Binocular Vision Results after Strabismus Surgery in Adults
Authors:
H. Pellarová; R. Autrata; E. Unčovská; K. Šenková; J. Řehůřek
Authors‘ workplace:
Dětská oční klinika LF MU a FN, Brno, přednosta prof. MUDr. Rudolf Autrata, CSc., MBA
Published in:
Čes. a slov. Oftal., 65, 2009, No. 6, p. 208-216
Category:
Overview Report
Overview
Purpose:
In the retrospective clinical trial is evaluated efficacy of strabismus surgery in adult patiens operated in our eye clinic in period from 1990 to 2005.
Methods:
We determinated three basic questions:
What are the cosmetic results of surgery at a various types of strabismus?
What is binocular vision outcome after surgery in comparison to preoperative status?
What is the prevalence of postoperative diplopia?
What is the efficacy of the Hummelsheim’s transposition operation in comparison to classical surgery
The study group included 257 adult patiens aged from18 to 65 years (mean32,6) with concomitant strabism, residual or consecutive esotropia or exotropia and paralytic strabism.
Results:
Ortophoria or small angle of eso- or exodeviation (up to 10 prism diopters) with successful cosmetic results were presented in 100 % of patiens. Single binocular vision efore surgery had 34,6 % of patiens (20,6 % simultaneous vision, 14 % vision, no stereopsis). Binocular vision postoperatively had 80 % of patiens (simultaneous vision 35,4 %, fusion 28,4 %, stereopsis 16 % of patiens). Postoperatively in 16 patients temporary diplopia for a short time occured. No case of postoperative paradox diplopia with anomalous retinal correspondence was noticed.
Conclusion:
We can conclude that strabism surgery in adults has asuccessful cosmetic result with psychological and social consequences and represents a posibility to obtain or improve binocular vision including stereopsis.
Key words:
strabism concomitant, paralytic, esotropia, exotropia, binocular vision, stereopsis
Sources
1. Archem, S.M., Sondhi, N., Helveston, E.M.: Strabismus in infancy. Ophthalmology. 1989: 96: 133
2. Ball, A., Drummond, G.T., Pearce, W.G.: Unexpected stereoacuity following surgical correction for longstanding horizontal strabismus. Canad. J. Ophthalmol. 28; 1993: 217–220
3. Bleik, J.H., Cherfan, G.M.: Anterior segment ischemia a 10-year-old patient. Am. J. Ophthalmol. 1995: 119: 524–528
4. Brooks, S.E., Olitsky, S.E, Ribiero G.B.: Augmented Hummelsheim procedure for paralytic strabismus. J. Pediatr.Ophthalmol. Strabismus. 2000: 37: 189–195
5. Cline, R.A., Scott, W.E.: Long-term follow-up of Jensen procedures. J Pediatr Ophthalmol Strabismus. 1988: 25: 264–269
6. Foster, R.S.: Vertical muscle transposition augmented with lateral fixation J AAPOS. 1997: 1: 20–30
7. France, T.D., Simon, J.W.: Anterior segment ischemia syndrome following muscle surgery: the AAPOS experience. J. Pediatr. Ophthalmol. Strabismus. 1986: 23: 87–91
8. Halley, R.D.: Paralytic strabismus in children: etiologic incidence and management of the third, fourth, and sixth nerve palsies. Ophthalmology. 1980: 87: 24–38
9. Helveston, E.M.: Muscle transposition procedures. Surv. Ophthalmol.. 1971: 16: 92–97
10. Hiatt, R.L.: Transposition procedures in strabismus. Ann. Ophthalmol. 1986: 18: 332–336
11. Hromádková, L., Řehůřek, J.: Příspěvek k problematice chirurgie strabismu v dospělém věku. Čs. Oftal. 54; 1998: 100–104
12. Hromádková L.: Paralytický strabismus. Šilhání. 2. vydání, Brno, IDVPZ. 1995: 163
