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https://www.readbyqxmd.com/read/29923963/improvement-in-both-primary-and-eccentric-ocular-alignment-after-thyroid-eye-disease-strabismus-surgery-with-tenon-s-recession
#1
Stacy M Scofield-Kaplan, Kristen Dunbar, Gregory Stein, Michael Kazim
PURPOSE: To evaluate the improvement in primary and eccentric gaze ocular alignment in thyroid eye disease (TED) patients undergoing horizontal strabismus surgery with Tenon's recession. METHODS: This is an Institutional Review Board-approved retrospective analysis of TED patients undergoing horizontal strabismus surgery for esotropia. The study included all patients from 2007 to 2016 operated on by a single surgeon at Columbia University Medical Center. Surgical success was defined as the ability to fuse at both near and distance either without prismatic correction or with less than 10 prism diopters (PD) of correction...
June 18, 2018: Ophthalmic Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/29922977/the-difference-of-surgical-outcomes-between-manifest-exotropia-and-esotropia
#2
Yun-Wen Chen, Sue-Ann Lin, Pei-Wen Lin, Hsiu-Mei Huang
PURPOSE: To determine the factors that affect ocular alignment and binocular sensory functions after strabismus surgery and compare surgical outcomes between manifest exotropia (XT) and esotropia (ET). METHODS: In a retrospective study, 41 XT and 17 ET patients who had undergone strabismus surgery were recruited. Information on type and duration of strabismus, age at onset of deviation and surgery, pre- and postoperative strabismus deviation angles, and binocular sensory functions including stereoacuity and macular fusion capacity was recorded...
June 19, 2018: International Ophthalmology
https://www.readbyqxmd.com/read/29913026/long-term-outcomes-after-same-amount-of-bilateral-rectus-muscle-recession-for-intermittent-exotropia-with-the-same-angle-of-deviation
#3
Haeng-Jin Lee, Seong-Joon Kim, Young Suk Yu
PURPOSE: To evaluate long-term outcomes of homogenous bilateral rectus recession in patients with the same preoperative angle of deviation in intermittent exotropia and investigate factors associated with surgical outcomes. METHODS: In this retrospective review, patients with the same preoperative angle of deviation who underwent bilateral 6-mm lateral rectus recession between January 2008 and January 2014 were observed for 2 or more years. Patients were classified into two groups based on deviation angle: success (orthophoria or exodeviation < 10 prism diopters [PD]) or recurrence (exodeviation ≥ 10 PD)...
June 18, 2018: Journal of Pediatric Ophthalmology and Strabismus
https://www.readbyqxmd.com/read/29913023/immediate-postoperative-alignment-following-bimedial-rectus-recession-for-esotropia-in-children-compared-to-adults
#4
Mohamed B Hassan, Nancy N Diehl, Brian G Mohney
PURPOSE: To determine whether the immediate postoperative alignment among patients undergoing successful bilateral weakening surgery for esotropia is different in children compared to adults. METHODS: The medical records of all patients undergoing surgery for esotropia by a single surgeon at a major academic referral center between January 1, 2002, and July 1, 2014 (n = 544), were retrospectively reviewed. Exclusion criteria included those with prior strabismus surgery, unilateral surgery, strengthening procedures, vertical or superior oblique surgery, and those wearing hyperopic spectacles for accommodative esotropia...
June 18, 2018: Journal of Pediatric Ophthalmology and Strabismus
https://www.readbyqxmd.com/read/29902283/botulinum-toxin-chemodenervation-for-childhood-strabismus-in-england-national-and-local-patterns-of-practice
#5
Ameenat Lola Solebo, Anne-Marie Austin, Maria Theodorou, Chris Timms, Joanne Hancox, Gillian G W Adams
BACKGROUND: Botulinum toxin injection chemodenervation is a well-established intervention for adult strabismus, and has also been recognised as an effective alternative to routine incisional surgery for paediatric disease. We aimed to investigate the temporal patterns of practice, indications and outcomes of chemodenervation for paediatric strabismus at national and tertiary centre level. METHODS: Retrospective study using routinely collected patient data: Hospital Episode Statistics (HES) data were used to identify children undergoing non-incisional strabismus procedures in England from 2007 to 2016...
