A retrospective review of ocular alignment after large angle congenital esotropia surgery
Date
2015-04-22
Authors
Hollhumer, Roland
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Abstract
Purpose: The main aim of this study is to evaluate the success of bimedial rectus
recessions as a primary surgical procedure for patients presenting with congenital
esotropia. Secondly the demographic (age, gender and race) data of the study group is
described. Lastly the success of surgery is compared to the age of the patients at the time
of surgery.
Methods: A retrospective review of 52 patients with congenital esotropia of ≥50Δ was
done. All patients underwent bimedial rectus recessions and were followed up postoperatively
for a minimum of 6 months.
Results: The study period extended from January 1992 - September 2003. 52 Patients
were included in the study group. The pre-operative angle of deviation ranged from 50-85Δ.
The ages of the patients ranged from 15 months to 22 years, with a mean of 5.3 years and
a median of 4 years. The gender distribution was 42% male (n=20) and 58% female
(n=28). Surgery was successful (within 10Δ of orthophoria) in 77% (n=40), a partial
success (10-20Δ from orthophoria) in 17% (n=9) and a failure (more than 20Δ from
orthophoria) in 6% (n=3). No statistically significant relationship was found between the
success of surgery and the age of the patients at the time of surgery.
Conclusion: This study confirms that a bilateral medial rectus recession, performed as a
primary procedure for patients with a large angle (>50Δ) congenital esotropia, has a high
success rate. This corresponds to the the outcomes of similar international studies.
Description
A research report submitted to the Faculty of Health Sciences, University of
the Witwatersrand, Johannesburg, South Africa in partial fulfillment of the
requirements for the degree of Master of Medicine in Ophthalmology,
Johannesburg 2014.