Document Detail


Results following eye muscle surgery for secondary sensory strabismus.
MedLine Citation:
PMID:  20230204     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: To provide a longer follow-up after strabismus surgery for secondary sensory strabismus. PATIENTS AND METHODS: We investigated the follow up of 26 patients operated on for secondary strabismus: 7 convergent (SSC), 19 divergent (SSD). Inclusion criteria were fellow eye without any morphological disorder, and exclusion criteria were possible motility disorders or mechanical restriction: The mean follow-up time after surgery was 5 years 8 months +/- 4 years (1 year 8 months to 12 years 8 months) for SSC and 5 years 10 months +/- 3 years, 8 months (7 months to 13 years 3 months) for SSD, with p = 0.86. A statistical analysis of the results was performed with SPSS version 11.5 (Statistical Products and Service Solutions, SPSS Inc., United States). All statistical tests were 2-sided, and the threshold of significance was set to p < or = 0.05. MAIN RESULTS: The angle of deviation for far distance was reduced from 20 +/- 9 (11 to 35) to -2 +/- 4 (-8 to 6) degrees for SSC and from -21 +/- 8 (-42 to -10) to -2 +/- 5 (-15 to 4) degrees for SSD. A correlation between the postoperative angle in far distance and the visual acuity (lg visus) of the affected eye was not found for SSC: r = -0.5, p = 0.24, but was observed for SSD: r = 0.52, p = 0.02. In patients with perforating injury, a correlation of the postoperative angle in far distance to the age at injury of the affected eye was found (r = 0.6, p = 0.05). Two of the seven patients with SSC and one of 19 with SSD complained of double vision pre- and post-operatively. All patients with SSC and with SSD were satisfied with the postoperative angle of deviation. CONCLUSION: The results of this study indicate that, in general, we can recommend eye muscle surgery in secondary strabismus.
Authors:
Gabriele Gusek-Schneider; Andrea Boss
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Strabismus     Volume:  18     ISSN:  1744-5132     ISO Abbreviation:  Strabismus     Publication Date:  2010 Mar 
Date Detail:
Created Date:  2010-03-16     Completed Date:  2010-07-20     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9310896     Medline TA:  Strabismus     Country:  England    
Other Details:
Languages:  eng     Pagination:  24-31     Citation Subset:  IM    
Affiliation:
Eye Hospital and Outpatient Clinic Friedrich-Alexander-University of Erlangen-Nuremberg, Erlangen, Germany. gabriele.gusekschneider@uk-erlangen.de
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Child
Esotropia / etiology*,  physiopathology,  surgery*
Exotropia / etiology*,  physiopathology,  surgery*
Eye Diseases / complications*
Female
Follow-Up Studies
Humans
Male
Middle Aged
Oculomotor Muscles / surgery*
Ophthalmologic Surgical Procedures*
Patient Satisfaction
Treatment Outcome
Young Adult

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


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