Journal article
A comparative study of strabismus surgery with retained or removed scleral explant after retinal detachment surgery
Acta ophthalmologica (Oxford, England), Vol.100(1), pp.371-e76
07/26/2021
DOI: 10.1111/aos.14888
Abstract
Abstract
Purpose
To compare, in a larger study population, the outcomes of strabismus surgery in patients who either had the scleral explant (EX) retained or removed after surgery for retinal detachment.
Methods
A comparative retrospective study includes data from 2 centres. Surgical outcome, motor success, sensory success, the number of secondary operations for strabismus and complications were compared between the two groups. Motor success was defined as horizontal deviation of ≤6 prism diopters (PD) and vertical deviation of ≤6PD. Sensory success was defined as no diplopia without use of prism.
Results
Forty-seven patients were included in the study; 70% had retained the EX and 74% had vertical strabismus. Horizontally, the final alignment was equal between the 2 groups, 4 PD vs.5 PD in the EX removed group. The patients with retained EX were referred with a significant lower mean vertical deviation and had a significant lower post-operative mean vertical deviation of 2 PD vs. 3 PD in the EX-removed group. The rates of motor success (76% vs. 71%) and sensory success (79% vs. 93%) did not differ significantly between the EX-retained and EX-removed groups. No patients underwent more than 2 operations. Two complications occurred in the EX-retained group: a subconjunctival cyst and an exposed EX. In the EX-removed group, 2 patients with retinal re-detachment were found in the follow-up period.
Conclusion
Good surgical outcomes including high motor and sensory success were obtained regardless of the presence of the EX. Retinal re-detachment was observed in two patients with previously removed EX.
Details
- Title: Subtitle
- A comparative study of strabismus surgery with retained or removed scleral explant after retinal detachment surgery
- Creators
- Christos E Christakopoulos - Zealand University HospitalScott A Larson - University of IowaTroels Vinding - Scientific Unit, Copenhagen Eye and Strabismus Clinic, Copenhagen, Denmark.Helena Buch Hesgaard - Sahlgrenska University Hospital
- Resource Type
- Journal article
- Publication Details
- Acta ophthalmologica (Oxford, England), Vol.100(1), pp.371-e76
- DOI
- 10.1111/aos.14888
- ISSN
- 1755-375X
- eISSN
- 1755-3768
- Language
- English
- Date published
- 07/26/2021
- Academic Unit
- Ophthalmology and Visual Sciences
- Record Identifier
- 9984197929802771
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