Late surgical correction of longstanding constant strabismus in adults: Is fusion possible in all successfully aligned patients
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Dosyalar
Tarih
2020
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Bellwether Publishing, Ltd.
Erişim Hakkı
info:eu-repo/semantics/embargoedAccess
Özet
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.
Açıklama
Anahtar Kelimeler
Adult Strabismus Surgery, Anomalous Retinal Correspondence, Bagolini Striated Glasses, Binocular Vision, Fusion
Kaynak
Journal of Binocular Vision and Ocular Motility
WoS Q Değeri
N/A
Scopus Q Değeri
Q3
Cilt
-
Sayı
-
