ISSN: 1300-0365
Dil: Türkçe
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Surgical Results In Infantile Esotropia
F. Hakan ÖNER*, Gül ÖZDEN**, A. Tülin BERK***
* Uz.Dr., Dokuz Eylül Üniversitesi Tıp Fakültesi Göz Hastalıkları AD,** Arş.Gör.Dr., Dokuz Eylül Üniversitesi Tıp Fakültesi Göz Hastalıkları AD,*** Doç.Dr., Dokuz Eylül Üniversitesi Tıp Fakültesi Göz Hastalıkları AD, İZMİR
Objective : To evaluate the surgical results in patients with infantile esotropia.Institution : Dokuz Eylül University, School of Medicine, Department of Ophthalmology, İzmir, TurkeyMaterials and Methods : Fifty-six patients operated due to infantile esotropia were evaluated retrospectively in terms of refraction, age at the onset of strabismus, angle of deviation, surgical interventions, postoperative horizontal and vertical deviations, binocular functions and amblyopia. Patients were divided into two groups as operated before 24 months (early) and after 24 months (late). These groups were compared in terms of amblyopia, fusion and stereopsis. Results : The mean age at first visit was 3.7 years (3 months-18 years). Twenty-three patients (41%) had emmetropia or low hyperopia, 23 cases (41%) had moderate hyperopia, 5 cases (8%) had high hyperopia whereas 5 cases (8%) had myopia. Mean angle of deviation was 44 PD (16-90 PD) preoperatively. Surgery was performed before 24 months in 20 cases (35.7%), and after 24 months in 36 cases (64.2%). Postoperatively angle of deviation was under or equal to 10 PD in 33 cases (%58), between 11 and 20 PD in 17 cases, and above 20 PD in 2 cases (3%). Postoperatively dissociated vertical deviation was present in 14 cases (25%) of which 2 of them (3.5%) was present preoperatively, head position was present in 7 cases (12%). Preoperatively and postoperatively, latent nystagmus was present in the same 9 cases (16%). In 8 cases (14%) the progressive increase in esotropia due to addition of accomodative component was controlled with hyperopic spectacle correction. There was no statistically significant difference between the early and late surgery groups in terms of amblyopia, fusion and stereopsis (p>0.05). Conclusion : In infantile esotropia cases, surgery should be performed as soon as the accurate determination of the deviation can be made, all preoperative and postoperative refractive errors must be determined, and altough it was limited with the treatment of amblyopia and early surgical intervention, achievement of binocular functions should be aimed.Keywords: Amblyopia, Esotropia, Refraction, SurgeryTurkiye Klinikleri J Ophthalmol 2003, 12:15-20
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