Long-term Surgical Outcomes in the Sagging Eye Syndrome

Zia, Chaudhuri; Demer, Joseph L.

doi:10.1080/09273972.2017.1421676

Cited by 19 publications

(12 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Similar to an earlier report, SES was more common in females than males 11 , and two-thirds of patients with SES had a vertical component of strabismus, either alone or with ARDE. Confirming and extending a prior report 16 , approximately 50% of SES patients were treated by strabismus surgery, which was successful with one operation in 87% of patients.…”

Section: Discussionsupporting

confidence: 83%

Prevalence of Sagging Eye Syndrome in Adults with Binocular Diplopia

Goseki

Suh

Robbins

et al. 2020

American Journal of Ophthalmology

View full text Add to dashboard Cite

Purpose: Sagging eye syndrome (SES), horizontal and/or vertical strabismus caused by orbital connective tissue degeneration, was first defined 10 years ago. In this study, we investigated the causes of acquired binocular diplopia in adults presenting to single institution since the description of SES.Design: Retrospective observational case series. Methods:We reviewed medical records of all new patients over age 40 years who presented to the Stein Eye Institute with binocular diplopia between January 2015 and December 2018. We tabulated clinical causes of diplopia in patients grouped by age and gender. In patients with SES, we tabulated binocular alignment, types of treatment, and surgical outcomes.Results: There were 945 patients of mean age 66.5 years, of whom 514 (54.4%) were female. The most common cause of diplopia was SES (31.4%). The 297 patients with SES were older at 71.2 years (p<0.0001) and more predominantly female at 59.9% than other patients (52.0%, p=0.023). The relative proportion of SES patients among all diplopic patients increased with age

show abstract

Section: Discussionsupporting

confidence: 83%

Prevalence of Sagging Eye Syndrome in Adults with Binocular Diplopia

Goseki

Suh

Robbins

et al. 2020

American Journal of Ophthalmology

View full text Add to dashboard Cite

show abstract

“…In a previous report, the progress of the deviation angle in the ARDE group (5 years) was 3.4 Δ at distance and 2.7 Δ at near [ 30 ], with a small angle but progressing or increasing. Moreover, 16% of patients had recurrent diplopia after surgery for ARDE [ 31 ], and ARDE is expected to progress during observation. The findings of the present study and those of previous reports raise speculation over whether the reasons for the large deviation of the strabismus angle and malposition of extraocular muscle were due to connective tissue instability [ 32 ] or individual differences.…”

Section: Discussionmentioning

confidence: 99%

Characterization of the position of the extraocular muscles and orbit in acquired esotropia both at distance and near using orbital magnetic resonance imaging

et al. 2021

View full text Add to dashboard Cite

Purpose Age-related distance esotropia (ARDE) involves acquired esotropia at distance and phoria at near. However, distance-independent esotropia (DIE) exists esotropia both at distance and near. Thus, we examined the orbital magnetic resonance imaging (MRI) findings for DIE to assess differences in its characteristics. Methods This study was a retrospective case-control study. We evaluated the efficacy of the standard coronal MRI in patients with acquired esotropia and control patients with optic neuritis. Cases with strabismus in the control group were excluded. DIE was defined as having esotropia both at distance and near, and an angle of more than 10 prism diopters at near. The condition of the lateral rectus-superior rectus band, position of rectus muscles, and the volume ratio of the globe to the whole orbit (G/WO) were examined. Results The DIE group consisted of 12 eyes of 6 patients (77.3±7.7 years); ARDE group, 38 eyes of 19 patients (73.1±6.8 years); and control group, 34 eyes of 17 patients (70.9±4.3 years). The ratio of abnormality of the lateral rectus-superior rectus bands was higher in the DIE and ARDE groups than in the control group (p<0.01). The vertical angle of the lateral rectus deviated downwards in the control (-7.5±5.1°), ARDE (-12.2±9.1°), and DIE groups (-18.8±5.7°) (p<0.05). The tilting angle of the lateral rectus was tilted temporally in the control (-12.2±9.1°), ARDE (-20.0±8.6°) and DIE groups (-28.6±5.4°) (p<0.01). G/WO was higher in the DIE (0.28±0.01) and ARDE groups (0.27±0.02) compared to the control (0.25±0.03) group (p<0.01). Conclusion In comparison with the ARDE and control groups, the DIE group presented with abnormalities of the lateral rectus-superior rectus band, malposition of the lateral rectus, and differences in the G/WO. The DIE group showed a more severe form of ARDE.

show abstract

“…Sagging eye occurs more frequently in myopic patients, and the most common age of participants in research studies is 66 to 69. 81,88,89 The prevalence globally is unknown but has been estimated to be 2.65% among high myopes in Japan. 90 Progressive strabismus fixus is most often associated with middle or older age, with less severe divergence insufficiency predating this progression.…”

Section: P351mentioning

confidence: 99%

“…98 Surgical resolution or reduction of diplopia has been particularly beneficial for patients who don't otherwise need glasses for distance vision. 88 As described for patients with divergence insufficiency unrelated to sagging eye syndrome, more than typical recession of the medial rectus muscles is usually needed. 96 The patient should be monitored/observed if he or she is opposed to treatment.…”

Section: P354mentioning

confidence: 99%

Adult Strabismus Preferred Practice Pattern®

Dagi

Velez²,

Archer

et al. 2020

Ophthalmology

View full text Add to dashboard Cite

The Adult Strabismus PPP was then sent for review to additional internal and external groups and individuals in August 2019. All those returning comments were required to provide disclosure of relevant relationships with industry to have their comments considered. Members of the Pediatric Ophthalmology/Strabismus Preferred Practice Pattern Panel reviewed and discussed these comments and determined revisions to the document. The following organizations and individuals returned comments.

show abstract

Long-term Surgical Outcomes in the Sagging Eye Syndrome

Cited by 19 publications

References 14 publications

Prevalence of Sagging Eye Syndrome in Adults with Binocular Diplopia

Prevalence of Sagging Eye Syndrome in Adults with Binocular Diplopia

Characterization of the position of the extraocular muscles and orbit in acquired esotropia both at distance and near using orbital magnetic resonance imaging

Adult Strabismus Preferred Practice Pattern®

Contact Info

Product

Resources

About