Evaluation of Efficacy and Lateral Gaze Incomitance in Symmetrical and Asymmetrical Surgery for Concomitant Esotropia and Exotropia
Ahmed Alaadin Ismail, Mohamed Farouk Abdelkader, Asmaa Anwar Mohamed, Sahar Torky Abdelaziz Ophthalmology Department, Faculty of Medicine, Minia University, Minia, EgyptCorrespondence: Sahar Torky Abdelaziz Email sahar.torky@yahoo.comPurpose: Evaluation of asymmetrical and symmetrical horizontal str...
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| Format: | Article |
| Language: | English |
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Dove Medical Press
2021-08-01
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| Series: | Clinical Ophthalmology |
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| Online Access: | https://www.dovepress.com/evaluation-of-efficacy-and-lateral-gaze-incomitance-in-symmetrical-and-peer-reviewed-fulltext-article-OPTH |
| _version_ | 1818852226649554944 |
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| author | Ismail AA Abdelkader MF Mohamed AA Abdelaziz ST |
| author_facet | Ismail AA Abdelkader MF Mohamed AA Abdelaziz ST |
| author_sort | Ismail AA |
| collection | DOAJ |
| description | Ahmed Alaadin Ismail, Mohamed Farouk Abdelkader, Asmaa Anwar Mohamed, Sahar Torky Abdelaziz Ophthalmology Department, Faculty of Medicine, Minia University, Minia, EgyptCorrespondence: Sahar Torky Abdelaziz Email sahar.torky@yahoo.comPurpose: Evaluation of asymmetrical and symmetrical horizontal strabismus surgery as regards efficacy and postoperative lateral gaze incomitance.Patients and Methods: This prospective comparative interventional case series study included 40 patients of age more than 3 years with alternating horizontal strabismus. Patients were divided according to the type of horizontal deviation into esotropia and exotropia groups, which were further subdivided into asymmetrical and symmetrical subgroups in each type. The surgery was defined as symmetrical procedure if the surgery was done on the same muscle in the two eyes and it was defined as asymmetric in recess-resect procedures in one eye, and three horizontal muscles surgery. Preoperative and postoperative measurements were done in primary position, right, and left gaze using alternate prism cover test and hand-held orthopedic goniometer.Results: At the end of follow-up period, a statistically insignificant difference (P value = 0.8057) was present in the success rate between the asymmetrical and symmetrical subgroups of esotropia (90 and 86.67%, respectively) and it was 100% in both exotropia subgroups. Lateral gaze incomitance results were different between esotropia and exotropia subgroups. In esotropia, a statistically significant difference was reported at 1 month (0.009), which became insignificant at 6 months (0.077) and 12 months (0.077) between asymmetrical and symmetrical subgroups. In exotropia subgroups, there was a statistically insignificant difference in lateral gaze incomitance at 1, 6, and 12 months (P = 1).Conclusion: Asymmetrical procedure had the same efficacy and success rate of symmetrical procedure for the correction of concomitant horizontal deviations in primary gaze without persistent postoperative lateral gaze incomitance, especially in exotropia.Clinical Trial Registration: NCT04199286.Keywords: asymmetrical, symmetrical, esotropia, exotropia, horizontal strabismus, lateral incomitance |
| first_indexed | 2024-12-19T07:17:33Z |
| format | Article |
| id | doaj.art-e6264b3cb0434204ba9333546dddcd79 |
| institution | Directory Open Access Journal |
| issn | 1177-5483 |
| language | English |
| last_indexed | 2024-12-19T07:17:33Z |
| publishDate | 2021-08-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Clinical Ophthalmology |
