Document Detail

Outcome study of the development of fusion in patients aligned for congenital esotropia in relation to duration of misalignment.
MedLine Citation:
PMID:  14970797     Owner:  NLM     Status:  MEDLINE    
PURPOSE: The results of recent studies have shown that the presence and quality of stereopsis in patients with congenital esotropia and subsequent surgically alignment are dependent upon the duration of the misalignment during the first 2 years of life. The purpose of this study was to investigate the presence of fusion in patients with different durations of misalignment whose eyes were aligned at different ages by age 2 years. METHODS: Data previously obtained in a study of 90 patients with congenital esotropia aligned by 2 years of age, examined in a masked independent evaluation for binocularity, were analyzed. Patient age at alignment and duration of misalignment were correlated with the presence of fusion. RESULTS: Fusion was present in 94% of all patients aligned by age 2 years and in 94% of patients with < or =21 months of misalignment. There was no statistically significant difference between those aligned by 6, 12, or 24 months (P > 0.05, power = 0.8). No significant difference was found between those aligned with duration of misalignment < or = 6, between 7 and 12, or between 13 and 21 months. CONCLUSION: Unlike the findings of stereopsis studies, there was no significant difference in the proportion of patients who achieved fusion in congenital esotropes who had up to 21 months of misalignment and whose eyes were aligned at different ages within the first 24 months of life.
Malcolm R Ing; Kau'i Rezentes
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
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:  8     ISSN:  1091-8531     ISO Abbreviation:  J AAPOS     Publication Date:  2004 Feb 
Date Detail:
Created Date:  2004-02-18     Completed Date:  2004-04-28     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9710011     Medline TA:  J AAPOS     Country:  United States    
Other Details:
Languages:  eng     Pagination:  35-7     Citation Subset:  IM    
Division of Ophthalmology, Deparment of Surgery, John A. Burns School of Medicine, University of Hawaii, Honolulu, HI 96826, USA.
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MeSH Terms
Age Factors
Age of Onset
Child, Preschool
Depth Perception / physiology*
Esotropia / congenital*,  physiopathology*,  surgery
Infant, Newborn
Oculomotor Muscles / physiopathology,  surgery
Time Factors
Treatment Outcome
Vision, Binocular / physiology*

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

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