Long-term motor and sensory outcomes after surgery for infantile esotropia
Background/Aim. Infantile esotropia (ET), entitled as congenital ET, is defined as an alternating, cross-fixational ET that occurs within the first 6 months of life. The aim of this study was to determine the long-term motor and sensory outcomes after surgical correction of patients with in...
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| Format: | Article |
| Language: | English |
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Military Health Department, Ministry of Defance, Serbia
2016-01-01
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| Series: | Vojnosanitetski Pregled |
| Subjects: | |
| Online Access: | http://www.doiserbia.nb.rs/img/doi/0042-8450/2016/0042-84501600034A.pdf |
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| author | Altınsoy Halil Ibrahim Gokce Gokcen Ceylan Osman Melih Mutlu Fatih Mehmet |
| author_facet | Altınsoy Halil Ibrahim Gokce Gokcen Ceylan Osman Melih Mutlu Fatih Mehmet |
| author_sort | Altınsoy Halil Ibrahim |
| collection | DOAJ |
| description | Background/Aim. Infantile esotropia (ET), entitled as congenital ET, is
defined as an alternating, cross-fixational ET that occurs within the first 6
months of life. The aim of this study was to determine the long-term motor
and sensory outcomes after surgical correction of patients with infantile ET.
Methods. Medical records of 108 consecutive children who had bimedial rectus
recession (BMR) initially for ET were reviewed retrospectively. The patients
were divided into 3 groups: the group I, surgery before one-year old; the
group II, surgery between one and two-year old; the group III, surgery after
two-year old. Results. No significant differences were determined among the
groups for preoperative mean angle of deviation and refractive error (p >
0.05, for both). Development rate of dissociated vertical deviation (DVD) was
greater (40%) in the group I, and the relationship between the rate of DVD
and the timing of the initial surgery was statistically significant (p =
0.03). Risk for additional surgery was significantly greater in patients with
a younger mean age at initial surgery (p = 0.01). Although measurable
stereopsis rate was higher in the group I (35%, 32.4%, 27.8%, respectively)
the difference among the groups was insignificant (p = 0.80). Conclusion.
Patients with ET have limited potential of high grade stereoacuity despite
the early alignment of eyes. Early surgery also has potential effects for the
development of both inferior oblique overaction and DVD earlier. |
| first_indexed | 2024-12-11T19:18:51Z |
| format | Article |
| id | doaj.art-7e66e8bfdef044cf84b750dc700dfa09 |
| institution | Directory Open Access Journal |
| issn | 0042-8450 2406-0720 |
| language | English |
| last_indexed | 2024-12-11T19:18:51Z |
| publishDate | 2016-01-01 |
| publisher | Military Health Department, Ministry of Defance, Serbia |
| record_format | Article |
| series | Vojnosanitetski Pregled |
| spelling | doaj.art-7e66e8bfdef044cf84b750dc700dfa092022-12-22T00:53:35ZengMilitary Health Department, Ministry of Defance, SerbiaVojnosanitetski Pregled0042-84502406-07202016-01-0173546346810.2298/VSP140915034A0042-84501600034ALong-term motor and sensory outcomes after surgery for infantile esotropiaAltınsoy Halil Ibrahim0Gokce Gokcen1Ceylan Osman Melih2Mutlu Fatih Mehmet3Department of Pediatric Ophthalmology and Strabismus, World Eye Hospital, Ankara, TurkeyDepartment of Ophthalmology, Kayseri Military Hospital, Kayseri, TurkeyDepartment of Ophthalmology, Ardahan Military Hospital, Ardahan, TurkeyGulhane Military Medical Academy, Department of Pediatric Ophthalmology and Strabismus, Ankara, TurkeyBackground/Aim. Infantile esotropia (ET), entitled as congenital ET, is defined as an alternating, cross-fixational ET that occurs within the first 6 months of life. The aim of this study was to determine the long-term motor and sensory outcomes after surgical correction of patients with infantile ET. Methods. Medical records of 108 consecutive children who had bimedial rectus recession (BMR) initially for ET were reviewed retrospectively. The patients were divided into 3 groups: the group I, surgery before one-year old; the group II, surgery between one and two-year old; the group III, surgery after two-year old. Results. No significant differences were determined among the groups for preoperative mean angle of deviation and refractive error (p > 0.05, for both). Development rate of dissociated vertical deviation (DVD) was greater (40%) in the group I, and the relationship between the rate of DVD and the timing of the initial surgery was statistically significant (p = 0.03). Risk for additional surgery was significantly greater in patients with a younger mean age at initial surgery (p = 0.01). Although measurable stereopsis rate was higher in the group I (35%, 32.4%, 27.8%, respectively) the difference among the groups was insignificant (p = 0.80). Conclusion. Patients with ET have limited potential of high grade stereoacuity despite the early alignment of eyes. Early surgery also has potential effects for the development of both inferior oblique overaction and DVD earlier.http://www.doiserbia.nb.rs/img/doi/0042-8450/2016/0042-84501600034A.pdfesotropiainfantchild, preschoolophthalmologic surgical procedurestreatment outcome |
| spellingShingle | Altınsoy Halil Ibrahim Gokce Gokcen Ceylan Osman Melih Mutlu Fatih Mehmet Long-term motor and sensory outcomes after surgery for infantile esotropia Vojnosanitetski Pregled esotropia infant child, preschool ophthalmologic surgical procedures treatment outcome |
| title | Long-term motor and sensory outcomes after surgery for infantile esotropia |
| title_full | Long-term motor and sensory outcomes after surgery for infantile esotropia |
| title_fullStr | Long-term motor and sensory outcomes after surgery for infantile esotropia |
| title_full_unstemmed | Long-term motor and sensory outcomes after surgery for infantile esotropia |
| title_short | Long-term motor and sensory outcomes after surgery for infantile esotropia |
| title_sort | long term motor and sensory outcomes after surgery for infantile esotropia |
| topic | esotropia infant child, preschool ophthalmologic surgical procedures treatment outcome |
| url | http://www.doiserbia.nb.rs/img/doi/0042-8450/2016/0042-84501600034A.pdf |
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