The changes in ocular torsion after unilateral lateral rectus recession-medial rectus resection for intermittent exotropia.
Journal
Scientific reports
ISSN: 2045-2322
Titre abrégé: Sci Rep
Pays: England
ID NLM: 101563288
Informations de publication
Date de publication:
21 Jun 2024
21 Jun 2024
Historique:
received:
02
10
2023
accepted:
18
06
2024
medline:
22
6
2024
pubmed:
22
6
2024
entrez:
21
6
2024
Statut:
epublish
Résumé
We aim to explore the alterations of objective ocular torsion after unilateral lateral rectus recession-medial rectus resection (R&R) for intermittent exotropia (IXT). Seventy-two IXT patients undergoing R&R between March and June 2023 were enrolled. Ophthalmological examinations were performed before surgery and at 1 week and 1 month after surgery, mainly including prism and alternate cover test and optical coherence tomography. The mean disc-foveal angle of eyes showing intorsion significantly increased from - 1.5 ± 0.9° preoperatively to 2.0 ± 2.0° at 1 week (P = 0.0227) and 2.2 ± 1.6° at 1 month postoperatively (P = 0.0054). The mean disc-foveal angle of eyes exhibiting extorsion significantly reduced from 12.8 ± 1.9° preoperatively to 9.8 ± 3.1° at 1 week (P < 0.0001) and 9.7 ± 2.7° at 1 month postoperatively (P < 0.0001). The improvement of ocular extorsion at postoperative 1 month was more pronounced in patients with extorsion in operative eye compared to those with extorsion in inoperative eye (P = 0.0101). The improvement of ocular torsion was observed following R&R for IXT, with a greater effect noted in cases where the surgery was performed on the eye exhibiting extorsion.
Identifiants
pubmed: 38906967
doi: 10.1038/s41598-024-65193-z
pii: 10.1038/s41598-024-65193-z
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
14300Informations de copyright
© 2024. The Author(s).
Références
Wei, Y. et al. Investigations on cyclotorsion changes following strabismus surgery in superior oblique palsy patients. Chin. J. Ophthalmol. 47, 797–800 (2011).
Sharma, P., Thanikachalam, S., Kedar, S. & Bhola, R. Evaluation of subjective and objective cyclodeviation following oblique muscle weakening procedures. Indian J. Ophthalmol. 56, 39–43. https://doi.org/10.4103/0301-4738.37594 (2008).
doi: 10.4103/0301-4738.37594
pubmed: 18158402
pmcid: 2636065
Piedrahita-Alonso, E., Valverde-Megias, A. & Gomez-de-Liano, R. Validity and reliability of semiautomatic ocular cycloposition measurement with spectralis optical coherence tomography. Am. J. Ophthalmol. 222, 248–255. https://doi.org/10.1016/j.ajo.2020.09.005 (2021).
doi: 10.1016/j.ajo.2020.09.005
pubmed: 32918904
Yamadera, K. et al. A novel method for evaluation of ocular torsion angle by optical coherence tomography. Transl. Vision Sci. Technol. 9, 27. https://doi.org/10.1167/tvst.9.3.27 (2020).
doi: 10.1167/tvst.9.3.27
Le Jeune, C. et al. Reliability and reproducibility of disc-foveal angle measurements by non-mydriatic fundus photography. PLoS ONE 13, e0191007. https://doi.org/10.1371/journal.pone.0191007 (2018).
doi: 10.1371/journal.pone.0191007
pubmed: 29370195
pmcid: 5784919
Jethani, J. & Dave, P. A technique for standardizing disk foveal angle measurement. J. AAPOS 19, 77–78. https://doi.org/10.1016/j.jaapos.2014.08.015 (2015).
doi: 10.1016/j.jaapos.2014.08.015
pubmed: 25727594
Jethani, J. & Dave, P. The subjectivity of objective evaluation of torsion on fundus photographs by practicing strabismologists. Indian J. Ophthalmol. 66, 1301–1303. https://doi.org/10.4103/ijo.IJO_182_17 (2018).
doi: 10.4103/ijo.IJO_182_17
pubmed: 30127145
pmcid: 6113826
Shin, K. H., Lee, H. J. & Lim, H. T. Ocular torsion among patients with intermittent exotropia: Relationships with disease severity factors. Am. J. Ophthalmol. 155, 177–182. https://doi.org/10.1016/j.ajo.2012.07.011 (2013).
