1][2][3][4][5][6][7][8][9][10].…”

Section: Resultsmentioning

confidence: 99%

The Presentation of Misaligned Eyes in Children with Pervious Squint Surgery at Tripoli Eye Hospital

2017

Medical &Amp; Clinical Research

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Strabismus, is one of the most common ocular problems in children. It can be treated with conservative therapy such as glasses, prisms, patching and/or orthoptic exercises, with a majority of the cases eventually requiring correction with eye muscle surgery. The benefits of surgical correction include elimination of diplopia, restoration of binocular single vision, and improvement of cosmesis and psychosocial status. However, some reports in the past two decades have indicated the possibility of good surgical outcomes, and significant improvements of central and peripheral binocular visual function even in adult patients. The aim of this present study is to determine the prevalence of squinted eyes with previous squint surgery in patients attend the squint outpatient clinic.

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Section: Resultsmentioning

confidence: 99%

The Presentation of Misaligned Eyes in Children with Pervious Squint Surgery at Tripoli Eye Hospital

2017

Medical &Amp; Clinical Research

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“…Surgery does not improve the esotropia that occurs without eyeglasses but is performed to correct any residual deviation that remains after treatment with eyeglasses. A randomized, multicenter trial showed a slight improvement in postoperative alignment for patients with esotropia who, before surgery, had fusion after a week of wearing eyeglass-mounted prisms to mimic the effect of surgery (prism adaptation), as compared with patients who had surgery without prism adaptation or who did not have fusion with the prisms (18)(19)(20). However, the benefit, although statistically significant, was modest, and this technique is not universally used.…”

Section: Resultsmentioning

confidence: 99%

Clinical Features and Outcome of Strabismus Surgery in Children

2016

IJSR

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Pediatric strabismus must be treated early to maximize the potential for binocular vision and decrease the risk of amblyopia.Treatment goals include good vision in each eye and straight eyes. The aim of this study was to describe the outcome of strabismus surgery. The study was conducted at University Hospital Center "Mother Theresa" in Tirana, Albania over the period 2014 -2015 including one hundred patients. The mean age of patients was 11.9 (±3.2) years, with a range 1 to 22 years. 44% were females and 56% males. Abnormal head posture was present in 11% of patients. Extra ocular movements were full in 65.5% right eyes and 26.5% left eyes. Regarding the distribution of patients according to visual acuity, 74% had visual acuity 6/6-6/18, 16% had visual acuity of <6/60 and 10% had visual acuity of 6/24-6/60 prior to surgery. Surgery in children with esotropia should be performed as early as possible to preserve stereopsis.

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“…The surgical technique includes two-, three-or four-muscle surgery done in one or two stages. [5][6][7][8] It is advised by most authors that up to two-muscle surgery should be performed in one stage and if there is any exodeviation remaining, it should be corrected by a second stage surgery. 6 According to Kushner et al, unilateral recession and resection procedure should be performed for primary exotropia.…”

Section: Discussionmentioning

confidence: 99%

Surgical Outcome of Unilateral Lateral Rectus Recession and Medial Rectus Resection in Large-Angle Exotropia

Kumar¹,

Ralte²

2017

jemds

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BACKGROUNDExotropia is a manifest outward deviation of the visual axes, which is either constantly or intermittently present. Untreated poorly controlled intermittent exotropia later progresses to constant exotropia. Sensory exotropia is unilateral divergent misalignment of the eyes, resulting from loss of vision or long-standing poor vision in an eye.The objective of this study is to evaluate the result of unilateral lateral rectus recession and medial rectus resection in largeangle exotropia more than 60 PD and to assess intraoperative and postoperative complications.Settings-Tertiary Eye Care Centre, Ranchi, India. MATERIALS AND METHODSConsecutive patients with large-angle exotropia more than 60 PD who underwent unilateral lateral rectus recession and medial rectus resection between January 2015 and December 2016 were retrospectively studied. Postoperative residual deviations and any intraoperative and postoperative complications were assessed. RESULTSThe case series included sixteen patients (11 males and 5 females). Mean age of the patients were 21.25 ± 4.31 years. The mean preoperative deviations at distance and near were 67 ± 12 PD and 69 ± 14 PD respectively. The postoperative result showed that 11 patients had orthotropia (68.8%), 3 patients (18.7%) had undercorrection of 10 PD and two patients (12.5%) had undercorrection of 15 -20 PD. Only one patient with undercorrection of 20 PD required second surgery. None of the patients had any intraoperative complications related to surgery or anaesthesia. CONCLUSIONUnilateral single stage two-muscle surgery gives good result and can be done as first procedure for large-angle exotropia of > 60 PD.

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Large-Angle Strabismus: Can a Single Surgical Procedure Achieve a Successful Outcome?

Abstract: A good surgical outcome can be obtained in large-angle strabismus with a single surgical procedure, though a randomized controlled study needs to be done to establish whether three-muscle surgeries give better results than two-muscle surgeries.

Cited by 25 publications

References 21 publications

The Presentation of Misaligned Eyes in Children with Pervious Squint Surgery at Tripoli Eye Hospital

The Presentation of Misaligned Eyes in Children with Pervious Squint Surgery at Tripoli Eye Hospital

Clinical Features and Outcome of Strabismus Surgery in Children

Surgical Outcome of Unilateral Lateral Rectus Recession and Medial Rectus Resection in Large-Angle Exotropia

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