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Graefe's Archive for Clinical and Experimental Ophthalmology

Open Access 16-02-2024 | Strabismus | Pediatrics

Postoperative outcome and influencing factors of strabismus surgery in infants aged 1–6 years

Authors: Laetitia Hinterhuber, Sandra Rezar-Dreindl, Ursula Schmidt-Erfurth, Eva Stifter

Published in: Graefe's Archive for Clinical and Experimental Ophthalmology

Abstract

Purpose

To evaluate the postoperative outcome of strabismus surgery performed in children aged 1–6 years by investigating the change of the preoperative angle of deviation (AOD), elevation in adduction, best-corrected visual acuity (BCVA) and refractive error.

Methods

Retrospective chart review of 62 children who received strabismus surgery between January 2018 and December 2021 at the Department of Ophthalmology and Optometry of the Medical University of Vienna. Age, sex, type of strabismus, AOD, BCVA, refractive error and visual acuity were evaluated with respect to the postoperative outcome.

Results

Mean follow-up was 13.55 ± 11.38 months with a mean age of 3.94 ± 1.97 years (range: 1.0–6.0) at time of surgery. 74.19% of patients (n = 46) had isolated or combined esotropia, 12.90% (n = 8) had isolated or combined exotropia and 12.90% (n = 8) had isolated strabismus sursoadductorius. Mean preoperative AOD of 15.69 ± 16.91°/15.02 ± 14.88° (near/distance) decreased to 4.00 ± 9.18°/4.83 ± 7.32° (near/distance) at final follow-up (p < 0.001). BCVA improved from 0.26 ± 0.26/0.25 ± 0.23 (left/right) to 0.21 ± 0.25/0.20 ± 0.23 (left/right) (p = 0.038). There was no significant change regarding refractive error (p = 0.109) or elevation in adduction (p = 0.212). Success rate which was defined as a residual AOD of less than 10° was 74.19% (n = 46). In 3.23% (n = 2) retreatment was necessary.

Conclusion

Strabismus surgery in infants was shown to have a satisfactory outcome with a low retreatment rate. Surgical success rate was not linked to age, sex, type of strabismus or the preoperative parameters AOD, refractive error and visual acuity in this study.

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Title: Postoperative outcome and influencing factors of strabismus surgery in infants aged 1–6 years
Authors: Laetitia Hinterhuber
Sandra Rezar-Dreindl
Ursula Schmidt-Erfurth
Eva Stifter
Publication date: 16-02-2024
Publisher: Springer Berlin Heidelberg
Keywords: Strabismus
Strabismus
Refractive Errors
Published in: Graefe's Archive for Clinical and Experimental Ophthalmology
Print ISSN: 0721-832X
Electronic ISSN: 1435-702X
DOI: https://doi.org/10.1007/s00417-024-06404-1

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Postoperative outcome and influencing factors of strabismus surgery in infants aged 1–6 years

Abstract

Purpose

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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