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EVALUATION OF THE MAIN FACTORS IN THE NEED FOR REOPERATION IN HORIZONTAL STRABISMUS

Year 2022, Volume: 6 Issue: 1, 40 - 46, 21.04.2022

Abstract

Şaşılık ameliyatı, görme eksenlerindeki sapmayı düzeltmeyi ve kozmetik olarak iyi bir görünüm elde etmeyi amaçlar. Çalışmamızda, tekrar ameliyat gerektiren yatay şaşılık hastalarında nedenlerin ortaya konulması amaçlanmıştır. Çalışmamızda, yatay deviasyon nedeniyle iki kez şaşılık cerrahisi uygulanan 22 ezotropya (ET) ve 4 ekzotropya (XT) olmak üzere toplam 26 olgu incelendi. Olgular şaşılık başlangıç yaşı, müdahale edilen kaslar, ambliyopi varlığı ve şaşılık tipine göre değerlendirildi. Çalışmamızdaki ardışık şaşılık gelişen 26 olgunun 22'si ezotropya nedeniyle, 4'ü ekzotropya nedeniyle ikinci kez ameliyat edildi. ET nedeniyle ameliyat edilen 22 hastanın %95'i(21) rezidü iken, %5'i (1) ardışık XT nedeniyle ikinci kez ameliyat edildi. ET'li hastaların sekizinde (%36) infantil ET, 16'sında (%72) akomodatif olmayan ET, 5'inde (%22) kısmi akomodatif ET saptandı. XT'li hastaların birinde (%25) aşırı diverjans vardı ve diğerleri sürekli XT idi. Ambliyopi olguların %53'ünde (13) saptandı. İkinci ameliyattan sonra başarılı olamayan 12 olgunun 7'sinde (%58) de ambliyopi saptandı. İlk ameliyatlarında başarısız olan ET ve XT hastalarının sonraki ameliyatlarında başarı oranlarının farklı değildi. Her iki grupta da ambliyopi, yüksek hipermetrop ve anizometropi, ilk ameliyat yaşının yüksek olması ve iki ameliyat süresi arasında geçen sürenin uzun olması cerrahi başarısızlık için risk faktörleri olabilir. Sonuçta, erken tanı,erken cerrahi müdahale ve etkin ambliyopi tedavisinin başarı oranını artırabileceği vurgulandı.

