Original Research
Retrospective review of ocular alignment after large-angle congenital esotropia surgery
Submitted: 10 December 2014 | Published: 17 July 2015
About the author(s)
Roland Höllhumer, Department of Ophthalmology, Division of Neurosciences, University of the Witwatersrand, South AfricaBhavesh Vallabh, Department of Ophthalmology, Division of Neurosciences, University of the Witwatersrand, South Africa
Trevor Carmichael, Department of Ophthalmology, Division of Neurosciences, University of the Witwatersrand, South Africa
Abstract
Objective: The study’s aims were to evaluate the success of bimedial rectus recession as a primary surgical procedure for patients with congenital esotropia; describe the demographic data of the study group; and compare surgical success with patient age at the time of surgery.
Method: A retrospective review of 52 patients with congenital esotropia ≥ 50∆ (prism dioptres) was conducted. All patients underwent bimedial rectus recession and were followed-up postoperatively for a minimum of 6 months.
Results: The study period was from January 1992 to September 2003. Fifty-two patients were included in the study group. The pre-operative angle of deviation ranged from 50∆–85∆. Patient ages ranged from 15 months to 22 years, with a mean of 5.3 years and a median of 4 years. The gender distribution was 42% male (n = 20) and 58% female (n = 28). Surgery was successful (within 10∆ of orthophoria) in 77% (n = 40), a partial success (10∆–20∆ from orthophoria) in 17% (n = 9) and a failure (> 20∆ from orthophoria) in 6% (n = 3). No statistically significant relationship was found between surgical success and patient age at the time of surgery.
Conclusion: The study confirmed that bilateral medial rectus recession, performed as a primary procedure for patients with large-angle (> 50∆) congenital esotropia, has a high success rate. This finding corresponds with the outcomes of similar international studies.
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Crossref Citations
1. Large bilateral medial rectus recession versus three-to-four horizontal muscle surgery for large-angle esodeviations
Aramis B. Torrefranca, Alvina Pauline D. Santiago,
European Journal of Ophthalmology vol: 32 issue: 6 first page: 3250 year: 2022
doi: 10.1177/11206721221093015