Friday, April 5, 2013

The Prevalence of Reoperation and Related Risk Factors Among Patients With Congenital Esotropia

The Prevalence of Reoperation and Related Risk Factors Among Patients With Congenital Esotropia

....Reoperation was indicated in 32.4% of children who had residual esotropia greater than 15 PD after 3 months following their first operation. Congenital esotropia greater than 30 PD ... and lateral rectus muscle underaction of −1 to −2 ... were statistically different between the two groups.....

Comments: Once again it appears no matter the type of strabismus present or the surgical technique used, it appears that approximately 1/3 of those who have had strabismus surgery often require a second surgery. I urge all to refer for non-surgical intervention prior to recommending surgery and that once the surgery is completed that optometric vision therapy be offered to improve successful outcomes. DM

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