Clinical Characteristics and Treatment of Esotropia Following Bare Sclera Pterygium Surgery.
10.3341/jkos.2013.54.5.771
- Author:
Seong Ho JO
1
;
Ji Eun LEE
;
Hee Young CHOI
;
Jae Ho JUNG
Author Information
1. Department of Ophthalmology, Pusan National University Yangsan Hospital, Pusan National University School of Medicine, Yangsan, Korea. jaeho0130@naver.com
- Publication Type:Original Article
- Keywords:
Adhesion;
Esotropia;
Pterygium surgery;
Recession
- MeSH:
Cicatrix;
Conjunctiva;
Diplopia;
Esotropia;
Eye;
Eyeglasses;
Glass;
Humans;
Pterygium;
Recurrence;
Retrospective Studies;
Sclera;
Strabismus
- From:Journal of the Korean Ophthalmological Society
2013;54(5):771-776
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: The clinical features of esotropia after bare scleral pterygium surgery and dipolpia treatment results were evaluated in the present study. METHODS: Twenty eyes of 12 patients who had esotropia after bare sclera pterygium surgery from 2008 to 2011 were retrospectively investigated. RESULTS: Diplopia occurred at 2.8 +/- 1.6 months (1-6 months) after pterygium surgery. The mean pre-operative angle of esotropia was 19.4 +/- 8.9 PD (8-40 PD) at distance and 16 +/- 7.3 PD (0-30 PD) at near. All patients showed limitation of abduction in the pterygium operated eye. Two patients were prescribed prism glasses, 2 patients underwent conjunctiva surgery, and medial rectus recession with simultaneous intraoperative adjustment surgery was performed in 8 patients. An additional strabismus operation was required for 2 patients who received conjunctival surgery due to diplopia recurrence. Seven patients (70%) showed orthotropia at 3 months. CONCLUSIONS: In this study, diplopia following postoperative adhesion caused by bare sclera pterygium surgery technique was observed. Conjunctiva-perimuscular scar tissue removal and medial rectus recession were effective methods in eliminating diplopia.