References

  • Altıntaş, AK., Altıparmak, E., & Duman, S. (2000). Şaşılıkta reoperasyon gerektiren olguların sonraki ameliyat başarılarının incelenmesi. M.N. Oftalmoloji, 7, 179-83.
  • Bradbury, J.A., & Dora, R.M.L. (1993). Secondary exotropia a retrospective analysis of match cases. J. Ped Ophthalmol Strabismus, 30:163-8.
  • Bryselbout, S., Promelle, V., Pracca, F., & Milazzo, S. (2018). Clinical and surgical risk factors for consecutive exotropia. Eur J Ophthalmol, 29(1), 33-37. doi: 10.1177/1120672118769787
  • Christensen, M.R., Pierson, K., & Leffler, C.T. (2018). Reoperation following strabismus surgery among Medicare beneficiaries: Associations with geographic region, academic affiliation, surgeon volume, and adjustable suture technique. Indian J Ophthalmol, 66(8), 1149-1153.
  • Fletcher, C.F., & Silverman, S.J. (1966). Strabismus; a study of 110 consecutive cases. 2. Findings in 472 cases of partially accommodative esotropia. Am. J. Ophthalmol, 61, 255.
  • Kampanartsanyakorn, S., Surachatkumtonekul, T., Dulayajinda, D., Jumroendararasmee, M., & Tongsae, S. (2005). The outcomes of horizontal strabismus surgery and influencing factors of the surgical success. J Med Assoc Thai., 88 Suppl 9, 94-9.
  • Morris, R.J., Scott, W.B, & Dickey, C.F. (1993). Fusion after surgical alignment of longstanding strabismus in adults. Ophthalmology,100, 135-8.
  • Miles, D.R., & Burian, H.M. (1967). Computer statistical analysis of symmetrical and asymmetrical surgery in esotropia. Trans Am. Acad. Ophthalmol Otolaryngol, 71(2), 290-302.
  • Oğuz, V., Arvas, S., Yolar, M., Kızılkaya, M., & Tolun, H. (2002). Consecutive exotropia following strabismus surgery. Ophthalmologica, 216(4), 246-8. doi: 10.1159/000063850
  • Parks, M. (2000). Concomitant esodeviations. In: Tasman W, Jaeger E, editors. Duane's Clinical Ophthalmology, 12.
  • Rajavi, Z., Gozin, M., Sabbaghi, H., Behradfar, N., Kheiri, B., & Faghihi, M. (2018). Reoperation in Horizontal Strabismus and its Related Risk Factors. Med Hypothesis Discov Innov Ophthalmol, 7(2), 73-82.
  • Stack, R., Burley, C., Bedggood, A., & Elder, M. (2003). Unilateral Versus Bilateral Medial Rectus Recession. Journal of AAPOS, 7(4), 263-267.
  • Reena,G., Jyoti, D., & Seemanchal, G.C. (2019). Clinical risk factors and management of consecutive strabismus/IP Internat. J. of Ocular Oncology and Oculoplasty, 5(4), 243-250.
  • Richard, J.M., & Parks, M.M. (1983). Intermittent exotropia surgical results in different age groups. Ophthalmology, 90, 1172-77.
  • Roth, A., & Rossillion, B. (2019). Repeat Surgery for Patients Operated in Childhood for Early-Onset Esotropia and Suffering from Persistent Residual, Recurrent or Consecutive Strabismus. Klin Monbl Augenheilkd, 236(4), 446-45.
  • Wang, L., & Nelson, L.B. (2010). One muscle strabismus surgery. Curr Opin Ophthalmol, 21(5), 335-40. doi: 10.1097/ICU.0b013e32833bd953
  • Wang, T., & Wang, L.H. (2014) Surgical treatment for residual or recurrent strabismus. Int J Ophthalmol, 7(6), 1056.
  • von Noorden, G.K., & Campos, E.C. (2000). Binocular vision and ocular motility. Sixth Edition. Mosby Inc. A Harcourt Health Sciences Company.
  • Yurdakul, NS., & Uğurlu, S. (2013). Analysis of risk factors for consecutive exotropia and review of the literature. J Pediatr Ophthalmol Strabismus, 50(5), 268–273.
  • Rajavi, Z., Ferdosi, A.A., Eslamdoust, M., Yaseri, M., Haftabani, N., Kroji, S., & Shebani, K. (2013). The Prevalence of Reoperation and Related Risk Factors Among Patients with Congenital Esotropia. J.of Ped. Opht. Strabismus, 50(1), 53-59.

EVALUATION OF THE MAIN FACTORS IN THE NEED FOR REOPERATION IN HORIZONTAL STRABISMUS

Year 2022, Volume: 6 Issue: 1, 40 - 46, 21.04.2022

Abstract

Strabismus surgery aims to correct the deviation in the visual axes and to achieve a good cosmetic appearance. This study, it was aimed to reveal the causes in patients with horizontal strabismus requiring reoperation. A total of 26 cases, including 22 esotropia and 4 exotropia who was operated on twice for horizontal deviation, were analyzed. The cases were evaluated according to the age of onset of strabismus, muscles involved, presence of amblyopia, and strabismus type. Twenty-two of 26 cases were operated on for esotropia and 4 for exotropia for the second time. Of the 22 patients who were operated on for esotropia, 95% were residual, while 5% were operated on for the second time for consecutive exotropia. One of the patients with exotropia had excessive divergence and the others were consistently exotropia. While amblyopia was detected in 53% of all cases at the beginning, amblyopia was detected in 58% of the group that failed after the second surgery. Amblyopia, high hyperopia and anisometropia, high age at the first operation, and a long interval between two operations may be risk factors for surgical failure. In conclusion, it was emphasized that early diagnosis, early surgical intervention and effective amblyopia treatment can increase the success rate.

