Document Detail


Changes in astigmatism after surgery for epiblepharon in highly astigmatic children: a controlled study.
MedLine Citation:
PMID:  18835734     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: To evaluate changes in astigmatism after corrective surgery in highly astigmatic epiblepharon patients compared with nonepiblepharon patients. METHODS: We retrospectively reviewed the charts of 37 patients with epiblepharon and 35 patients without epiblepharon, but with initial astigmatism > or =2 D. Demographic data and preoperative data for best-corrected visual acuity, degree of astigmatism, and astigmatism axis were obtained. Postoperative data were collected at 1, 3, 6, and 12 months and at 2 years. RESULTS: The mean age at surgery was 5.1 +/- 1.5 years. The mean amount of cylinder was 3.27 +/- 0.97 D before surgery and 2.62 +/- 1.07 D at 2 years after surgery. Linear mixed measures analysis, which was used to compare the mean cylinder between the epiblepharon and nonepiblepharon groups, showed significant group-time interaction (p < 0.01). Patients who were younger and had greater initial cylinder showed significantly greater decreases in the cylinder during 2 years of follow-up (p < 0.05). CONCLUSIONS: Significant astigmatic changes were found after surgical correction in epiblepharon patients with 2 D of astigmatism or greater compared with nonepiblepharon patients, and these changes were more significant in patients of younger age and with greater astigmatism. A high prevalence of epiblepharon during the critical period for visual development warrants physician interest in early surgery and visual rehabilitation in highly astigmatic epiblepharon patients.
Authors:
Mo Sae Kim; Dong Sub Lee; Kyung In Woo; Hae Ran Chang
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Publication Detail:
Type:  Comparative Study; Journal Article     Date:  2008-10-04
Journal Detail:
Title:  Journal of AAPOS : the official publication of the American Association for Pediatric Ophthalmology and Strabismus / American Association for Pediatric Ophthalmology and Strabismus     Volume:  12     ISSN:  1528-3933     ISO Abbreviation:  J AAPOS     Publication Date:  2008 Dec 
Date Detail:
Created Date:  2008-12-22     Completed Date:  2009-04-06     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9710011     Medline TA:  J AAPOS     Country:  United States    
Other Details:
Languages:  eng     Pagination:  597-601     Citation Subset:  IM    
Affiliation:
Department of Ophthalmology, Sungkyunkwan University, School of Medicine, Kangbuk Samsung Hospital, Seoul, Republic of Korea.
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MeSH Terms
Descriptor/Qualifier:
Age Factors
Astigmatism / etiology*,  physiopathology*
Child
Child, Preschool
Eye Abnormalities / complications*,  pathology
Eyelids / abnormalities*,  pathology,  surgery*
Female
Humans
Male
Retrospective Studies
Severity of Illness Index
Treatment Outcome
Visual Acuity

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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