Journal of binocular vision and ocular motility · 2020
Late Surgical Correction of Longstanding Constant Strabismus in Adults: Is Fusion Possible in All Successfully Aligned Patients?
СтатьяНазвание и аннотация: Перевод в очереди
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Tomaç Sühan, Uyar Enes, Akın Tuğrul, Mutlu Fatih Mehmet, Altınsoy Halil İbrahim
Аннотация
PURPOSE: To determine whether late surgical correction provides fusion in adults who have constant strabismus beginning in early childhood.
MATERIALS AND METHODS: This was a prospective study that included 34 consecutive adults with a history of early onset strabismus who had not previously undergone surgery. They were tested with the Bagolini striated glasses (BSG), Worth four-dot (W4D) test, cover test, and four-prism diopter (4-PD) test, preoperatively, and 6 weeks after surgery.
RESULTS: The mean age was 23.8 years, 17 patients had esotropia and 17 patients had exotropia. Preoperatively, all patients demonstrated a manifest horizontal deviation ranging from 30∆ to 60∆ and had suppression. At 6 weeks postoperatively, 33 patients had a horizontal manifest deviation of <15∆ (range, 2∆-14∆; median, 6∆), and none were orthotropic as determined by the cover test together with the 4-PD test. All of these 33 patients achieved anomalous retinal correspondence (ARC) with the BSG at near, and 25 (75%) had ARC with the W4D test at near.
CONCLUSIONS: Although our study has limited number of patients its findings suggest it is possible to develop ARC after surgery in almost all adult patients with childhood-onset strabismus associated with suppression, and who have not previously been operated upon, if satisfactory alignment is achieved in adulthood.
MATERIALS AND METHODS: This was a prospective study that included 34 consecutive adults with a history of early onset strabismus who had not previously undergone surgery. They were tested with the Bagolini striated glasses (BSG), Worth four-dot (W4D) test, cover test, and four-prism diopter (4-PD) test, preoperatively, and 6 weeks after surgery.
RESULTS: The mean age was 23.8 years, 17 patients had esotropia and 17 patients had exotropia. Preoperatively, all patients demonstrated a manifest horizontal deviation ranging from 30∆ to 60∆ and had suppression. At 6 weeks postoperatively, 33 patients had a horizontal manifest deviation of <15∆ (range, 2∆-14∆; median, 6∆), and none were orthotropic as determined by the cover test together with the 4-PD test. All of these 33 patients achieved anomalous retinal correspondence (ARC) with the BSG at near, and 25 (75%) had ARC with the W4D test at near.
CONCLUSIONS: Although our study has limited number of patients its findings suggest it is possible to develop ARC after surgery in almost all adult patients with childhood-onset strabismus associated with suppression, and who have not previously been operated upon, if satisfactory alignment is achieved in adulthood.