Management of infantile esotropia

Hug, Denise

doi:10.1097/icu.0000000000000190

Cited by 23 publications

(14 citation statements)

References 19 publications

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“…The focal point of this treatment is surgical intervention. 4 Nevertheless, due to the lack of randomized trials comparing different surgical strategies for IE, the most effective one and the optimal timing have not yet been univocally defined. 3 According to scientific literature, surgical alignment of eyes in IE has a variable success rate reported to be from 45% to 80%; 5 nevertheless, there are still few data regarding risk factors associated with the need of reoperation.…”

Section: Introductionmentioning

confidence: 99%

Infantile esotropia: risk factors associated with reoperation

Magli

Rombetto

Matarazzo

et al. 2016

OPTH

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The aim of this study was to identify clinical and demographic factors associated with misalignment after first surgery performed on children affected by infantile esotropia to evaluate the reoperation rate. A retrospective study was carried out, analyzing data from 525 children who underwent bilateral medial recti recession, bilateral lateral recti resection, and inferior oblique recession and anteroposition by the same surgeon (AM). Postoperative evaluation included assessment of motor alignment at approximately 3 months, 6 months, 1 year, and 5 years. Statistical analysis was performed with a logistical regression model in which the dependent variable was the presence/absence of reoperation. We found that late surgery (after 3 years of age) and a family history of strabismus are associated with a higher risk of reoperation, while some clinical factors, including some classically associated with worst motor outcome as preoperative angle, dissociated vertical deviation, and amblyopia, did not influence the incidence of reoperation in infantile esotropia. Male patients and patients with hyperopia in preoperative examinations have a significantly decreased reoperation rate.

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Section: Introductionmentioning

confidence: 99%

Infantile esotropia: risk factors associated with reoperation

Magli

Rombetto

Matarazzo

et al. 2016

OPTH

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“…This period can extend for many years, potentially into adulthood, but with an exponential decrease in plasticity associated with increasing age. The severity of the loss is greatest during the early development, which is clearly demonstrated in children with infantile esotropia . In this type of strabismus the onset is before six months of age, meaning the development of stereopsis is interrupted at a very early stage following a period of time when the eyes were aligned.…”

Section: Development Of Stereopsismentioning

confidence: 99%

“…The potential for the recovery of stereopsis is pivotal to the argument relating to the timing of correction in infantile esotropia. Reports do agree that the results are compelling showing treatment before the age of two years (and preferably younger) results in better levels of stereoacuity . Given that the rates of recovery of stereopsis are lower beyond a limited three month time frame between onset and correction, it is argued that it is beneficial to delay treatment until a later age, where there is less risk for a consecutive exotropia to develop.…”

Section: Management Of Loss Of Stereomentioning

confidence: 99%

Stereopsis: are we assessing it in enough depth?

O’Connor

Tidbury

2018

Clinical and Experimental Optometry

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The assessment of stereoacuity is an integral part of the ophthalmic assessment, with the responses used to inform clinical management decisions. Stereoacuity impacts on many aspects of life, but there are discrepancies reported where people without measurable stereoacuity report appreciating 3‐D vision. This could be due, in part, to the presentation of the stimuli. A literature review was undertaken to evaluate current assessment techniques, how they relate to patient outcomes, identify the limitations of current tests and discuss how they could be improved. Recent evidence has been collated on currently available tests, used commonly within vision clinics, with normative data provided allowing responses to the tests to be interpreted. The relevance of the results is evaluated in relation to a range of outcomes, where a reduced level of stereopsis has a negative impact on the ability of an individual to perform many tasks, and can lead to an increase in difficulty interacting in the world. Current tests are limited in the aspects of stereoacuity they assess and their ability to precisely measure stereopsis. The world is not static, yet clinical tests are limited to measuring static stereoacuity, even though higher grades of depth perception can be identified in the presence of changing depth. Presentation methods of stereoacuity tests have remained similar over time, with a limited number of disparity levels assessed. New assessment methods are becoming available that include automated staircase testing to present multiple levels of disparity using digital technology. Current clinical tests are limited in their presentation, and are poor at detecting/measuring stereoacuity in those with limited stereopsis. Given the relevance of the stereoacuity measurement to management choices and functional outcomes, new testing methods would be beneficial to fully assess stereoacuity, both static and dynamic.

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“…Erken cerrahi ile daha iyi stereopsis seviyesi elde edilebileceği görüşü ile birlikte erken cerrahiyi savunan oftalmologların sayısı artmaktadır . Erken cerrahi ile daha iyi binokülerite bildirilen çalışmalarda önerilen cerrahi zamanı farklı çalışmalarda ilk 6 ay (10,13) , ilk bir yaş (18) ve ilk 12-18 ay (15)(16)(17) olarak değişiklik göstermektedir.…”

Section: Introductionunclassified