Predictors of postoperative binocularity in adult strabismus.

Abstract:

:We evaluated postoperative binocularity in a retrospective study of 111 adult strabismus patients in order to identify the factors which influence the success of surgery for horizontal concomitant strabismus in adults. Selection criteria included minimum age of 15 years at time of surgery, and preoperative fusion impairment with both the Bagolini lens test and synoptophore. Logistic regression analysis was used to correlate patient factors and postoperative binocularity. We found that 52 (65%) of 80 patients with exotropia and 23 (74.2%) of 31 patients with esotropia achieved post operative fusion. Significant predictive factors in exotropia were absence of previous surgery; visual acuity of the deviating eye > 0.5; an increase in the spherical equivalent of the deviating eye, and normal retinal correspondence. Significant predictive factors in esotropia were fusion during prism adaptation, absence of infantile esotropia, and an increase in vertical deviation. The majority of adults with exotropia or esotropia can achieve binocularity after surgery for horizontal concomitant strabismus.

journal_name

Jpn J Ophthalmol

authors

Umazume F,Ohtsuki H,Hasebe S

doi

10.1016/s0021-5155(97)00076-2

subject

Has Abstract

pub_date

1997-11-01 00:00:00

pages

414-21

issue

6

eissn

0021-5155

issn

1613-2246

pii

S0021515597000762

journal_volume

41

pub_type

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