doi: 10.1016/j.ajo.2012.07.011
pubmed: 23022165
Lee, J. Y., Hwang, S., Oh, S. Y., Park, K. A. & Oh, S. Y. postoperative change in ocular torsion in intermittent exotropia: Relationship with postoperative surgical outcomes. PLoS ONE 11, e0162819. https://doi.org/10.1371/journal.pone.0162819 (2016).
doi: 10.1371/journal.pone.0162819
pubmed: 27622574
pmcid: 5021304
Sun, Y., Zhang, T. & Chen, J. Bilateral lateral rectus recession versus unilateral recession resection for basic intermittent exotropia: A meta-analysis. Graefes Arch. Clin. Exp. Ophthalmol. 256, 451–458. https://doi.org/10.1007/s00417-018-3912-1 (2018).
doi: 10.1007/s00417-018-3912-1
pubmed: 29368040
Donahue, S. P. et al. A randomized trial comparing bilateral lateral rectus recession versus unilateral recess and resect for basic-type intermittent exotropia. Ophthalmology 126, 305–317. https://doi.org/10.1016/j.ophtha.2018.08.034 (2019).
doi: 10.1016/j.ophtha.2018.08.034
pubmed: 30189281
Lengwiler, F., Rappoport, D., Jaggi, G. P., Landau, K. & Traber, G. L. Reliability of cyclotorsion measurements using scanning laser ophthalmoscopy imaging in healthy subjects: The CySLO study. Br. J. Ophthalmol. 102, 535–538. https://doi.org/10.1136/bjophthalmol-2017-310396 (2018).
doi: 10.1136/bjophthalmol-2017-310396
pubmed: 28765146
Sophocleous, S. Use of optical coherence topography for objective assessment of fundus torsion. BMJ Case Rep. https://doi.org/10.1136/bcr-2016-216867 (2017).
doi: 10.1136/bcr-2016-216867
pubmed: 28232373
pmcid: 5337630
Borgman, C. J. & Haynes, J. A. Measuring acquired ocular torsion with optical coherence tomography. Clin. Exp. Optom. 104, 132–134. https://doi.org/10.1111/cxo.13084 (2021).
doi: 10.1111/cxo.13084
pubmed: 32363650
Kang, H., Lee, S. J., Shin, H. J. & Lee, A. G. Measuring ocular torsion and its variations using different nonmydriatic fundus photographic methods. PLoS ONE 15, e0244230. https://doi.org/10.1371/journal.pone.0244230 (2020).
doi: 10.1371/journal.pone.0244230
pubmed: 33351818
pmcid: 7755211
Qiu, K. et al. Application of the ISNT rules on retinal nerve fibre layer thickness and neuroretinal rim area in healthy myopic eyes. Acta Ophthalmol. 96, 161–167. https://doi.org/10.1111/aos.13586 (2018).
doi: 10.1111/aos.13586
pubmed: 29197157
Guo, Y. et al. Optic disc-fovea distance and myopia progression in school children: The Beijing children eye study. Acta Ophthalmol. 96, e606–e613. https://doi.org/10.1111/aos.13728 (2018).
doi: 10.1111/aos.13728
pubmed: 29575805
Khanna, R. K., Pasco, J., Santallier, M., Pisella, P. J. & Arsene, S. Objective ocular torsion outcomes after unilateral horizontal rectus surgery in infantile esotropia. Graefes Arch. Clin. Exp. Ophthalmol. 256, 1783–1788. https://doi.org/10.1007/s00417-018-4027-4 (2018).
doi: 10.1007/s00417-018-4027-4
pubmed: 29860547
Kushner, B. J. Effect of ocular torsion on A and V patterns and apparent oblique muscle overaction. Arch. Ophthalmol. 128, 712–718. https://doi.org/10.1001/archophthalmol.2010.88 (2010).
doi: 10.1001/archophthalmol.2010.88
pubmed: 20547948
Kushner, B. J. & Hariharan, L. Observations about objective and subjective ocular torsion. Ophthalmology 116, 2001–2010. https://doi.org/10.1016/j.ophtha.2009.03.047 (2009).
doi: 10.1016/j.ophtha.2009.03.047
pubmed: 19592099
Bdeer, N. et al. Ocular torsion in children with horizontal strabismus or orthophoria. Children 10, 1536. https://doi.org/10.3390/children10091536 (2023).
