Document Detail


Performing combined strabismus and cataract surgery: an effective approach in selected cases.
MedLine Citation:
PMID:  18306116     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: In the presence of both strabismus and cataract, it is always a dilemma whether to manage them separately or together. In this paper, the authors evaluate the results of combined strabismus and cataract surgery. METHODS: The records of 50 patients were reviewed retrospectively. They were divided into two groups: those who developed strabismus first and cataract later (group 1, n = 17 patients) and those who developed cataract first and strabismus later (group 2, n = 33 patients). RESULTS: Motor alignment (less than 10 prism diopters) was achieved in 35.3% in group 1 and 75.8% in group 2. Visual success (20/40 or better) was attained in 70.6% in group 1 and 57.6% in group 2. In group 1, when the angle of deviation was more than 80 prism diopters, poor motor alignment was achieved (25%). CONCLUSION: Surgical success after one operation was achieved in the majority of all eyes that had combined surgery. In selected cases, combined strabismus and cataract surgery is a safe and effective procedure, optimizing the alignment of the visual axes, improving visual acuity, and minimizing the need for additional procedures.
Authors:
Sujata Guha; K Ravishankar; T S Surendran
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Strabismus     Volume:  16     ISSN:  0927-3972     ISO Abbreviation:  Strabismus     Publication Date:    2008 Jan-Mar
Date Detail:
Created Date:  2008-02-28     Completed Date:  2008-06-24     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9310896     Medline TA:  Strabismus     Country:  England    
Other Details:
Languages:  eng     Pagination:  5-9     Citation Subset:  IM    
Affiliation:
Sankara Nethralaya, Vision Research Foundation, Chennai, Tamil Nadu, India. drsg@sankaranethralaya.org
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Cataract / complications,  physiopathology
Cataract Extraction / methods*
Child
Female
Humans
Lens Implantation, Intraocular
Male
Middle Aged
Oculomotor Muscles / physiopathology,  surgery*
Retrospective Studies
Strabismus / complications,  physiopathology,  surgery*
Vision, Binocular / physiology
Visual Acuity / physiology

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


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