Strabismus surgery for patients with acquired nonaccommodative esotropia based on monocular occlusion test.

Autor: Masoomian B; Translational Ophthalmology Research Center, Farabi Eye Hospital, Tehran University of Medical Sciences, Tehran, Iran. Electronic address: dr.masoomian@yahoo.com., Othman N; Translational Ophthalmology Research Center, Farabi Eye Hospital, Tehran University of Medical Sciences, Tehran, Iran., Mirmohammadsadeghi A; Translational Ophthalmology Research Center, Farabi Eye Hospital, Tehran University of Medical Sciences, Tehran, Iran., Akbari MR; Translational Ophthalmology Research Center, Farabi Eye Hospital, Tehran University of Medical Sciences, Tehran, Iran., Khorrami-Nejad M; School of rehabillation, Tehran University of Medical Sciences, Tehran, Iran; Optical Techniques Department, College of Health and Medical Techniques, Al-Mustaqbal University, Babylon, Iraq., Sadeghi M; Translational Ophthalmology Research Center, Farabi Eye Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Jazyk: angličtina
Zdroj: Journal of AAPOS : the official publication of the American Association for Pediatric Ophthalmology and Strabismus [J AAPOS] 2024 Nov 04, pp. 104031. Date of Electronic Publication: 2024 Nov 04.
DOI: 10.1016/j.jaapos.2024.104031
Abstrakt: Purpose: To evaluate the outcome of surgery based on a monocular occlusion test in patients with acquired nonaccommodative esotropia (ANAET).
Methods: Patients with ANAET in which the angle of esodeviation increased by at least 10 Δ after 1 hour of monocular patching were enrolled prospectively.
Results: A monocular occlusion test was performed for 32 patients, of whom 14 patients showed significant change in the angle of esotropia. The mean age was 21.4 (range, 5-50) years, and 8 (57%) were females. The mean spherical equivalent was 0.24 D for right eyes and 0.35 D for left eyes. The mean angle of esotropia before occlusion was 9.9 Δ ± 6.4 Δ (range, 2 Δ -20 Δ ) for distance and 13.8 Δ ± 6.6 Δ (range, 4.5 Δ -25 Δ ) for near. The mean angle of esotropia after monocular occlusion was 22.3 Δ ± 5.1 Δ (range, 12 Δ -30 Δ ) for distance and 24.6 Δ ± 6.2 Δ (range, 12 Δ -32.5 Δ ) for near. Bimedial rectus muscle recession was performed for all the patients according to near esotropia after 1 hour of monocular occlusion. Patients were followed for 12 months. Final mean angle of esodeviation was 1.0 Δ ± 2.2 Δ (range, 0 Δ -6 Δ ) for distance and 3.6 Δ ± 3.2 Δ (range, 0 Δ -10 Δ ) for near. But for a single case, patients achieved alignment <8 Δ of esodeviation after surgery. There was no report of diplopia or other complications postoperatively.
Conclusions: The findings advocate incorporating monocular occlusion into the preoperative assessment to determine the surgical target in ANAET patients.
(Copyright © 2024. Published by Elsevier Inc.)
Databáze: MEDLINE
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