doi: 10.3390/children10091536
pubmed: 37761497
pmcid: 10527918
Deng, H. et al. Fusion can mask the relationships between fundus torsion, oblique muscle overaction/underaction, and A- and V-pattern strabismus. J. AAPOS 17, 177–183. https://doi.org/10.1016/j.jaapos.2012.10.023 (2013).
doi: 10.1016/j.jaapos.2012.10.023
pubmed: 23622450
Lemos, J. & Eggenberger, E. Clinical utility and assessment of cyclodeviation. Curr. Opin. Ophthalmol. 24, 558–565. https://doi.org/10.1097/icu.0000000000000003 (2013).
doi: 10.1097/icu.0000000000000003
pubmed: 24100374
Clark, R. A., Miller, J. M. & Demer, J. L. Location and stability of rectus muscle pulleys: Muscle paths as a function of gaze. Investig. Ophthalmol. Vis. Sci. 38, 227–240 (1997).
Clark, R. A., Miller, J. M., Rosenbaum, A. L. & Demer, J. L. Heterotopic muscle pulleys or oblique muscle dysfunction?. J. AAPOS 2, 17–25. https://doi.org/10.1016/s1091-8531(98)90105-7 (1998).
doi: 10.1016/s1091-8531(98)90105-7
pubmed: 10532362
Lee, J. Y., Kim, H. J., Park, K. A., Oh, S. Y. & Oh, S. Y. Clinical characteristics according to the laterality of ocular torsion in unilateral superior oblique palsy. BMC Ophthalmol. 18, 325. https://doi.org/10.1186/s12886-018-0977-x (2018).
doi: 10.1186/s12886-018-0977-x
pubmed: 30558602
pmcid: 6296155
Kawai, M., Goseki, T., Okano, T. & Ishikawa, H. Comparison of subjective cyclofusion ranges and objective ocular torsion in normal participants according to age. Graefes Arch. Clin. Exp. Ophthalmol. 260, 3675–3681. https://doi.org/10.1007/s00417-022-05734-2 (2022).
doi: 10.1007/s00417-022-05734-2
pubmed: 35708848
Oohira, A. Objective excyclotorsion increases with aging in adults. Strabismus 30, 183–189. https://doi.org/10.1080/09273972.2022.2126864 (2022).
doi: 10.1080/09273972.2022.2126864
pubmed: 36164779
Oh, K. K., Moon, B. Y., Cho, H. G., Kim, S. Y. & Yu, D. S. The effect of uncorrected ametropia on ocular torsion induced by changes in fixation. PeerJ 9, e11932. https://doi.org/10.7717/peerj.11932 (2021).
doi: 10.7717/peerj.11932
pubmed: 34430086
pmcid: 8349166
Jethani, J., Seethapathy, G., Purohit, J. & Shah, D. Measuring normal ocular torsion and its variation by fundus photography in children between 5–15 years of age. Indian J. Ophthalmol. 58, 417–419. https://doi.org/10.4103/0301-4738.67060 (2010).
doi: 10.4103/0301-4738.67060
pubmed: 20689198
pmcid: 2992918
Lee, J. Y., Park, K. A., Lyu, I. J. & Oh, S. Y. Postoperative change in lateral rectus muscle insertion measured by anterior segment optical coherence tomography. Eye 31, 1556–1561. https://doi.org/10.1038/eye.2017.89 (2017).
doi: 10.1038/eye.2017.89
pubmed: 28622324
pmcid: 5684462
Inan, K. & Niyaz, L. The effect of strabismus surgery on choroidal thickness. Eur. J. Ophthalmol. 28, 268–271. https://doi.org/10.5301/ejo.5001025 (2018).
doi: 10.5301/ejo.5001025
pubmed: 28885671
Bixenman, W. W. & von Noorden, G. K. Apparent foveal displacement in normal subjects and in cyclotropia. Ophthalmology 89, 58–62. https://doi.org/10.1016/s0161-6420(82)34862-9 (1982).
doi: 10.1016/s0161-6420(82)34862-9
pubmed: 7070775
Kim, D. H. & Lim, H. T. Comparison of ocular torsion between congenital and acquired unilateral superior oblique palsy. Eye 33, 1658–1663. https://doi.org/10.1038/s41433-019-0476-1 (2019).
doi: 10.1038/s41433-019-0476-1
pubmed: 31171838
pmcid: 7002522