| Drift of ocular alignment following strabismus surgery. Part 2: using adjustable sutures. | |
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MedLine Citation:
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PMID: 18653587 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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AIM: To measure the drift of ocular alignment following strabismus surgery utilising adjustable sutures. METHODS: 106 patients, aged 12 to 84 years, underwent adjustable suture strabismus surgery with a follow-up of 0.5-4 years (mean 24.3 months). RESULTS: For all subjects measured on distant fixation, there was a mean undercorrection drift of 8.3 (SD 2.3) prism dioptres (PD) from week 1 to 48 months postoperatively (p = 0.005). Patients with exotropia demonstrated an undercorrection drift on distant fixation from week 1 to 2 years (mean 10.1 (3.5) PD, p = 0.023). Patients who underwent recession surgery developed a mean 9.1 (3.3) PD undercorrection drift from week 1 to 3 years (p = 0.031). Patients who had unilateral recession and resection surgery showed a mean 6.8 (2.9) PD undercorrection drift from week 1 to 18 months (p = 0.049). Patients with constant or intermittent postoperative stereopsis had a statistically significant undercorrection drift (</=5.1 PD) at certain postoperative periods (p<0.042), while those without stereopsis had no significant drift. CONCLUSION: Most patients developed a general drift toward undercorrection, especially following recession or recession with resection surgery and those with exotropia. Surgeons should consider creating a mild overcorrection at the time of suture adjustment, while avoiding long-term diplopia. |
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Authors:
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S J Isenberg; P Abdarbashi |
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Publication Detail:
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Type: Evaluation Studies; Journal Article Date: 2008-07-24 |
Journal Detail:
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Title: The British journal of ophthalmology Volume: 93 ISSN: 1468-2079 ISO Abbreviation: Br J Ophthalmol Publication Date: 2009 Apr |
Date Detail:
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Created Date: 2009-03-26 Completed Date: 2009-04-28 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0421041 Medline TA: Br J Ophthalmol Country: England |
Other Details:
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Languages: eng Pagination: 443-7 Citation Subset: IM |
Affiliation:
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Jules Stein Eye Institute, Department of Ophthalmology, UCLA Medical Center, 100 Stein Plaza, UCLA, Los Angeles, CA 90095, USA. isenberg@ucla.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Aged Aged, 80 and over Child Depth Perception Esotropia / surgery Exotropia / surgery Fixation, Ocular Follow-Up Studies Humans Middle Aged Postoperative Complications Postoperative Period Strabismus / surgery* Suture Techniques* Treatment Outcome Young Adult |
| Comments/Corrections | |
Comment In:
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Br J Ophthalmol. 2009 Apr;93(4):419
[PMID:
19321471
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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