ABSTRACT

Purpose:

Evaluation of the development of binocular functions after surgical treatment in cases with infantile esotropia.

Method:

25 children with infantile esotropia followed in strabismus clinic development of binocular functions after surgery were evaluated. A comprehensive examination was made before and at the 1st day, 1st week, 1st, 3rd and 6th months of the postoperative period. The visual acuity was measured using the Snellen chart. The angle shift in primary gaze position before and after the surgery was measured using the prism reflection test (Krimsky). The fusion was evaluated by Worth's four-point test (W4N) and the stereoacuity was evaluated by Preschool Randot test. According to angle of squint, 5 to 7 mm’s of recession of both medial rectus muscles was applied to the patients.

Results:

The mean age of the patients was 3.36 ± 1.15 and the average age of operation was 2.72 ± 0.98. The mean angle of squint at primary gaze position was 47.20 ± 15.14 PD before surgery, and 7.00 ± 9.68 PD after surgery. The mean amount of medial rectus recession was 5.82 ± 0.72 mm’s. Fusion was detected in 1(4%) patient before the surgery and 7 (28%) after surgery(p> 0.05). Before the surgery 20% (5 cases) of cases had stereoacuity, after surgery this rate reached 56% (14 cases) (p

Conclusion:

In cases with infantile esotropia the early surgical treatment should be applied for the development of the binocular functions.

Keywords:

Infantile esotropia, binocular function, surgical treatment

References

Miller SJH, Parson&rsquos G&oumlz Hastaliklari. Atlas Tip Kitap&ccedil

Friedman Z, Neumann E, Hyam SW, Peleg B, Ophthalmic screening of 38,000 children age 1 to 2 _ years in child welfare clinics. J. Pediatr. Ophthalmol. Strabismus 1980,17

Graham RA, Epidemiology of strabismus. Br J Ophthalmol. 1974,58

Nixon RB, Helveston EM, Miller K, Archer SM, Ellis FD, Incidence of strabismus in neonates. Am. J. Ophthalmol. 1985,100-798

Costenbader FD, Infantile esotropia. Trans. Am. Ophthalmol. Soc. 1961,59

Costenbader FD, Ing M, Bair RV, Parks MM, Symposium:infantile esotropia. Am. J. Ophthalmol 1968,18

von Noorden GK, A reassessment of infantile esotropia (XLIV Edward Jackson Memorial Lecture). Am. J. Ophthalmol 1988,105

Sanaç, Sana&ccedil-1

Arruga A, The time factor in strabismus surgery. In Luntz HM,editor: Proceedings of the first South African international ophthalmological symposium, London, 1969, Butterwort &amp

Berard PV, &rdquoEarly-delayed&rdquo treatment of strabismus versus late treatment. In Ferrer ON, editor: Ocular motility, Int. Ophthalmol. Clin. 1971,11

Aust W, Indikationen zur Fr&uumlhbehandlung schilender Kinder. Klin. Monatsbl. Augenheilkd. 1959,154

Lobstein - Henry Y, Avantages et inconvenients du traitement chirurgical differe. Doc. Ophthalmol 1967,23

von Noorden GK, A reassessment of infantile esotropia. XUV Edward Jackson Memorial Lecture. Am J Ophthalmol 1988,105-1

Weakly DR, Stager DR, Everett MR, Seven-millimeter bilateral medial rectus recessions in infantile esotropia. J Pediatr Ophthalmol Strabismus 1991,28-113

Scott WE, Temporary surgical overcorrection of infantile esotropia. Trans New Orleans Acad Ophthalmol 1986,34-399

Altintas A, G. Horizontal Kas Cerrahisinde Operasyon &Oumlncesi ve Sonrasi F&uumlzyon. T Klin Oftalmoloji 1997,6-37

A randomised comparison of bilateral recession versus unilateral recession-resection as surgery for infantile esotropia, Polling JR, Eijkemans MJ, Esser J, et al. Br J Ophthalmol 2009,93-954

Stager DR, Weakley DR Jr, Everett M, Birch EE, Delayed consecutive exotropia following 7-millimeter bilateral medial rectus recession for congenital esotropia. J Pediatr Ophthalmol Strabismus. 1994,31-147

Ing MR, Early surgical alignment for congenital esotropia. J Pediatr Ophthalmol Strabismus 1983,20-11

Orhan M, Acar B, Sener C, Demireller T, Yaylali V, Sanaç AS, Infantil ezotropya: Binok&uumller g&oumlrme &oumlzellikleri, refraksiyon ve ge&ccedil d&oumlnem hiperdeviasyonlar. XXV. Ulusal T&uumlrk Oftalmoloji Kongresi B&uumllteni,Istanbul 1991,2-365

Willshaw HE, Keenan J, Strabismus surgery in children: The prospects for binocular single vision. Eye 1991,5-338

Kushner BJ, Marton GV, Postoperative binocularity with longstanding strabismus. Ophthalmology 1992,99-316

Brooks Steven E, Johnson D, Fischer N, Anisometropia and binocularity. Ophthalmology 1996,103-1139

O’Keefe M, Abdulla N, Roger B, Lanigan B, Binocular function and amblyopia after early surgery in infantile esotropia. Acta Ophthalmol Scand. 1996,74-461

Altintas A, G. Horizontal Kas Cerrahisinde Operasyon &Oumlncesi ve Sonrasi F&uumlzyon. T Klin Oftalmoloji 1997,6-37

Üretmen O, Pamukçu K, Köse S, Uçak E, Binocular visual function in congenital esotropia after bilateral medial rectus recession with loop suture. Strabismus 2002,10-215

ner FH, zden G, Berk AT, Infantil ezotropyada cerrahi tedavi sonu&ccedillarimiz. T Klin Oftalmoloji 2003,12-15

Helveston EM, Ellis FD, Plager DA, Miller KK, Early surgery for essential infantile esotropia. J Pediatr Ophthalmol Strabismus 1990,27-115

Wright KW, Edelman PM, McVey JH, High grade stereo acuity after early surgery for congenital esotropia. Arch Ophthalmol. 1994,112-913

Birch E, Fawcett S, Stager D, Why does early surgical alignment improve stereoacuity outcomes in infantile esotropia. J AAPOS 2000,4-10

Ing M, Outcome study of surgical alignment before six months of age for congenital esotropia. Ophthalmology 1995,102-2041

The evaluation of the development of binocular functions in infantile esotropia after surgical treatment

ABSTRACT

References