The factors affecting surgical success rate for the patients with congenital esotropia
Journal Title: The European Research Journal - Year 2015, Vol 1, Issue 2
Abstract
Objective. To evaluate the factors and preoperative clinical features affecting surgical success rate in patients with congenital esotropia. Method. The medical files of patients who underwent surgery for congenital esotropia between June 2012 and September 2014 were retrospectively reviewed. Data from the patients’ full ophthalmological examination included visual acuity, ocular alignment, duction, versions and sensory tests for binocularity, cycloplegic retinoscopy and fundus evaluation. Presence of previous ambliyopia treatment, fixation preference, cross-fixation, anisometropia >1.5D, ocular motility abnormalities were noted. The relationship of these variables with the surgical success rate was evaluated. Results. A total of 48 patients (25 female,52.1%) were included. The mean age of the patients was 4.4±5.2 years. Successful surgical outcome was achieved in 39 (81.3%). All the patients were followed for 14.1±4.4 months. There was no relation between surgical success and patients’ gender, positive family history, consanguinity, previous ambliyopia treatment, anisometropia, abnormal ocular motility and cross-fixation and mean cycloplegic refraction (p>0,05). However, fixation preference and mean preoperative deviation found to be related with surgical failure (p<0,05). Conclusion. In this study many variables such as epidemiologic characteristics and clinical features of patients were investigated for their possible association with surgical success rate. Only preoperative fixation preference without ambliyopia and mean preoperative deviation were found to be risk factors for the surgical failure in this group of patients with infantile esotropia.
Authors and Affiliations
Tugba Goncu, Funda Dilmen, Ali Akal, Fatih Mehmet Adibelli, Sevinc Cakmak
Keywords
Related Articles
- EP ID EP183076
- DOI 10.18621/eurj.2015.1.1.33
- Views 182
- Downloads 0
Alternative cannulation techniques in surgical repair for acute type A aortic dissection
No abstract available.
Should endoscopy be routinely performed for bariatric surgery candidates?
Objectives. The rationale for a routine endoscopy before bariatric surgery in asymptomatic patients remains controversial. The purpose of the present study was to compare, in a retrospective manner, the endoscopic findin...
Are total thyroidectomy and loboisthmectomy effective and safe in benign thyroid diseases? An analysis of 420 patients
Objective. Ideal thyroid surgery is still a debated issue due to preoperative pathology and varying rates of postoperative incidental carcinoma and complications. In our clinic loboisthmectomy and bilateral total thyroid...
Clinical prognostic factors in patients with idiopathic peripheral facial nerve paralysis (Bell’s palsy)
Objective. The aim of this study was to analyse the clinical prognostic factors that are associated with treatment outcomes in patients with idiopathic peripheral facial nerve paralysis (PFNP). Methods. The study was per...
The effectiveness of final intraoperative endoscopic control in conventional septoplasty
Objective. Septoplasty operation is a very common procedure and can be performed with endoscopic or conventional techniques. In some cases, preoperative nasal endoscopy can not be performed due to severe anterior deviati...