Minimally Invasive Strabismus Surgery (MISS) Compared with the Fornix Approach in Pediatric Horizontal Strabismus Surgery

Autor:	Pilar Merino Sanz, Irene Blanco Domínguez, Pilar Gómez de Liaño Sánchez
Rok vydání:	2015
Předmět:	Male medicine.medical_specialty Visual acuity genetic structures Operative Time Visual Acuity Ophthalmologic Surgical Procedures Ophthalmology medicine Humans Minimally Invasive Surgical Procedures Postoperative Period Strabismus Child Retrospective Studies Depth Perception Vision Binocular business.industry Fornix Retrospective cohort study eye diseases Surgery Oculomotor Muscle Treatment Outcome Oculomotor Muscles Child Preschool Female sense organs medicine.symptom business Binocular vision Ophthalmologic Surgical Procedure Strabismus surgery
Zdroj:	Strabismus. 23(4)
ISSN:	1744-5132
Popis:	To compare minimally invasive strabismus surgery (MISS) with the fornix approach in horizontal strabismus operations.We performed a retrospective study of all patients aged ≤ 12 years who underwent symmetrical surgery of the medial or lateral recti over a 1-year period. MISS was performed in one eye, and fornix opening was performed in the contralateral. We compared pre- and postoperative visual acuity (VA), conjunctival hyperemia, swelling after surgery, and operating time. The techniques were performed by 2 surgeons after a 4-year training period.The sample comprised 16 patients, with a mean age of 6.75 ± 3.02 years. The medial rectus was operated on in 9, the lateral rectus in 7 cases. Recession was performed in 14 muscles (mean dose, 5 mm) and plication in 2 (5.5 mm and 7 mm, respectively). MISS was performed in 12 right eyes and 4 left eyes. Preoperative VA was 0.77 in MISS and 0.80 in the control group. VA was 0.83 in MISS and 0.76 in the control group 1 day after surgery. No significant differences were found for conjunctival hyperemia between the MISS and fornix groups 1 day or 1 week after surgery. Nevertheless, moderate/severe conjunctival hyperemia was less frequent in the MISS group (31.3% versus 62.5%). No significant differences were found for operating time (14.43 minutes [MISS] vs 12.37 minutes [control]).The MISS technique was similar to the fornix approach in the early postoperative period with respect to VA, conjunctival inflammation, and operating time in pediatric horizontal strabismus surgery.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::ed64a369067bfb83b71cb00902661bf6 https://pubmed.ncbi.nlm.nih.gov/26669420 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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