Long-term Surgical Outcomes for Large-angle Infantile Esotropia

American Journal of Ophthalmology
Michael J WanDavid G Hunter

Abstract

To report the long-term surgical outcomes for a cohort of children with large-angle infantile esotropia. Multicenter, nonrandomized clinical study. Setting: Two tertiary-care pediatric hospitals. Children with large-angle (≥55 prism diopters) infantile esotropia. Surgical treatment of infantile esotropia. Success rate at final follow-up (postoperative deviation ≤ 10 prism diopters and no need for retreatment). A total of 88 patients with large-angle infantile esotropia were treated during the 13-year study period. Treatment was bilateral medial rectus muscle recessions in 70 patients, botulinum toxin-augmented surgery in 15 patients, and 3-muscle surgery in 3 patients. After a mean follow-up of 40 months, 20 patients (23%) had a successful outcome compared to 68 treatment failures (77%). Of the 68 treatment failures, 59 had residual or recurrent esotropia and 9 had sequential exotropia. On multivariate logistic regression, treatment modality was the only factor significantly associated with a successful outcome. Specifically, patients treated with botulinum toxin-augmented surgery were more likely to have a successful outcome compared to patients treated with bilateral medial rectus muscle recessions. For the 26 patients (30%) ...Continue Reading

Citations

Feb 28, 2020·Clinical Ophthalmology·Viola Andin DohvomaCôme Ebana Mvogo
Jun 11, 2019·Seminars in Ophthalmology·Anna G Escuder, David G Hunter
Jun 16, 2021·International Ophthalmology·Assaf TolkovskyOriel Spierer
Jun 19, 2021·Graefe's Archive for Clinical and Experimental Ophthalmology = Albrecht Von Graefes Archiv Für Klinische Und Experimentelle Ophthalmologie·Wenqing ZhuChen Zhao
Jan 4, 2022·International Ophthalmology·Mohamad DakroubChristiane Al-Haddad

❮ Previous
Next ❯

Related Concepts

Related Feeds

Botulism (ASM)

Botulism is a rare but serious paralytic illness caused by a nerve toxin that is produced by the bacterium clostridium botulinum. Discover the latest research on botulism here.

Botulism

Botulism is a rare but serious paralytic illness caused by a nerve toxin that is produced by the bacterium clostridium botulinum. Discover the latest research on botulism here.