| spelling | doaj.art-e6264b3cb0434204ba9333546dddcd792022-12-21T20:31:01ZengDove Medical PressClinical Ophthalmology1177-54832021-08-01Volume 153613362168210Evaluation of Efficacy and Lateral Gaze Incomitance in Symmetrical and Asymmetrical Surgery for Concomitant Esotropia and ExotropiaIsmail AAAbdelkader MFMohamed AAAbdelaziz STAhmed Alaadin Ismail, Mohamed Farouk Abdelkader, Asmaa Anwar Mohamed, Sahar Torky Abdelaziz Ophthalmology Department, Faculty of Medicine, Minia University, Minia, EgyptCorrespondence: Sahar Torky Abdelaziz Email sahar.torky@yahoo.comPurpose: Evaluation of asymmetrical and symmetrical horizontal strabismus surgery as regards efficacy and postoperative lateral gaze incomitance.Patients and Methods: This prospective comparative interventional case series study included 40 patients of age more than 3 years with alternating horizontal strabismus. Patients were divided according to the type of horizontal deviation into esotropia and exotropia groups, which were further subdivided into asymmetrical and symmetrical subgroups in each type. The surgery was defined as symmetrical procedure if the surgery was done on the same muscle in the two eyes and it was defined as asymmetric in recess-resect procedures in one eye, and three horizontal muscles surgery. Preoperative and postoperative measurements were done in primary position, right, and left gaze using alternate prism cover test and hand-held orthopedic goniometer.Results: At the end of follow-up period, a statistically insignificant difference (P value = 0.8057) was present in the success rate between the asymmetrical and symmetrical subgroups of esotropia (90 and 86.67%, respectively) and it was 100% in both exotropia subgroups. Lateral gaze incomitance results were different between esotropia and exotropia subgroups. In esotropia, a statistically significant difference was reported at 1 month (0.009), which became insignificant at 6 months (0.077) and 12 months (0.077) between asymmetrical and symmetrical subgroups. In exotropia subgroups, there was a statistically insignificant difference in lateral gaze incomitance at 1, 6, and 12 months (P = 1).Conclusion: Asymmetrical procedure had the same efficacy and success rate of symmetrical procedure for the correction of concomitant horizontal deviations in primary gaze without persistent postoperative lateral gaze incomitance, especially in exotropia.Clinical Trial Registration: NCT04199286.Keywords: asymmetrical, symmetrical, esotropia, exotropia, horizontal strabismus, lateral incomitancehttps://www.dovepress.com/evaluation-of-efficacy-and-lateral-gaze-incomitance-in-symmetrical-and-peer-reviewed-fulltext-article-OPTHasymmetricalsymmetricalesotropiaexotropiahorizontal strabismuslateral incomitance |
| spellingShingle | Ismail AA Abdelkader MF Mohamed AA Abdelaziz ST Evaluation of Efficacy and Lateral Gaze Incomitance in Symmetrical and Asymmetrical Surgery for Concomitant Esotropia and Exotropia Clinical Ophthalmology asymmetrical symmetrical esotropia exotropia horizontal strabismus lateral incomitance |
| title | Evaluation of Efficacy and Lateral Gaze Incomitance in Symmetrical and Asymmetrical Surgery for Concomitant Esotropia and Exotropia |
| title_full | Evaluation of Efficacy and Lateral Gaze Incomitance in Symmetrical and Asymmetrical Surgery for Concomitant Esotropia and Exotropia |
| title_fullStr | Evaluation of Efficacy and Lateral Gaze Incomitance in Symmetrical and Asymmetrical Surgery for Concomitant Esotropia and Exotropia |
| title_full_unstemmed | Evaluation of Efficacy and Lateral Gaze Incomitance in Symmetrical and Asymmetrical Surgery for Concomitant Esotropia and Exotropia |
| title_short | Evaluation of Efficacy and Lateral Gaze Incomitance in Symmetrical and Asymmetrical Surgery for Concomitant Esotropia and Exotropia |
| title_sort | evaluation of efficacy and lateral gaze incomitance in symmetrical and asymmetrical surgery for concomitant esotropia and exotropia |
| topic | asymmetrical symmetrical esotropia exotropia horizontal strabismus lateral incomitance |
| url | https://www.dovepress.com/evaluation-of-efficacy-and-lateral-gaze-incomitance-in-symmetrical-and-peer-reviewed-fulltext-article-OPTH |
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