ArticleThe British journal of ophthalmology2005
Decreasing strabismus surgery.
Article in The British journal of ophthalmology, 2005. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The global prevalence of horizontal strabismus: A systematic review and meta-analysis with a focus on ethnic variation.Survey of ophthalmologyPooled it
- The global prevalence of horizontal strabismus: a systematic review and meta-analysis with a focus on ethnic variation.medRxiv : the preprint server for health sciences · 2025Article
- The incidence, clinical features, and management of essential infantile esotropia in the United Kingdom. A British Ophthalmology Surveillance Unit (BOSU) study.Eye (London, England) · 2024Observational
- [Change in the age spectrum in strabismus surgery].Die Ophthalmologie · 2024Article
- Characteristics and differences of strabismus surgeries performed in private versus public settings: a national multicenter study.International ophthalmology · 2023Article
- Comitant strabismus etiology: extraocular muscle integrity and central nervous system involvement-a narrative review.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2023Review
- Ophthalmic surgery in New Zealand: analysis of 410,099 surgical procedures and nationwide surgical intervention rates from 2009 to 2018.Eye (London, England) · 2023Review
- A retrospective study of strabismus surgery in a tertiary eye hospital in the Chaoshan area in China from 2014 to 2020.BMC ophthalmology · 2022Article
- Characteristics and long-term surgical outcomes of horizontal strabismus.International ophthalmology · 2022Article
- Endophthalmitis after strabismus surgery: incidence and outcome in relation to age, operated eye muscle, surgical technique, scleral perforation and immune state.Acta ophthalmologica · 2021Article
- Intermediate filaments in the medial rectus muscles in patients with concomitant exotropia.International ophthalmology · 2020Article
- Botulinum toxin chemodenervation for childhood strabismus in England: National and local patterns of practice.PloS one · 2018Article
- Childhood amblyopia: current management and new trends.British medical bulletin · 2016Review
- Exotropia Is the Main Pattern of Childhood Strabismus Surgery in the South of China: A Six-Year Clinical Review.Journal of ophthalmology · 2016Review
- Comitant strabismus: Perspectives, present and future.Saudi journal of ophthalmology : official journal of the Saudi Ophthalmological Society · 2012Article
- Outcome of monocular surgery for horizontal strabismus in Hyderabad.Clinical ophthalmology (Auckland, N.Z.) · 2010Article
- Nationwide study of hospitalization and surgical treatment for childhood strabismus in Italy between 1999 and 2004.International ophthalmology · 2009Article
- Is the incidence of infantile esotropia declining?: a population-based study from Olmsted County, Minnesota, 1965 to 1994.Archives of ophthalmology (Chicago, Ill. : 1960) · 2009Article
- Sleep does not enhance the recovery of deprived eye responses in developing visual cortex.Neuroscience · 2006Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimTo determine whether there has been a consistent change across countries and healthcare systems in the frequency of strabismus surgery in children over the past decade.
methodsRetrospective analysis of data on all strabismus surgery performed in NHS hospitals in England and Wales, on children aged 0-16 years between 1989 and 2000, and between 1994 and 2000 in Ontario (Canada) hospitals. These were compared with published data for Scotland, 1989-2000.
resultsBetween 1989 and 1999-2000 the number of strabismus procedures performed on children, 0-16 years, in England decreased by 41.2% from 15 083 to 8869. Combined medial rectus recession with lateral rectus resection decreased from 5538 to 3013 (45.6%) in the same period. Bimedial recessions increased from 489 to 762, oblique tenotomies from 43 to 121, and the use of adjustable sutures from 29 to 44, in 2000. In Ontario, operations for squint decreased from 2280 to 1685 (26.1%) among 0-16 year olds between 1994 and 2000.
conclusionThe clinical impression of decrease in the frequency of paediatric strabismus surgery is confirmed. In the authors' opinion this cannot be fully explained by a decrease in births or by the method of healthcare funding. Two factors that might have contributed are better conservative strabismus management and increased subspecialisation that has improved the quality of surgery and the need for re-operation. This finding has a significant impact upon surgical services and also on the training of ophthalmologists.
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