Evaluation of the Effect of Inferior Oblique Myectomy on Corneal and Anterior Segment Parameters

Author:

YILMAZ Ömer Faruk1ORCID,TOPTAN Müslüm2ORCID,ÇAKICI Özgur3ORCID,OĞUZ Halit4ORCID

Affiliation:

1. İSTANBUL İL SAĞLIK MÜDÜRLÜĞÜ GÖZTEPE PROF. DR. SÜLEYMAN YALÇIN ŞEHİR HASTANESİ

2. Harran Üniversitesi Tıp Fakültesi

3. İstanbul İl sağlık Müdürlüğü Göztepe Prof. Dr. Süleyman Yalçın Şehir Hastanesi

4. istanbul Medeniyet University Faculty of Medicine, Department of Ophthalmology, Istanbul, Turkiye

Abstract

Purpose: This study aimed to evaluate the effect of inferior oblique myectomy (IOM) surgery on the cornea and anterior segment. Methods: The sheimpflug corneal topographies of 56 eyes of 33 patients who underwent IOM were analyzed at preoperative, postoperative 1 week, 1 month, 3 months, and 6 months. Astigmatism degree (Cyl), astigmatism axis (Ax), K1, central corneal thickness (CCT), anterior chamber depth (ACD), anterior chamber volume (ACV), iridocorneal angle (ICA), and horizontal visible iris diameter (HVID) were evaluated. Results: The mean corneal Cyl, K1, ICA, ACD, and HVID did not change after IOM (p=0.671, p=0.377, p=0.431, p=0.588, p=0.795, respectively). There was a statistically significant change in Ax (p=0.025). The right Ax decreased, and the left Ax increased the most at 1 month (p=0.025, p=0.882, respectively). Ax increase was also detected in the left eye that was not operated on. The mean CCT increased and mean ACV decreased at 1 month (p=0.588, p=0.270, respectively), but these changes returned to preoperative values at 3 months. Conclusion: The manifestation of anterior segment alterations and intorsion in both eyes following inferior oblique myectomy may contribute to diminished visual acuity and the potential onset of amblyopia. These alterations merit consideration during the assessment, and if deemed necessary, the provision of new spectacles should be considered as a preventive measure against anisometropic amblyopia.

Publisher

Sakarya Tip Dergisi

Subject

General Computer Science

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