A study on surgical management of 17 patients with consecutive strabismus in hyderabad
10.3969/j.issn.1672-5123.2009.12.003
- VernacularTitle:巴基斯坦海德拉巴地区连续性斜视17例手术治疗临床观察
- Author:
Sameen Afzal JUNEJO
;
Munawar AHMED
;
Arshad Ali LODHI
- Publication Type:Journal Article
- Keywords:
consecutive strabismus;
dominant eye;
surgical correction;
hyderabad
- From:
International Eye Science
2009;9(12):2265-2268
- CountryChina
- Language:Chinese
-
Abstract:
AIM: To determine the clinical course and management of patients undergoing surgery for consecutive strabismus.METHODS: Patients less than 45 years of age presenting with consecutive strabismus were divided into two groups (1-Esodeviation and 2-Exodeviation). Angle of deviation was measured in prism diopter (PD). Conservative therapy was experienced during the course of follow-up after first surgery. All the subjects with deviation of more than 15PD after six months of follow-up were selected for repeat surgery. Compulsory investigations were performed. Secondary surgical procedures were performed under general anesthesia. Postoperative follow-up was done at 3 days, 15 days, 3 months and 6 months.RESULTS: Subjects(28.8%)developed consecutive stra-bismus within the study period. Second surgery on a dominant (fixating) eye in all patients was performed within 6 to 9 months after first surgery. After second surgical interven-tion, good surgical outcome was obtained and the tendency towards over correction was not observed in both groups during follow-up period.CONCLUSION: There is a need for guarded muscle correction during second surgery to avoid over corrections in future.