2018: PloS One
https://www.readbyqxmd.com/read/29889586/the-effect-of-prism-adaptation-on-the-angle-of-deviation-in-convergence-excess-esotropia-and-possible-consequences-for-surgical-planning
#6
Tess Garretty
Convergence excess esotropia describes a heterophoria with binocular single vision (BSV) on distance viewing that becomes esotropic on accommodation upon near fixation. Prism adaptation test (PAT) is a procedure routinely used to reveal the maximum angle of deviation preoperatively for many types of strabismus and has been shown to improve surgical outcomes; however, it is not conventionally used for convergence excess esotropia. AIM: This study compares the angle of deviation at 1/3 m and 6 m before and after prism adaptation in subjects with convergence excess esotropia to determine if a masked distance angle of deviation can be demonstrated similar to the masked near angle of deviation in some intermittent exotropes...
June 11, 2018: Strabismus
https://www.readbyqxmd.com/read/29870508/-functional-outcomes-of-late-post-traumatic-enophthalmos-correction
#7
Mark McRae, Haley Fm Augustine, Andrew Budning, Oleh Antonyshyn
TITLE: Functional Outcomes of Late Post- Traumatic Enophthalmos Correction BACKGROUND:: Post-traumatic enophthalmos has debilitating functional consequences resulting in restriction of ocular motility and diplopia. Surgical correction aims to restore the globe position and ultimately improve function. This study evaluates the functional outcome of post-traumatic enophthalmos repair. METHODS: Patients included in this study had post-traumatic enophthalmos and diplopia requiring enophthalmos repair...
May 19, 2018: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/29852032/use-of-a-binocular-optical-coherence-tomography-system-to-evaluate-strabismus-in-primary-position
#8
Reena Chopra, Pádraig J Mulholland, Vijay K Tailor, Roger S Anderson, Pearse A Keane
Importance: Current clinical methods for assessing strabismus can be prone to error. Binocular optical coherence tomography (OCT) has the potential to assess and quantify strabismus objectively and in an automated manner. Objective: To evaluate the use of a binocular OCT prototype to assess the presence and size of strabismus. Design, Setting, and Participants: Fifteen participants with strabismus were recruited in 2016 as part of the EASE study from Moorfields Eye Hospital National Health Service Foundation Trust, London, England, and 15 healthy volunteers underwent automated anterior segment imaging using the binocular OCT prototype...
May 31, 2018: JAMA Ophthalmology
https://www.readbyqxmd.com/read/29770635/clinical-course-and-prognostic-factors-of-acquired-third-fourth-and-sixth-cranial-nerve-palsy-in-korean-patients
#9
Kiyoung Kim, Sung Rae Noh, Min Seok Kang, Kyung Hyun Jin
PURPOSE: This study aimed to evaluate the clinical course and prognostic factors of acquired third, fourth, and sixth cranial nerve (CN) palsy grouped according to etiology. METHODS: This study involved a retrospective review of the medical records of 153 patients who were diagnosed with acquired paralytic strabismus from January 2004 to July 2015. Outcomes, recovery rates, and time to recovery were investigated according to the affected CN: CN3, CN4, and CN6 palsies...
March 20, 2018: Korean Journal of Ophthalmology: KJO
https://www.readbyqxmd.com/read/29709042/immediate-postoperative-alignment-measurements-as-a-predictor-of-alignment-stability-in-fixed-suture-strabismus-surgery
#10
Charline S Boente, Griffin J Jardine, Tina G Damarjian, Derek T Sprunger, Gavin J Roberts, Daniel E Neely, Kathryn M Haider, David A Plager
PURPOSE: To evaluate the use of immediate postoperative alignment measurements as a predictor of future alignment stability in fixed suture strabismus surgery. METHODS: Forty-seven patients were prospectively evaluated after undergoing horizontal or vertical rectus muscle surgery using a fixed suture technique. Alignment measurements were taken approximately 1 hour, 1 to 3 weeks, and 2 to 3 months postoperatively. A Spearman correlation coefficient was used to compare measurements from the immediate postoperative period to the 2- to 3-month postoperative period...
