Late surgical correction of longstanding constant strabismus in adults: Is fusion possible in all successfully aligned patients

dc.contributor.authorTomaç, Sühan
dc.contributor.authorUyar, Enes
dc.contributor.authorAkın, Tuğrul
dc.contributor.authorMutlu, Fatih Mehmet
dc.contributor.authorAltınsoy, Halil İbrahim
dc.date.accessioned2022-05-18T06:02:40Z
dc.date.available2022-05-18T06:02:40Z
dc.date.issued2020
dc.departmentTıp Fakültesi
dc.description.abstractTo 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.
dc.identifier.doi10.1080/2576117X.2020.1787017
dc.identifier.endpage114en_US
dc.identifier.issn2576-117X
dc.identifier.issue-en_US
dc.identifier.scopusqualityQ3
dc.identifier.startpage109en_US
dc.identifier.urihttps:/dx.doi.org/10.1080/2576117X.2020.1787017
dc.identifier.urihttps://hdl.handle.net/20.500.12451/9400
dc.identifier.volume-en_US
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.language.isoen
dc.publisherBellwether Publishing, Ltd.
dc.relation.ispartofJournal of Binocular Vision and Ocular Motility
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/embargoedAccess
dc.subjectAdult Strabismus Surgery
dc.subjectAnomalous Retinal Correspondence
dc.subjectBagolini Striated Glasses
dc.subjectBinocular Vision
dc.subjectFusion
dc.titleLate surgical correction of longstanding constant strabismus in adults: Is fusion possible in all successfully aligned patients
dc.typeArticle

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