Assessment of surgical strategies for management of complicated strabismus reoperation in Graves' ophthalmopathy.
Humans
Graves Ophthalmopathy
/ surgery
Male
Strabismus
/ surgery
Female
Retrospective Studies
Reoperation
/ statistics & numerical data
Oculomotor Muscles
/ surgery
Ophthalmologic Surgical Procedures
/ methods
Middle Aged
Adult
Eye Movements
/ physiology
Vision, Binocular
/ physiology
Aged
Follow-Up Studies
Treatment Outcome
Visual Acuity
Young Adult
Extraocular muscle
Graves’ ophthalmopathy
Reoperation
Strabismus
Surgery
Journal
International ophthalmology
ISSN: 1573-2630
Titre abrégé: Int Ophthalmol
Pays: Netherlands
ID NLM: 7904294
Informations de publication
Date de publication:
25 Jun 2024
25 Jun 2024
Historique:
received:
01
02
2024
accepted:
15
06
2024
medline:
26
6
2024
pubmed:
26
6
2024
entrez:
25
6
2024
Statut:
epublish
Résumé
Strabismus reoperation in Graves' ophthalmopathy (GO) is complicated and challenging. The purpose of this study was to evaluate the various surgical strategies of strabismus reoperation and their outcomes in patients with GO. A retrospective study was conducted on strabismus reoperations performed at the Zhongshan Ophthalmic Center of Sun Yat-sen University, Guangzhou, China from 2008 to 2018. Data collected included sex, age at surgery, duration of deviation, ocular alignment, ocular motility, various surgical procedures performed and surgical outcomes. Surgical methods included rectus recession for newly developed strabismus, rectus resection for undercorrection and anterior advancement of a previously recessed rectus for overcorrection. Surgical success was defined as an absence of diplopia, a horizontal deviation of ≤ 10 prism diopters (PD) and a vertical deviation of ≤ 5 PD at distance in primary and reading positions. Of the 153 GO patients receiving strabismus surgery, 27 cases (20 males, 7 females) underwent reoperation for strabismus, with a reoperation rate of 17.6%. Success rates of reoperation in patients with a previous undercorrection and overcorrection were 45% and 71.4%, respectively. Success rates of rectus recession, rectus resection and anterior advancement were 47.1%, 66.7% and 50%, respectively. Two patients underwent the third surgery. The overall success rate was 51.9%. Rectus recession is an effective method for GO patients with newly-developed strabismus. Rectus resection may benefit some patients with undercorrection who underwent a maximal degree of rectus recession. Anterior advancement of a previously recessed rectus is effective for cases with overcorrection.
Identifiants
pubmed: 38918293
doi: 10.1007/s10792-024-03206-6
pii: 10.1007/s10792-024-03206-6
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
278Informations de copyright
© 2024. The Author(s), under exclusive licence to Springer Nature B.V.
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