13. Hummelsheim, E.: Weitere Erfahrungen mit partieller Schnenuberpflanzung an den Augenmuskeln. Arch Augenheilkd. 1909: 62: 71–76
14. Jensen, C.D.F.: Rectus muscle union : a new operation for paralysis of the rectus muscle. Trans. Pac. Coast Oto-ophthalmol Soc Annu Meet. 1964: 45: 359–361
15. Keltner, J: Strabismus surgery in adults. Arch. Ophthal. 112; 1994: 599–600
16. Knox, D.L., Clark, D.B., Schuster, F.F.: Benign sixth nerve palsies in children. Pediatrics. 1967: 40: 560–564
17. Kushner, B.J., Morton, G.V.: Postoperative binocularity in adults with longstanding strabismus. Ophthalmology. 99; 1992: 316–319
18. Kushner, B.J.: Postoperative binocularity in adults with longstanding strabismus: is surgery cosmetic only? Am. Orthoptic J. 40; 1990: 64–67
19. Lee J., Hartus, S., Cohen, J. et al.: Results of a prospective randomized trial of botulinum toxin therapy in acute unilateral sixth nerve palsy. J. Pediatr Ophthalmol. Strabismus. 1994: 31: 283–289
20. Magramm, I.,Schlossman, A: Strabismus in patiens over the age of 60 years. J. Pediatr. Ophthal. Strab. 28; 1991: 28–31
21. Maruo, T., Iwahige, H., Kubota, N. et al.: Results of surgery for paralytic esotropia due to abducens palsy. Jpn J Ophthalmol. 1996: 40: 229–234
22. Mc. Manaway, J.W., Buckley, E.G., Brodsky, M.C.: Vertical rectus muscle transpostion with intraoperative botulinum injection for treatment of chronic sixth nerve palsy. Graefes Arch. Clin. Exp. Ophthalmol. 1990: 228: 401–406
23. Morris, R.J., Scott, W.E., Dickey, C.F.: Vision after surgical alignment of longstanding strabismus in adults. Ophthalmology. 100;1993: 135–138
24. Nelson L.B.: Harleyęs Pediatric Ophthalmology, 4th edition, Philadelphia, W. B. Saunders Co. 1998: 531
25. Panitch, H.S., Berg, B.D.: Brain stem tumour of childhood and adolescence. Am. J. Dis. Child. 1970: 119: 465–472
26. Paysse, E.A., McCreery, K.M.B., Ross, A., Coats, D.K.: Use of augmented rectus muscle transposition surgery for complex strabismus. Ophthamology. 2002: 109: 1309–1314
27. Reinecke, R.D.: Surgical management of third and sixth cranial nerve palsies. In Nelson L.B. and Wagner R.S. (eds): Strabismus Surgery. International Ophthalmology Clinics. Boston, Little, Brown and Co.1985.
28. Rosenbaum, A.L., Kushner, B.J., Kirschen, D.: Vertical rectus muscle transposition and botulinum toxin to medial rectus for abducens palsy. Arch Ophthalmol.1989: 107: 820–823
29. Saunders, R.A.: Anterior segment ischemia after strabismus surgery. Surv.Ophthalmol.1994: 38: 456–466
30. Scott, W.E, Kutsche, P.J., Lee, E.R.: 20th annual Frank Costenbader lecture – adult strabismus. J. Pediat. Ophthal. Strab. 32; 1995: 348–359
31. Scott, W.E., Werner, D.B., Lennarson, L.: Evaluation of Jensen procedures by saccades and diplopic fields. Arch Ophthalmol. 1979: 97: 1886–1893
32. Selezinka, W., Sandall, G.S.: Rectus muscle union in sixth nerve paralysis. Arch Ophthalmol. 1974: 92: 382–388
33. Skorkovská, Š., Mašková. Z.: Binokulární vidění po operaci strabismu v dospělém věku. Čs. Oftal. 52; 1996: 258–262
Labels
OphthalmologyArticle was published in
Czech and Slovak Ophthalmology
2009 Issue 6
Most read in this issue
- Binocular Vision Results after Strabismus Surgery in Adults
- Xalatan (Latanoprost) as the First Choice Medication in the Treatment of Primary Open Angle Glaucoma and Ocular Hypertension – Experience in the Czech Republic
- Severe Self-Mutilation of the Eye as a First Sign of Psychosis – a Case Report
- Treatment of Capillary Hemangioma of Orbit and Adnexes Eye with Betablockers