Document Detail

Binocular visual function in congenital esotropia after bilateral medial rectus recession with loop suture.
MedLine Citation:
PMID:  12461716     Owner:  NLM     Status:  MEDLINE    
PURPOSE: Our aim was to evaluate the binocular visual function in congenital esotropia after bimedial rectus recession with loop suture and to address the factors that could take part in the attainment of binocular function. SUBJECTS AND METHODS: Forty children with congenital esotropia who were operated on between 12 and 48 months of age were included in the study group. Postoperative follow-up ranged from 2 to 10 years. In order to determine the factors affecting the sensory results in congenital esotropia, we classified our patients into two groups according to their fusion status. We compared the preoperative and postoperative characteristics of patients in these two groups. RESULTS: Twenty-one of 40 patients (52.5%) fused the Worth four-dot at near (Group 1), 19 patients (47.5%) did not (Group 2) at the final examination. No patient showed evidence of stereopsis. We found significant differences between these two groups in respect to the final angle of vertical deviation, the age at surgery, the presence of postoperative inferior oblique overaction, dissociated vertical deviation and abnormal head position. Correlation analysis revealed that early alignment of the eyes and the absence of postoperative vertical deviation were associated with increased incidence of achieving some degree of binocular vision. CONCLUSION: In congenital esotropia, not all infants may have the potential for normal binocular function owing to yet unknown constitutional factors. We determined that achieving some degree of binocular function may be related to early alignment of the eyes. Additionally, close follow-up and precise treatment of the accompanying vertical deviation, especially inferior oblique overaction and dissociated vertical deviation, in a timely manner may enhance the attainment of binocular sensory function.
Onder Uretmen; Kemal Pamukçu; Süheyla Köse; Emel Uçak
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Strabismus     Volume:  10     ISSN:  0927-3972     ISO Abbreviation:  Strabismus     Publication Date:  2002 Sep 
Date Detail:
Created Date:  2002-12-03     Completed Date:  2003-01-28     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9310896     Medline TA:  Strabismus     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  215-24     Citation Subset:  IM    
Department of Ophthalmology, Ege University School of Medicine, Bornova Izmir, Turkey.
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MeSH Terms
Child, Preschool
Esotropia / congenital,  physiopathology*,  surgery*
Oculomotor Muscles / physiopathology*,  surgery*
Suture Techniques*
Treatment Outcome
Vision, Binocular*

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