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ISSN 1561-3070 (Electronic)

2016, Number 1

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Rev Cub Oftal 2016; 29 (1)

Binocular vision in patients operated of congenital esotropia with four years of follow-up

Méndez STJ, Maldonado GEA, Hernández SLR, Naranjo FRM, Hernández SJR, Padilla GC

Language: Spanish
References: 36
Page: 68-79
PDF size: 147.39 Kb.


ABSTRACT

Objective: to describe the surgical results and the fusion and stereopsis obtained in patients operated of congenital esotropia, after 4 years of follow-up and their relationship with the pre-operative deviation angle and the age at the time of the first surgery.
Methods: prospective, longitudinal and descriptive case series study, which was conducted in patients operated of congenital esotropia from 2007 to 2010; followed up for four years at the outpatient service of ¨Ramón Pando Ferrer" Cuban Institute of Ophthalmology. The analyzed variables were age at diagnosis, pre and postoperative deviation angle, age at the time of the first surgery, presence of fusion, stereopsis and development of amblyopia.
Results: preoperative average deviation angle of the studied patients was 39.8 dioptries, and the age mean at the time of the first surgery was 22,5 months (SD 9,2). The survival mean of the ocular alignment was 39,3 months, being higher in those patients with an preoperative deviation angle smaller than 40 dioptries and under 24 months-old at the time of the first surgery (p= 0,001). Fusion and estereopsia were present after 4 years in 57, 7 % and 26 9 % of the patients, respectively. The mean number of surgeries was 1,42 (SD ± 0,504) at 4 years of age whereas the most frequent cause for a second surgery was the inferior oblique muscle overaction (19, 2 %).
Conclusions: stereopsis, and fusion were more significant after four years in those patients with smaller preoperative deviation angle and under 2 years-old at the time of the first surgery.


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