Document Detail


A comparative trial of Gobin's method versus conventional surgery for refractive/accommodative esotropia uncorrected by non-surgical methods.
MedLine Citation:
PMID:  11093096     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
INTRODUCTION AND PURPOSE: Gobin's theory of strabismus emphasizes the importance of diagnosis and correction of oblique muscle dysfunction when operating on the horizontal muscles to correct eso- and exodeviations in infancy. The purpose of this study was to compare outcomes for the two schools for this type of strabismus. METHODS: Two cohorts of infants, one treated by the classical approach of correcting horizontal deviation alone except in the presence of "significant" oblique dysfunction, while the other treated by Gobin's techniques, have been followed for a minimum of six years. RESULTS: The infants managed according to Gobin's method achieved "statistically significantly" better final results in terms of a higher percentage of cases achieving binocular vision, 81% versus 44% for the classical approach. They also had a reduced incidence of functional amblyopia after completion of treatment, 11% versus 39%. CONCLUSION: Gobin's theories and techniques deserve careful attention from all surgeons involved in treating infants with strabismus and amblyopia.
Authors:
A C Molteno; R Kindon
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Publication Detail:
Type:  Clinical Trial; Comparative Study; Evaluation Studies; Journal Article    
Journal Detail:
Title:  Binocular vision & strabismus quarterly     Volume:  15     ISSN:  1088-6281     ISO Abbreviation:  Binocul Vis Strabismus Q     Publication Date:  2000  
Date Detail:
Created Date:  2000-12-27     Completed Date:  2001-01-18     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9607281     Medline TA:  Binocul Vis Strabismus Q     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  351-6     Citation Subset:  IM    
Affiliation:
Department of Ophthalmology, University of Otago, Dunedin, New Zealand. georgi.bondi@healthotago.co.nz
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MeSH Terms
Descriptor/Qualifier:
Accommodation, Ocular*
Child
Child, Preschool
Esotropia / physiopathology,  therapy*
Eye Movements / physiology
Humans
Infant
Infant, Newborn
Oculomotor Muscles / physiopathology,  surgery*
Prognosis
Reoperation
Sensory Deprivation*
Visual Acuity
Comments/Corrections
Comment In:
Binocul Vis Strabismus Q. 2000;15(4):315-8   [PMID:  11093084 ]
Binocul Vis Strabismus Q. 2001;16(2):80-1   [PMID:  11388878 ]
Binocul Vis Strabismus Q. 2001;16(1):7-8   [PMID:  11240928 ]

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


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