Influence of timing of initial surgery for infantile esotropia on the severity of dissociated vertical deviation

Purpose The purpose of this study was to clarify whether the timing of initial surgery for infantile esotropia contributes to better sensory outcomes and to the severity of dissociated vertical deviation (DVD). Methods This retrospective study examined 55 children, aged 8 years and younger, who unde...

Full description

Saved in:

Bibliographic Details
Published in:	Japanese journal of ophthalmology Vol. 55; no. 4; pp. 383 - 388
Main Authors:	Yagasaki, Teiji, Yokoyama, Yoshimi O., Maeda, Mariko
Format:	Journal Article
Language:	English
Published:	Tokyo Springer Japan 01-07-2011 Springer Nature B.V
Subjects:	Child Child, Preschool Clinical Investigation Depth Perception - physiology Esotropia - physiopathology Esotropia - surgery Eye Movements - physiology Follow-Up Studies Humans Infant Infant, Newborn Medicine Medicine & Public Health Oculomotor Muscles - physiopathology Oculomotor Muscles - surgery Ophthalmologic Surgical Procedures Ophthalmology Retrospective Studies Time Factors Treatment Outcome Vision, Binocular - physiology Visual Acuity - physiology Infantile esotropia Fusion Dissociated vertical deviation Timing of surgery
Online Access:	Get full text
Tags:	Add Tag No Tags, Be the first to tag this record!

Description
Summary:	Purpose The purpose of this study was to clarify whether the timing of initial surgery for infantile esotropia contributes to better sensory outcomes and to the severity of dissociated vertical deviation (DVD). Methods This retrospective study examined 55 children, aged 8 years and younger, who underwent esotropia surgery. Based on age at the time of the surgery, patients were divided into the very early surgery group (birth to 8 months, N = 14), early surgery group (9–24 months, N = 23) and late surgery group (25 months and older, N = 18). Sensory and motor outcomes of the three groups were statistically evaluated. Results No significant differences in the incidences of DVD were noted among the three groups at the final visit. However, all DVDs of the very early surgery group were latent, whereas 38.9% of the DVDs for both near and distance of the late surgery group were manifest. Significant differences were found among the three groups for the proportion of patients with manifest DVD, latent DVD and without DVD, and for the incidence of additional surgery for manifest DVD ( p < 0.05, G -test). Conclusion Early surgery for infantile esotropia decreases the severity of DVD and lowers the need for an additional operation for DVD.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	0021-5155 1613-2246
DOI:	10.1007/s10384-011-0043-1