April 27, 2018: Journal of Pediatric Ophthalmology and Strabismus
https://www.readbyqxmd.com/read/29709041/infantile-exotropia-and-developmental-delay
#11
Gregg T Lueder, Marlo Galli
PURPOSE: To evaluate a group of infants with this disorder to determine the long-term outcome of surgery and to assess the need for neurologic evaluations. METHODS: This interventional case series reviewed the records of infants who underwent surgery for the treatment of exotropia with onset during the first year of life. The preoperative ophthalmic and systemic findings, treatment, and developmental and ophthalmic outcomes were reviewed. Surgery was considered successful if the horizontal deviation was less than 10 prism diopters (PD)...
April 27, 2018: Journal of Pediatric Ophthalmology and Strabismus
https://www.readbyqxmd.com/read/29677347/oculomotor-status-binocular-vision-and-stereoacuity-in-a-series-of-keratoconus-subjects
#12
Rosália M S Antunes-Foschini, Jean V A L Coutinho, Eduardo M Rocha, Harley E A Bicas
Purpose: A group of keratoconus subjects (KG) and a control group (CG) were evaluated for sensory and motor status. We tried to clarify the factors (best-corrected visual acuity [BCVA]), heterophorias, fusional amplitude, anisometropia, astigmatism) that may be associated with a binocular disturbance. Methods: BCVA (logMAR) was measured. Binocular vision was checked using cover tests, striate Maddox, and a 6Δ base-down prism (simultaneous perception), a prism bar (fusion and fusional convergence break point), and Titmus Fly Test (stereopsis)...
April 1, 2018: Investigative Ophthalmology & Visual Science
https://www.readbyqxmd.com/read/29667435/clinical-and-surgical-risk-factors-for-consecutive-exotropia
#13
Sophie Bryselbout, Veronique Promelle, Florent Pracca, Solange Milazzo
INTRODUCTION: Consecutive exotropia is one of the complications of esotropia surgery. Its prevalence is estimated at 4%-27%. The aim of this study was to identify the risk factors for consecutive exotropia in the aftermath of surgical treatment of esotropia. METHODS: Seventy-four patients examined in our strabismus consultation for a consecutive exotropia from January 2010 to June 2016 were retrospectively included. The age of onset of esotropia, the presence of amblyopia, the age of esotropia surgery and chosen procedure, the refractive errors, the anomalies of ocular motility, the age of onset of the consecutive exotropia and its angle of deviation were reported...
April 1, 2018: European Journal of Ophthalmology
https://www.readbyqxmd.com/read/29551605/long-term-evolution-of-age-related-distance-esotropia
#14
Daisy Godts, Isabel Deboutte, Danny G P Mathysen
PURPOSE: To evaluate the evolution of horizontal deviation and fusional amplitudes both at distance and at near in patients with age-related distance esotropia (ARDET). METHODS: The medical records of consecutive patients diagnosed with ARDET between January 2008 and March 2016 were reviewed retrospectively. Patients with at least 60 months' follow-up were eligible for inclusion. Horizontal deviation, fusional convergence amplitude, and fusional divergence amplitude both at distance and at near were compared...
April 2018: Journal of AAPOS: the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus
https://www.readbyqxmd.com/read/29527670/adjustable-versus-non-adjustable-sutures-for-strabismus
#15
REVIEW
Shoaib Hassan, Anjana Haridas, Venki Sundaram
BACKGROUND: Strabismus, or squint, can be defined as a deviation from perfect ocular alignment and can be classified in many ways according to its aetiology and presentation. Treatment can be broadly divided into medical and surgical options, with a variety of surgical techniques being available, including the use of adjustable or non-adjustable sutures for the extraocular muscles. There exists an uncertainty as to which of these techniques produces a better surgical outcome, and an opinion that the adjustable suture technique may be of greater benefit in certain situations...
