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ISSN 1561-3070 (Electronic)

2016, Number 4

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Rev Cub Oftal 2016; 29 (4)

Strabismus surgery in adults: sensory and motor results

Méndez STJ, Trujillo SM, Dorrego OMD, Hernández SLR, López FD, Naranjo FRM

Language: Spanish
References: 20
Page: 612-621
PDF size: 102.09 Kb.


ABSTRACT

Objective: to describe the surgical results and the fusion and stereopsis achieved in adults operated on for acquired strabismus, and to determine whether the time elapsed from the emergence of deviation to the time of surgery had an effect on fusion and stereopsis.
Methods: prospective, longitudinal and descriptive research conducted in adults operated on for acquired strabismus, who had been seen at the Pediatric Ophthalmology and Strabismus service of "Ramón Pando Ferrer" Cuban Institute of Ophthalmology from January to December 2013. The analyzed variables were age, sex, the age at the onset of strabismus, time of progression, diagnosis, deviation angle, visual acuity, symptoms and signs, eye alignment and postoperative fusion and stereopsis.
the most frequent causes were extra ocular muscle palsy or paresis and exotropia, both accounting for 37.7 % of cases. Over three years of progression was observed in 34 % of patients. Eye alignment and fusion occurred in 73.6 % whereas stereopsis was recovered in 52.8 % of patients. In the study group, 90.9 % of patients with deviation angle for less than one year reached fusion and stereopsis.
Conclusions: strabismus surgery in adults allows recovering eye alignment, fusion and stereopsis, and the possibilities of functional recovery increase when the time of progression of disease is shorter.


REFERENCES

  1. Durnian JM, Noonan CM, Marsh IB. The psychosocial effects of adult strabismus Br J Ophthalmol. 2011;95:450-3. doi:10.1136/bjo.2010.188425.

  2. Nelson BA, Gunton KB, Lasker JN, Nelson LB, Drohan LA. The psychosocial aspects of strabismus in teenagers and adults and the impact of surgical correction. J AAPOS. 2008;12(1):72-6.

  3. Baker JD. The value of adult Strabismus correction to the patient. J AAPOS. 2002; 6:136-40.

  4. Kushner BJ. The efficacy of strabismus surgery in adults: a review for primary care physicians. Postgrad Med J. 2011;87(1026):269-73.

  5. Fujiike K, Mizuno Y, Hiratsuka Y, Yamada M. Quality of life and cost-utility assessment after strabismus surgery in adults. Japan: The Strabismus Surgery Study Group. Japanese Ophthalmological Society; 2011.

  6. Tarannum F, Abadan KA, Saba S, Mohammad A. Gains beyond cosmesis: Recovery of fusion and stereopsis in adults with longstanding strabismus following successful surgical realignment. Indian J Ophthalmol. 2009;57(2):141-3.

  7. Mojon-Azzi SM, Kunz A, Mojon DS. The perception of strabismus by children and adults. Graefes Arch Clin Exp Ophthalmol. 2011:249:753-7.

  8. American Academy of Ophthalmology. Pediatric Ophthalmology and Strabismus. Basic and Clinical Science Course. EE.UU.: American Academy of Ophthalmology; 2014.

  9. Prieto J, Souza C. Estrabismo. Paresias y parálisis oculomotoras. Buenos Aires: Ediciones Científicas Argentinas. p. 2005:315-96.

  10. American Academy of Ophthalmology. Orbit, eyelids and lacrimal system. Basic and Clinical Science Course. EE.UU: American Academy of Ophthalmology; 2014.

  11. Martínez-Thompson JM, Diehl NN, Holmes JM, Mohney BG. Incidence, types and lifetime risk of adult-onset strabismus. Ophthalmology. 2014;121(4):877-82.

  12. Saxena R, Kakkar A, Menon V, Sharma P, Phuljhele S. Evaluation of factors influencing distance stereoacuity on Frisbye Davis Distance Test (FD2) intermittent exotropia. Br J Ophthalmol. 2011;95:1098-1101.

  13. Thorburn D, Koklanis K, Georgievski Z. Management of intermittent exotropia strabismus of the divergence excess type. Binoc Vis Strab. 2010;25(4):243-52.

  14. Kraft SP. Adult strabismus surgery: more than just cosmetic. Can J Ophthalmol. 2008;43:9-12.

  15. Ganguly S, Pradhan R. Effect of monocular surgery for large-angle horizontal deviation in adults. Original article. Nepal J Ophthalmol. 2011;3(5):27-30.

  16. David K, Coats MD, David R, Stager MD, George R, Beauchamp MD, et al. Reasons for delay of surgical intervention in adult strabismus. Arch Ophthalmol. 2005;123:497-9.

  17. Mills MD, Coats DK, Donahue SP, Wheeler DT. Strabismus surgery for adults. A report by the American Academy of Ophthalmology. Ophthalmology. 2004;111:1255-62.

  18. Stager D, Ionita N. Long-Term results of exotropia: Can it be cured? Am Orthop J. 2009;59(1):48-50.

  19. Leske DA, Holmes JM. Maximum angle of horizontal strabismus consistent with true stereopsis. J AAPOS. 2004;8:28-34.

  20. Fawcett SL. Disruption and reacquisition of binocular vision in childhood and in adulthood Current Opinion. Ophthalmology. 2005;16(5):298-302.




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