Comparison of three different surgical techniques for convergence excess esotroia-Reference-Cited by-同舟云学术

Comparison of three different surgical techniques for convergence excess esotroia

Published:2024-05-06 Issue: Volume: Page:
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Author:

Elsayed Sahar¹,Mostafa Amira Mahmoud El-Sayed Mostafa¹,Gamal Mohamed Ayman Gamal¹,Hussein Atef Mohamed Hussein¹,Ghali Manar Atef Ghali¹

Affiliation:

1. Zagazig University

Abstract

The surgical management of convergence excess esotropia (CEET) with near-far disparity (NFD) is a challenging problem. We aim to compare the results of three different surgical procedures; bilateral medial rectus recession(MRR), combined recession–resection (CRR) and Y - splitting recession(YSR) of the medial rectus (MR) muscle. This was a retrospective comparative study of 60 patients records from (2019–2023) who met the inclusion criteria with CEET (NFD), had on their whole cycloplegic refraction and underwent surgical treatment. An acceptable result was outlined as orthophoria or esotropia, less than 10 prism diopters (Δ) at far and near with decline of the NFD to less than 10 Δ at the ending of the follow up period of 2 years. 13 of 20 patients (65%), 15 of 20 patients (75%), 18 of 20 patients (90%), had acceptable results at far and near in Group I (MRR), Group II (CRR) and Group III (YSR) respectively (p value was 0.21) statistically insignificant. No cases of overcorrection (exotropia) were reported at the final follow up visit (2 years) in the three groups. The three surgical techniques were successful but CRR was the most successful, durable, with steadiness of outcomes but extended follow-up periods are even so necessary.

Publisher

Research Square Platform LLC

Reference38 articles.

1. J. P. Burke, “Distance-near disparity esotropia: Can we shrink the gap?,” in Eye (Basingstoke), Nature Publishing Group, Feb. 2015, pp. 208–213. doi: 10.1038/eye.2014.277.

2. M. Scaramuzzi, M. Serafino, and P. Nucci, “Outcome of surgery for near angle in patient with incomitant distance/near esotropia and without manifest deviation at distance,” Eur. J. Ophthalmol., vol. 31, no. 6, pp. 3394–3398, Nov. 2021, doi: 10.1177/1120672120964697.

3. S. Akar, “Accommodative Esotropria Associated with a High Accommodative Convergence,” EMJ Ophth. 2013;127 – 33., no. August, pp. 27–33, 2013.

4. A. J. Vivian, C. J. Lyons, and J. Burke, “Controversy in the management of convergence excess esotropia,” Br. J. Ophthalmol., vol. 86, no. 8, pp. 923–929, 2002, doi: 10.1136/bjo.86.8.923.

5. The effect of surgery on the AC/A ratio;Lucas E;Eye (Lond).,1994