Comparison of Different Surgical Approaches to Inferior Oblique Overaction.
Adolescent
Adult
Aged
Aged, 80 and over
Child
Child, Preschool
Eye Movements
/ physiology
Female
Humans
Infant
Male
Middle Aged
Myotomy
Oculomotor Muscles
/ physiopathology
Ophthalmologic Surgical Procedures
Postoperative Period
Retrospective Studies
Strabismus
/ physiopathology
Treatment Outcome
Vision, Binocular
/ physiology
Strabismus surgery
inferior oblique overaction
strabismus
Journal
Journal of binocular vision and ocular motility
ISSN: 2576-1218
Titre abrégé: J Binocul Vis Ocul Motil
Pays: United States
ID NLM: 101730067
Informations de publication
Date de publication:
Historique:
pubmed:
9
6
2020
medline:
12
6
2021
entrez:
9
6
2020
Statut:
ppublish
Résumé
The purpose of this study is to compare surgical outcomes of recession, anteriorization, and myotomy for the treatment of inferior oblique overaction (IOOA). A retrospective chart review of all patients undergoing IOOA correction from July 2010 to March 2017 at the Children's Hospital of Colorado was performed. Preoperative grading of IOOA (+0.5 to +4.0) was compared to post-operative IOOA (0 to +4.0). The goal was reduction of IOOA to 0, but any decrease in IOOA was measured. There were a total of 260 patients with 357 eyes. Gender and age were similar across surgery types. A 94.6% of eyes had a decrease in IOOA with recession (n = 165) of the inferior oblique while 86.1% decreased to no IOOA. Anteriorization of the inferior oblique (n = 115) decreased overaction in 97.4% of eyes with 81.7% improving to zero degree of IOOA. Myotomy of the inferior oblique (n = 77) was found to decrease overaction in 98.7% of eyes and reduce IOOA to zero in 88.3%. There was no significant difference among type of surgery and outcome. All three surgical interventions were found to be equally successful in reducing the amount of IOOA.
Sections du résumé
BACKGROUND
BACKGROUND
The purpose of this study is to compare surgical outcomes of recession, anteriorization, and myotomy for the treatment of inferior oblique overaction (IOOA).
METHODS
METHODS
A retrospective chart review of all patients undergoing IOOA correction from July 2010 to March 2017 at the Children's Hospital of Colorado was performed. Preoperative grading of IOOA (+0.5 to +4.0) was compared to post-operative IOOA (0 to +4.0). The goal was reduction of IOOA to 0, but any decrease in IOOA was measured.
RESULTS
RESULTS
There were a total of 260 patients with 357 eyes. Gender and age were similar across surgery types. A 94.6% of eyes had a decrease in IOOA with recession (n = 165) of the inferior oblique while 86.1% decreased to no IOOA. Anteriorization of the inferior oblique (n = 115) decreased overaction in 97.4% of eyes with 81.7% improving to zero degree of IOOA. Myotomy of the inferior oblique (n = 77) was found to decrease overaction in 98.7% of eyes and reduce IOOA to zero in 88.3%. There was no significant difference among type of surgery and outcome.
CONCLUSION
CONCLUSIONS
All three surgical interventions were found to be equally successful in reducing the amount of IOOA.
Identifiants
pubmed: 32511077
doi: 10.1080/2576117X.2020.1776566
doi:
Types de publication
Comparative Study
Journal Article
Langues
eng
Sous-ensembles de citation
IM