Effect of Visual Acuity on the Surgical Outcomes of Secondary Sensory Strabismus

Objectives: To investigate the outcomes of secondary sensory strabismus surgery and to discuss the effect of visual acuity on success. Materials and Methods: The medical records of patients with sensory strabismus who underwent recession-resection on the eye with vision loss were reviewed. Only pa...

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Main Authors: Kadriye Erkan Turan, Hande Taylan Şekeroğlu, Emin Cumhur Şener, Ali Şefik Sanaç
Format: Article
Language:English
Published: Galenos Yayinevi 2015-12-01
Series:Türk Oftalmoloji Dergisi
Subjects:
Online Access:http://www.oftalmoloji.org/article_9938/Effect-Of-Visual-Acuity-On-The-Surgical-Outcomes-Of-Secondary-Sensory-Strabismus
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author Kadriye Erkan Turan
Hande Taylan Şekeroğlu
Emin Cumhur Şener
Ali Şefik Sanaç
author_facet Kadriye Erkan Turan
Hande Taylan Şekeroğlu
Emin Cumhur Şener
Ali Şefik Sanaç
author_sort Kadriye Erkan Turan
collection DOAJ
description Objectives: To investigate the outcomes of secondary sensory strabismus surgery and to discuss the effect of visual acuity on success. Materials and Methods: The medical records of patients with sensory strabismus who underwent recession-resection on the eye with vision loss were reviewed. Only patients with visual acuity of ≤0.2 in the operated eye were enrolled. Data including age at surgery, visual acuity, etiology of vision loss, preoperative and postoperative deviations, follow-up duration, and surgical outcomes were recorded. Success was defined as a final deviation of ≤10 prism diopters (PD). To evaluate the effect of visual acuity on postoperative success, patients were grouped as follows according to the visual acuity of the operated eye: group 1, visual acuity <0.05; group 2, 0.05-0.1; and group 3, 0.125-0.2. Results: Ten females and 14 males met the inclusion criteria. The mean age at surgery was 21 years (range, 6 to 56 years). The mean preoperative deviation angle was 52.7 PD (range, 20 to 80 PD). Age at surgery, preoperative deviation and follow-up time were similar in patients with esotropia (n=7) and exotropia (n=17) (p>0.05 for all). The success rate was 62.5% at short-term and 42.1% at longterm follow-up. There was no statistically significant difference in short-term success rate among visual acuity subgroups (p=0.331), whereas the difference was statistically significant at long-term follow-up (p=0.002). The long-term success rate was higher in group 3 compared to groups 1 and 2. Conclusion: Better visual acuity seems to be a potential predictor for higher long-term success after strabismus surgery in patients with sensory strabismus.
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spelling doaj.art-8476df2e8e9b43c6966ab2fd51ad80da2023-02-15T16:21:40ZengGalenos YayineviTürk Oftalmoloji Dergisi1300-06592147-26612015-12-0145625425810.4274/tjo.67878 Effect of Visual Acuity on the Surgical Outcomes of Secondary Sensory StrabismusKadriye Erkan Turan0Hande Taylan Şekeroğlu1Emin Cumhur Şener2Ali Şefik Sanaç3Hacettepe University Faculty of Medicine, Department of Ophthalmology, Ankara, TurkeyHacettepe University Faculty of Medicine, Department of Ophthalmology, Ankara, TurkeyPrivate Practice, Ankara, TurkeyHacettepe University Faculty of Medicine, Department of Ophthalmology, Ankara, TurkeyObjectives: To investigate the outcomes of secondary sensory strabismus surgery and to discuss the effect of visual acuity on success. Materials and Methods: The medical records of patients with sensory strabismus who underwent recession-resection on the eye with vision loss were reviewed. Only patients with visual acuity of ≤0.2 in the operated eye were enrolled. Data including age at surgery, visual acuity, etiology of vision loss, preoperative and postoperative deviations, follow-up duration, and surgical outcomes were recorded. Success was defined as a final deviation of ≤10 prism diopters (PD). To evaluate the effect of visual acuity on postoperative success, patients were grouped as follows according to the visual acuity of the operated eye: group 1, visual acuity <0.05; group 2, 0.05-0.1; and group 3, 0.125-0.2. Results: Ten females and 14 males met the inclusion criteria. The mean age at surgery was 21 years (range, 6 to 56 years). The mean preoperative deviation angle was 52.7 PD (range, 20 to 80 PD). Age at surgery, preoperative deviation and follow-up time were similar in patients with esotropia (n=7) and exotropia (n=17) (p>0.05 for all). The success rate was 62.5% at short-term and 42.1% at longterm follow-up. There was no statistically significant difference in short-term success rate among visual acuity subgroups (p=0.331), whereas the difference was statistically significant at long-term follow-up (p=0.002). The long-term success rate was higher in group 3 compared to groups 1 and 2. Conclusion: Better visual acuity seems to be a potential predictor for higher long-term success after strabismus surgery in patients with sensory strabismus.http://www.oftalmoloji.org/article_9938/Effect-Of-Visual-Acuity-On-The-Surgical-Outcomes-Of-Secondary-Sensory-StrabismusSecondarysensorystrabismusvisual acuity
spellingShingle Kadriye Erkan Turan
Hande Taylan Şekeroğlu
Emin Cumhur Şener
Ali Şefik Sanaç
Effect of Visual Acuity on the Surgical Outcomes of Secondary Sensory Strabismus
Türk Oftalmoloji Dergisi
Secondary
sensory
strabismus
visual acuity
title Effect of Visual Acuity on the Surgical Outcomes of Secondary Sensory Strabismus
title_full Effect of Visual Acuity on the Surgical Outcomes of Secondary Sensory Strabismus
title_fullStr Effect of Visual Acuity on the Surgical Outcomes of Secondary Sensory Strabismus
title_full_unstemmed Effect of Visual Acuity on the Surgical Outcomes of Secondary Sensory Strabismus
title_short Effect of Visual Acuity on the Surgical Outcomes of Secondary Sensory Strabismus
title_sort effect of visual acuity on the surgical outcomes of secondary sensory strabismus
topic Secondary
sensory
strabismus
visual acuity
url http://www.oftalmoloji.org/article_9938/Effect-Of-Visual-Acuity-On-The-Surgical-Outcomes-Of-Secondary-Sensory-Strabismus
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