Surgical outcomes following ocular re-alignment in various types of squints
Background: Strabismus is one of the causes for visual impairment in childhood. It affects the development of binocular single vision. Therefore, early detection and timely management of strabismus is important. Aim: This study was aimed to describe types of strabismus patients presenting to a terti...
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doaj-fc5a7445cbf64d909c180c2577dc1af42020-11-24T22:20:42ZengWolters Kluwer Medknow PublicationsArchives of Medicine and Health Sciences2321-48482013-01-0111242810.4103/2321-4848.113556Surgical outcomes following ocular re-alignment in various types of squintsVidya HegdeAnupama BappalNeelam PuthranBackground: Strabismus is one of the causes for visual impairment in childhood. It affects the development of binocular single vision. Therefore, early detection and timely management of strabismus is important. Aim: This study was aimed to describe types of strabismus patients presenting to a tertiary care center and the various management modalities including the surgical outcomes of ocular re-alignment Materials and Methods: Retrospective chart analysis of all patients with strabismus in any age group over a period of 5 years. Patients with cerebral palsy were excluded from this study. Surgical outcomes were graded as good if the eyes were orthophoric post-operatively, satisfactory if there was a residual squint of less than 10 degrees, and it was considered to be a poor outcome if the patients were left with more than 10 degrees of residual squint. Results: Chart analysis of 53 cases with strabismus comprising of 33 males and 20 females was done. The mean age of patients was 25 years. Thirty-two (60%) cases had exotropia, and 14 (26%) had esotropia. Three cases were of congenital superior oblique palsy, and one case was of lateral rectus palsy. Duane syndrome type I was seen in four cases. Of the 38 (72%) patients who were advised surgical correction, only 20 individuals underwent surgery. Reasons for refusal of surgery varied from fear factor to financial constraints and a disregard for cosmesis. Surgeries had been performed on both children (7) as well as adults (13). Seventy-five percent of the operated patients had exotropia. Eighteen patients underwent single-staged surgery. Bilateral recessions were the most common type of surgery noted in this study. Fifty percent of them remained orthophoric up to one year of post-operative follow up. Conclusion: Exotropia was the most common type of strabismus observed in this study. Successful ocular re-alignment was seen in majority of the patients following a single-stage procedure. Greater effort needs to be made to educate the public on need for early diagnosis and management.http://www.amhsjournal.org/article.asp?issn=2321-4848;year=2013;volume=1;issue=1;spage=24;epage=28;aulast=HegdeOcular re-alignmentsurgical outcometypes of strabismus |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Vidya Hegde Anupama Bappal Neelam Puthran |
spellingShingle |
Vidya Hegde Anupama Bappal Neelam Puthran Surgical outcomes following ocular re-alignment in various types of squints Archives of Medicine and Health Sciences Ocular re-alignment surgical outcome types of strabismus |
author_facet |
Vidya Hegde Anupama Bappal Neelam Puthran |
author_sort |
Vidya Hegde |
title |
Surgical outcomes following ocular re-alignment in various types of squints |
title_short |
Surgical outcomes following ocular re-alignment in various types of squints |
title_full |
Surgical outcomes following ocular re-alignment in various types of squints |
title_fullStr |
Surgical outcomes following ocular re-alignment in various types of squints |
title_full_unstemmed |
Surgical outcomes following ocular re-alignment in various types of squints |
title_sort |
surgical outcomes following ocular re-alignment in various types of squints |
publisher |
Wolters Kluwer Medknow Publications |
series |
Archives of Medicine and Health Sciences |
issn |
2321-4848 |
publishDate |
2013-01-01 |
description |
Background: Strabismus is one of the causes for visual impairment in childhood. It affects the development of binocular single vision. Therefore, early detection and timely management of strabismus is important. Aim: This study was aimed to describe types of strabismus patients presenting to a tertiary care center and the various management modalities including the surgical outcomes of ocular re-alignment Materials and Methods: Retrospective chart analysis of all patients with strabismus in any age group over a period of 5 years. Patients with cerebral palsy were excluded from this study. Surgical outcomes were graded as good if the eyes were orthophoric post-operatively, satisfactory if there was a residual squint of less than 10 degrees, and it was considered to be a poor outcome if the patients were left with more than 10 degrees of residual squint. Results: Chart analysis of 53 cases with strabismus comprising of 33 males and 20 females was done. The mean age of patients was 25 years. Thirty-two (60%) cases had exotropia, and 14 (26%) had esotropia. Three cases were of congenital superior oblique palsy, and one case was of lateral rectus palsy. Duane syndrome type I was seen in four cases. Of the 38 (72%) patients who were advised surgical correction, only 20 individuals underwent surgery. Reasons for refusal of surgery varied from fear factor to financial constraints and a disregard for cosmesis. Surgeries had been performed on both children (7) as well as adults (13). Seventy-five percent of the operated patients had exotropia. Eighteen patients underwent single-staged surgery. Bilateral recessions were the most common type of surgery noted in this study. Fifty percent of them remained orthophoric up to one year of post-operative follow up. Conclusion: Exotropia was the most common type of strabismus observed in this study. Successful ocular re-alignment was seen in majority of the patients following a single-stage procedure. Greater effort needs to be made to educate the public on need for early diagnosis and management. |
topic |
Ocular re-alignment surgical outcome types of strabismus |
url |
http://www.amhsjournal.org/article.asp?issn=2321-4848;year=2013;volume=1;issue=1;spage=24;epage=28;aulast=Hegde |
work_keys_str_mv |
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