Background: To analyze the surgical outcomes for adult patients diagnosed with acute acquired comitant esotropia (AACE).
Methods: Medical records of 21 patients who had undergone surgery for AACE were retrospectively analyzed. The main outcome measures were the final motor and sensory success rate after surgery and factors affecting motor and sensory outcomes. Motor success was considered alignment within 8 prism diopter (PD) at both near and distance and sensory success was stereoacuity ≥60 sec/arc.
Results: The preoperative mean esodeviation angles were 33.0 ± 11.6 PD at distance and 32.6 ± 10.8 PD at near. The mean period of postoperative follow up was 8.1 ± 4.5 months (range 3–8 months). The postoperative mean esodeviation angles at final follow-up time were 4.1 ± 5.7 PD at distance and 3.9 ± 5.6 PD at near. The surgical motor success rate at final follow-up was 76.2% (16/21). The sensory success rate at final follow-up was 55.5% (11/21). The factor affecting the motor outcome was the type of surgery ( p < 0.05). The factor affecting sensory outcome was postoperative follow-up time ( p < 0.05).
Conclusions: Surgery type appears to affect surgical motor outcomes in adults with AACE. Although the sensory outcome was favorable, it seems that regaining bifoveal fixation takes time.
The full text of this article is available to read as a PDF.
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Posted 02 Apr, 2020
On 06 May, 2020
Received 30 Apr, 2020
Received 25 Apr, 2020
On 06 Apr, 2020
Invitations sent on 01 Apr, 2020
On 01 Apr, 2020
On 15 Mar, 2020
On 14 Mar, 2020
On 14 Mar, 2020
On 13 Mar, 2020
Posted 02 Apr, 2020
On 06 May, 2020
Received 30 Apr, 2020
Received 25 Apr, 2020
On 06 Apr, 2020
Invitations sent on 01 Apr, 2020
On 01 Apr, 2020
On 15 Mar, 2020
On 14 Mar, 2020
On 14 Mar, 2020
On 13 Mar, 2020
Background: To analyze the surgical outcomes for adult patients diagnosed with acute acquired comitant esotropia (AACE).
Methods: Medical records of 21 patients who had undergone surgery for AACE were retrospectively analyzed. The main outcome measures were the final motor and sensory success rate after surgery and factors affecting motor and sensory outcomes. Motor success was considered alignment within 8 prism diopter (PD) at both near and distance and sensory success was stereoacuity ≥60 sec/arc.
Results: The preoperative mean esodeviation angles were 33.0 ± 11.6 PD at distance and 32.6 ± 10.8 PD at near. The mean period of postoperative follow up was 8.1 ± 4.5 months (range 3–8 months). The postoperative mean esodeviation angles at final follow-up time were 4.1 ± 5.7 PD at distance and 3.9 ± 5.6 PD at near. The surgical motor success rate at final follow-up was 76.2% (16/21). The sensory success rate at final follow-up was 55.5% (11/21). The factor affecting the motor outcome was the type of surgery ( p < 0.05). The factor affecting sensory outcome was postoperative follow-up time ( p < 0.05).
Conclusions: Surgery type appears to affect surgical motor outcomes in adults with AACE. Although the sensory outcome was favorable, it seems that regaining bifoveal fixation takes time.
The full text of this article is available to read as a PDF.
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