Abstract
Purpose: To report the success rates in children after one-muscle recession for sensory strabismus. Methods: The medical records of consecutive patients ≤18 years of age who underwent primary unilateral horizontal surgery for sensory strabismus measuring ≤30Δ from 2004 to 2010 were retrospectively reviewed. Data collected included age at surgery, sex, length of follow-up, procedure performed, pre- and postoperative deviation, and treatment of associated vertical strabismus. Success was defined as a final deviation within 10Δ of orthotropia. Results: A total of 33 patients (16 males) were included. Mean age at surgery was 5.2 years (range, 6 months to 17 years) and mean follow-up was 36 months (range, 6 months-7.4 years). Age at surgery (P = 0.37) and follow-up (P = 0.79) were comparable in patients with esotropia (n = 12) and exotropia (n = 21). Mean preoperative deviation was 23.7Δ in the esotropia group and 24Δ in the exotropia group (P = 0.875). Successful postoperative alignment was achieved in 76% of esotropic patients and 92% of exotropic patients (P = 0.379). Lateral rectus recessions resulted in a mean correction of 2.8Δ/mm of recession compared to 3.0Δ/mm for medial rectus recessions (P = 0.71). Conclusions: Advantages of one-muscle recession include a high success rate, few over-corrections, relatively short duration of surgery, and an intact muscle should reoperation be indicated.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 174-176 |
| Number of pages | 3 |
| Journal | Journal of AAPOS |
| Volume | 17 |
| Issue number | 2 |
| DOIs | |
| State | Published - Apr 2013 |
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ASJC Scopus subject areas
- Ophthalmology
- Pediatrics, Perinatology, and Child Health
Cite this
Surgical results after one-muscle recession for correction of horizontal sensory strabismus in children. / Hopker, Luisa M.; Weakley, David R.
In: Journal of AAPOS, Vol. 17, No. 2, 04.2013, p. 174-176.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Surgical results after one-muscle recession for correction of horizontal sensory strabismus in children
AU - Hopker, Luisa M.
AU - Weakley, David R.
PY - 2013/4
Y1 - 2013/4
N2 - Purpose: To report the success rates in children after one-muscle recession for sensory strabismus. Methods: The medical records of consecutive patients ≤18 years of age who underwent primary unilateral horizontal surgery for sensory strabismus measuring ≤30Δ from 2004 to 2010 were retrospectively reviewed. Data collected included age at surgery, sex, length of follow-up, procedure performed, pre- and postoperative deviation, and treatment of associated vertical strabismus. Success was defined as a final deviation within 10Δ of orthotropia. Results: A total of 33 patients (16 males) were included. Mean age at surgery was 5.2 years (range, 6 months to 17 years) and mean follow-up was 36 months (range, 6 months-7.4 years). Age at surgery (P = 0.37) and follow-up (P = 0.79) were comparable in patients with esotropia (n = 12) and exotropia (n = 21). Mean preoperative deviation was 23.7Δ in the esotropia group and 24Δ in the exotropia group (P = 0.875). Successful postoperative alignment was achieved in 76% of esotropic patients and 92% of exotropic patients (P = 0.379). Lateral rectus recessions resulted in a mean correction of 2.8Δ/mm of recession compared to 3.0Δ/mm for medial rectus recessions (P = 0.71). Conclusions: Advantages of one-muscle recession include a high success rate, few over-corrections, relatively short duration of surgery, and an intact muscle should reoperation be indicated.
AB - Purpose: To report the success rates in children after one-muscle recession for sensory strabismus. Methods: The medical records of consecutive patients ≤18 years of age who underwent primary unilateral horizontal surgery for sensory strabismus measuring ≤30Δ from 2004 to 2010 were retrospectively reviewed. Data collected included age at surgery, sex, length of follow-up, procedure performed, pre- and postoperative deviation, and treatment of associated vertical strabismus. Success was defined as a final deviation within 10Δ of orthotropia. Results: A total of 33 patients (16 males) were included. Mean age at surgery was 5.2 years (range, 6 months to 17 years) and mean follow-up was 36 months (range, 6 months-7.4 years). Age at surgery (P = 0.37) and follow-up (P = 0.79) were comparable in patients with esotropia (n = 12) and exotropia (n = 21). Mean preoperative deviation was 23.7Δ in the esotropia group and 24Δ in the exotropia group (P = 0.875). Successful postoperative alignment was achieved in 76% of esotropic patients and 92% of exotropic patients (P = 0.379). Lateral rectus recessions resulted in a mean correction of 2.8Δ/mm of recession compared to 3.0Δ/mm for medial rectus recessions (P = 0.71). Conclusions: Advantages of one-muscle recession include a high success rate, few over-corrections, relatively short duration of surgery, and an intact muscle should reoperation be indicated.
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U2 - 10.1016/j.jaapos.2012.10.024
DO - 10.1016/j.jaapos.2012.10.024
M3 - Article
C2 - 23622449
AN - SCOPUS:84876939485
VL - 17
SP - 174
EP - 176
JO - Journal of AAPOS
JF - Journal of AAPOS
SN - 1091-8531
IS - 2
ER -