2007, Number 4
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Rev Mex Oftalmol 2007; 81 (4)
Correlación objetivo-cosmética del resultado de la cirugía para la corrección del estrabismo horizontal
Acevedo-González PJ, Pérez-Pérez JF, Arroyo-Yllanes ME, Fonte-Vázquez A, Murillo-Murillo L
Language: Spanish
References: 13
Page: 209-213
PDF size: 47.09 Kb.
ABSTRACT
Objective: This study was designed to correlate the objective measurement in prismatic diopters (PD) to the subjective appreciation of the surgical alignment result in strabismus patients.
Method: A prospective study including strabismus patients after horizontal surgical alignment was done. Four strabismus specialists in a random fashion graded the results: E, excellent, apparent orthoposition. B good, small deviation. R: Fair, noticeable deviation. M bad, large deviation. Then we correlate with the objective measurement.
Results: We included 79 patients. The subjective evaluation showed that 39 cases where E, (49.37%), 29 patients B, (36.71%), 10 patients R, (12.66%) and one patient M (1.26%). The objective assessment shows 49 patients (62.03%) within 10 DP of ortho.
Conclusions: In the evaluation of the surgical success we need to consider other factors beside the pure objective measurement of the 10 PD of ortho.
REFERENCES
Duke Elder. Text Book of Ophthalmology; Vol. IV. Henry Kimpton, Londres, 1949.
Hertle R. Clinical Characteristics of Surgically Treated Adult Strabismus. J Pediatr Ophthalmol Strabismus 1998; 35:138-145.
Farley D. Alignin Eyes. FDA Consumer 1991; 25(9): 2-16.
Helveston EM y cols. Surgical Treatment of Congenital Esotropia. Am J Ophthalmol 1983; 96:218-228.
Darron AB, Martin CW. Contemporary Pediatrics 2000; 17(2): 49.
Mruthyunjaya P y cols. Subjective and Objective Outcomes of Strabismus Surgery in Children. J Pediatr Ophthalmol Strabismus 1996; 33(3):167-170.
Kushner BJ. Postoperative binocularity in adults with longstanding strabismus: is surgery cosmetic only? Am Orth J 1990; 40:64-67.
Billson FA. Accuracy in strabismus surgery. Br J Ophthalmol 1995; 79:3.
Ezenauer RW. Prospective investigation of the effectiveness of intraoperative adjustable sutures for the correction of strabismus. Trans Am Ophthalmol Soc 1994; 92:993-997.
Wisnicki H y cols. A Comparison of the Success Rates of Resident and Attending Strabismus Surgery. J Pediatr Ophthalmol Strabismus 1993; 30(2):118-121.
Burke JP y cols. Psychosocial Implications of Strabismus Surgery in Adults. J Pediatr Ophthalmol Strabismus 1997; 34(3):159-164.
Satterfield D, Keltner JL, Morrison TL. Psychosocial aspects of Strabismus Study. Arch Ophthalmol 1993; 111:1100-1105.
Bronlarczyk-Loba y cols. Results of strabismus surgery in adolescents and adults: cosmetic or functional recovery?. Klin Oczna 1995; 97:68-71.