Outcome of delayed adjustable strabismus surgery in children using a bow-tie optional adjustable technique.

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  • Additional Information
    • Source:
      Publisher: Medknow Publications Country of Publication: India NLM ID: 0405376 Publication Model: Print Cited Medium: Internet ISSN: 1998-3689 (Electronic) Linking ISSN: 03014738 NLM ISO Abbreviation: Indian J Ophthalmol Subsets: MEDLINE
    • Publication Information:
      Publication: Mumbai : Medknow Publications
      Original Publication: Bombay : All-India Ophthalmological Society
    • Subject Terms:
      Sutures* ; Visual Acuity*; Eye Movements/*physiology ; Oculomotor Muscles/*surgery ; Ophthalmologic Surgical Procedures/*methods ; Strabismus/*surgery ; Suture Techniques/*instrumentation; Child ; Child, Preschool ; Female ; Follow-Up Studies ; Humans ; Infant ; Male ; Oculomotor Muscles/physiopathology ; Postoperative Period ; Retrospective Studies ; Strabismus/physiopathology ; Time Factors ; Treatment Outcome ; Vision, Binocular/physiology
    • Abstract:
      Purpose: The aim of this article is to study the feasibility of a delayed adjustable technique of strabismus surgery in children using an optional adjustable suture technique.
      Methods: The retrospective study included patients <12 years of age. Recessions were done using an optional adjustable bow-tie technique and resections were done by the conventional technique. Patients were evaluated on the third postoperative day and adjustments done when needed. Statistical analysis was done using Microsoft Excel 2010®.
      Results: The study included 11 patients with exotropia and 16 patients with esotropia. The mean age of the patients was 5.2 years (range 1-11 years). The mean preoperative distance deviation was 46.7 ± 10.4 prism diopters (PD) for exotropic patients and 47.1 ± 16.9 PD for esotropic patients. The mean preoperative near deviation was 46.6 ± 11 PD for exotropic patients and 52.4 ± 17.1 PD for esotropia. Two patients with exotropia (18.2%) and four patients with esotropia (25%) were adjusted under intravenous ketamine in the operating room under anesthetist supervision. No difficulty was encountered in advancing/recessing the muscles. The success rate at 1 month was 100% for exotropia and 87.5% for esotropia. The success rate at the final follow-up was 81.8% for patients with exotropia and 68.7% for patients with esotropia.
      Conclusions: This delayed optional adjustable strabismus surgery technique provides good short-term results and lower adjustment rates.
      Competing Interests: None
    • Comments:
      Comment in: Indian J Ophthalmol. 2019 Feb;67(2):263. (PMID: 30672483)
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    • Contributed Indexing:
      Keywords: Delayed optional adjustable; modified Bow-tie; strabismus surgery in children
    • Publication Date:
      Date Created: 20190124 Date Completed: 20190610 Latest Revision: 20220408
    • Publication Date:
      20231215
    • Accession Number:
      PMC6376808
    • Accession Number:
      10.4103/ijo.IJO_398_18
    • Accession Number:
      30672482