A prospective study of alternating occlusion before surgical alignment for infantile esotropia: one-year postoperative motor results

Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus
Malcolm R IngScott Lambert

Abstract

Alternating occlusion before surgical alignment has been suggested by some strabismologists as a possible method to enhance the treatment of infantile esotropia. This report presents 1-year outcome results of a prospective trial of patients with infantile esotropia who were assigned randomly to alternating occlusion or control groups. Forty-four patients with infantile esotropia were measured at entry into the study, at the time of surgery, at 6 weeks, and 1 year postoperatively. Alternating occlusion was full time and symmetric for those with no amblyopia but asymmetric for those with amblyopia. The control group that did not receive alternating occlusion had occlusion for amblyopia only. Initial surgeries were performed when the patients were between the ages of 6 and 13 months. Overall, the patients showed an increase of 9.14 prism diopters (PD) during a mean preoperative follow-up of 4.2 months. Seventy-five percent of all patients were aligned by the initial surgery. Ninety-one percent of those patients aligned within 10 PD at 6 weeks also were aligned 1 year postoperatively. The results were similar for the alternate occlusion group and the control group. In our sample of patients, alternating occlusion does not detectabl...Continue Reading

References

Jan 1, 1985·International Ophthalmology Clinics·D S Friendly
Nov 1, 1965·Journal of Neurophysiology·D H Hubel, T N Wiesel

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Citations

Feb 1, 1988·The British Journal of Ophthalmology·M Deller
Jun 14, 2014·Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus·Matthew S Pihlblad, Joseph L Demer
May 11, 2010·Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus·Alejandra G de Alba CampomanesGlorialicia Campomanes Eguiarte
Jun 12, 2012·Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus·Huseyin GursoyErtugrul Colak
Sep 22, 2020·Journal of Pediatric Ophthalmology and Strabismus·Omer Ersin Muz, Ali Sefik Sanac

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