References

  • Altıntaş, AK., Altıparmak, E., & Duman, S. (2000). Şaşılıkta reoperasyon gerektiren olguların sonraki ameliyat başarılarının incelenmesi. M.N. Oftalmoloji, 7, 179-83.
  • Bradbury, J.A., & Dora, R.M.L. (1993). Secondary exotropia a retrospective analysis of match cases. J. Ped Ophthalmol Strabismus, 30:163-8.
  • Bryselbout, S., Promelle, V., Pracca, F., & Milazzo, S. (2018). Clinical and surgical risk factors for consecutive exotropia. Eur J Ophthalmol, 29(1), 33-37. doi: 10.1177/1120672118769787
  • Christensen, M.R., Pierson, K., & Leffler, C.T. (2018). Reoperation following strabismus surgery among Medicare beneficiaries: Associations with geographic region, academic affiliation, surgeon volume, and adjustable suture technique. Indian J Ophthalmol, 66(8), 1149-1153.
  • Fletcher, C.F., & Silverman, S.J. (1966). Strabismus; a study of 110 consecutive cases. 2. Findings in 472 cases of partially accommodative esotropia. Am. J. Ophthalmol, 61, 255.
  • Kampanartsanyakorn, S., Surachatkumtonekul, T., Dulayajinda, D., Jumroendararasmee, M., & Tongsae, S. (2005). The outcomes of horizontal strabismus surgery and influencing factors of the surgical success. J Med Assoc Thai., 88 Suppl 9, 94-9.
  • Morris, R.J., Scott, W.B, & Dickey, C.F. (1993). Fusion after surgical alignment of longstanding strabismus in adults. Ophthalmology,100, 135-8.
  • Miles, D.R., & Burian, H.M. (1967). Computer statistical analysis of symmetrical and asymmetrical surgery in esotropia. Trans Am. Acad. Ophthalmol Otolaryngol, 71(2), 290-302.
  • Oğuz, V., Arvas, S., Yolar, M., Kızılkaya, M., & Tolun, H. (2002). Consecutive exotropia following strabismus surgery. Ophthalmologica, 216(4), 246-8. doi: 10.1159/000063850
  • Parks, M. (2000). Concomitant esodeviations. In: Tasman W, Jaeger E, editors. Duane's Clinical Ophthalmology, 12.
  • Rajavi, Z., Gozin, M., Sabbaghi, H., Behradfar, N., Kheiri, B., & Faghihi, M. (2018). Reoperation in Horizontal Strabismus and its Related Risk Factors. Med Hypothesis Discov Innov Ophthalmol, 7(2), 73-82.
  • Stack, R., Burley, C., Bedggood, A., & Elder, M. (2003). Unilateral Versus Bilateral Medial Rectus Recession. Journal of AAPOS, 7(4), 263-267.
  • Reena,G., Jyoti, D., & Seemanchal, G.C. (2019). Clinical risk factors and management of consecutive strabismus/IP Internat. J. of Ocular Oncology and Oculoplasty, 5(4), 243-250.
  • Richard, J.M., & Parks, M.M. (1983). Intermittent exotropia surgical results in different age groups. Ophthalmology, 90, 1172-77.
  • Roth, A., & Rossillion, B. (2019). Repeat Surgery for Patients Operated in Childhood for Early-Onset Esotropia and Suffering from Persistent Residual, Recurrent or Consecutive Strabismus. Klin Monbl Augenheilkd, 236(4), 446-45.
  • Wang, L., & Nelson, L.B. (2010). One muscle strabismus surgery. Curr Opin Ophthalmol, 21(5), 335-40. doi: 10.1097/ICU.0b013e32833bd953
  • Wang, T., & Wang, L.H. (2014) Surgical treatment for residual or recurrent strabismus. Int J Ophthalmol, 7(6), 1056.
  • von Noorden, G.K., & Campos, E.C. (2000). Binocular vision and ocular motility. Sixth Edition. Mosby Inc. A Harcourt Health Sciences Company.
  • Yurdakul, NS., & Uğurlu, S. (2013). Analysis of risk factors for consecutive exotropia and review of the literature. J Pediatr Ophthalmol Strabismus, 50(5), 268–273.
  • Rajavi, Z., Ferdosi, A.A., Eslamdoust, M., Yaseri, M., Haftabani, N., Kroji, S., & Shebani, K. (2013). The Prevalence of Reoperation and Related Risk Factors Among Patients with Congenital Esotropia. J.of Ped. Opht. Strabismus, 50(1), 53-59.
There are 20 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Araştırma Makaleleri
Authors

Yasemin Fatma Çetinkaya 0000-0002-2859-4459

Feyza Önder This is me

Early Pub Date April 21, 2022
Publication Date April 21, 2022
Published in Issue Year 2022 Volume: 6 Issue: 1

Cite

APA Çetinkaya, Y. F., & Önder, F. (2022). EVALUATION OF THE MAIN FACTORS IN THE NEED FOR REOPERATION IN HORIZONTAL STRABISMUS. Kırşehir Ahi Evran Üniversitesi Sağlık Bilimleri Dergisi, 6(1), 40-46.

The journal is indexed in Sobiad Citation Index, Turkish Education Index and Turkey Citation Index.