March 12, 2018: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/29521764/suture-fixation-of-globe-to-the-orbital-wall-for-complicated-strabismus
#16
Jianhua Yan, Yun Wen, Zhonghao Wang
PURPOSE: The aim of this study was to observe the surgical outcomes of suture globe fixation to the orbital wall for patients with complicated strabismus. MATERIALS AND METHODS: The medical records of patients with complicated strabismus who were treated at the Zhongshan Ophthalmic Center of Sun Yat-sen University, Guangzhou, China, from January 2010 to June 2015 were retrospectively reviewed. Routine strabismus surgery was not possible in these cases. Eyes were anchored to the orbital wall by simple strong anastomosis of the extraocular muscle and orbital wall tissues using silk suture, which resulted in slight overcorrection of the ultimate ocular position after anchoring...
March 8, 2018: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/29505103/interventions-for-eye-movement-disorders-due-to-acquired-brain-injury
#17
REVIEW
Fiona J Rowe, Kerry Hanna, Jennifer R Evans, Carmel P Noonan, Marta Garcia-Finana, Caroline S Dodridge, Claire Howard, Kathryn A Jarvis, Sonia L MacDiarmid, Tallat Maan, Lorraine North, Helen Rodgers
BACKGROUND: Acquired brain injury can cause eye movement disorders which may include: strabismus, gaze deficits and nystagmus, causing visual symptoms of double, blurred or 'juddery' vision and reading difficulties. A wide range of interventions exist that have potential to alleviate or ameliorate these symptoms. There is a need to evaluate the effectiveness of these interventions and the timing of their implementation. OBJECTIVES: We aimed to assess the effectiveness of any intervention and determine the effect of timing of intervention in the treatment of strabismus, gaze deficits and nystagmus due to acquired brain injury...
March 5, 2018: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/29502213/photorefractive-keratectomy-influences-the-angle-of-ocular-deviation-in-strabismus-patients-with-hyperopia
#18
Giuseppe Giannaccare, Laura Primavera, Michela Fresina
PURPOSE: To evaluate refractive, binocular vision and ocular alignment outcomes of photorefractive keratectomy (PRK) for the treatment of hyperopia in esotropic patients. METHODS: Medical charts of hyperopic patients with full or partial accommodative esotropia (FAE or PAE) or consecutive exotropia (CE) undergone PRK from 2011 to 2014 were reviewed. The primary outcome was to assess the efficacy of PRK in improving ocular alignment. The secondary outcomes were the assessments of uncorrected visual acuity (UCVA), best-corrected visual acuity (BCVA), spherical equivalent (SE) and stereoacuity...
March 3, 2018: International Ophthalmology
https://www.readbyqxmd.com/read/29485308/rectus-muscle-resection-for-vertical-strabismus-in-thyroid-eye-disease
#19
Filofteia Tacea, Edward Loane, Andre Grixti, Ian B Marsh, Kimia Ziahosseini
PURPOSE: Rectus muscle resection in thyroid eye disease (TED) is generally avoided due to the risk of worsening restriction or reactivating inflammation. However, for some patients with large-angle strabismus or diplopia in primary gaze despite maximum recession surgery, rectus muscle resection may be beneficial. We report our surgical experience with rectus muscle resection in the management of vertical strabismus associated with TED. METHODS: Retrospective review of eight patients with TED and vertical diplopia who underwent vertical rectus muscle resection by a single surgeon (IBM) at a tertiary referral centre in Liverpool, UK, from 2001 to 2013...
February 27, 2018: Strabismus
https://www.readbyqxmd.com/read/29476725/the-effect-of-botulinum-toxin-augmentation-on-strabismus-surgery-for-large-angle-infantile-esotropia
#20
Michael J Wan, Aubrey Gilbert, Melanie Kazlas, Carolyn Wu, Iason S Mantagos, David G Hunter, Ankoor S Shah
PURPOSE: To determine whether botulinum toxin augments the effect of strabismus surgery in pediatric patients with large-angle infantile esotropia. DESIGN: Retrospective, comparative, case series. METHODS: Setting: Tertiary-care pediatric hospital. STUDY POPULATION: Patients with large-angle infantile esotropia. INTERVENTION: Treatment with botulinum toxin-augmented bilateral medial rectus muscle recessions ("augmented-surgery group") or traditional bilateral medial rectus muscle recessions ("surgery-only group")...
May 2018: American Journal of Ophthalmology
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