ArticleBMC ophthalmology2014
Essential infantile esotropia: postoperative motor outcomes and inferential analysis of strabismus surgery.
Article in BMC ophthalmology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Surgery for Esotropia in a Case of Nanophthalmos.Cureus · 2024Article
- Treatment of Infantile Esotropia - Comparison Between Botulinum Toxin A and Bilateral Medial Rectus Recession.Beyoglu eye journal · 2024Article
- Outcome of Esotropia Surgery in 2 Tertiary Hospitals in Cameroon.Clinical ophthalmology (Auckland, N.Z.) · 2020Article
- The relationship between abduction deficit and reoperation among patients with infantile esotropia.International journal of ophthalmology · 2018Article
- Infantile esotropia: risk factors associated with reoperation.Clinical ophthalmology (Auckland, N.Z.) · 2016Article
- Essential infantile esotropia with inferior oblique hyperfunction: long term follow-up of 6 muscles approach.International journal of ophthalmology · 2016Article
- Outcomes of esotropia surgery in Saudi Arabia: An audit from a single center.Saudi journal of ophthalmology : official journal of the Saudi Ophthalmological SocietyArticle
- Long-Term Motor and Sensory Outcomes of Infantile Esotropia following Bilateral Medial Rectus Recession: A Survival Analysis and Real-World Results.Journal of current ophthalmologyArticle
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe aim of this retrospective study is a long-term evaluation of postoperative motor outcomes and the inferential analysis of strabismus surgery in infant eyes with essential infantile esotropia.
methods576 patients were compatible with the criteria: confirmed EIE diagnosis, angle ≥ 30 pD, absence of associated ocular anomalies, onset by 6 months of age, absence of hyperopia > 3 Diopters, operation before age 4. Preoperative deviation classes (30-40 pD, 41-59 pD, ≥ 60 pD) were established, different types of surgery were performed. Follow-up was conducted for 5 years after surgery. Longitudinal data were analyzed using general linear mixed models stratified according to the class of pre-operative deviation. A random intercept and a random slope with time (in months) was assumed with an unstructured within subject correlation structure for repeated measurements.
resultsIn patients with preoperative angle ≤ 40 pD, a significant interaction effect for intervention by time (F5,155.9 = 3.56, p = 0.004) and a significant intervention effect (F5,226.1 = 6.41, p < 0.001) on residual deviation were observed; only the intervention 5 showed a residual deviation inside the limits of a partial success. In Class 41-59, a significant interaction effect for intervention by time (F4,166.7 = 5.16, p = 0.001), intervention (F4,178.1 = 2.48, p = 0.046) and time (F1,174.6 = 9.99, p = 0.002) on residual deviation were observed; intervention 7 had the highest degree of stability showing an outcome within the range of a partial success. In Class ≥ 60 pD no significant effect for intervention (F4,213.9 = 0.74, p = 0.567), time (F1,169.5 = 0.33, p = 0.569) or intervention by time (F4,160.9 = 1.08, p = 0.368) on residual deviation was observed; intervention 3,6 and 7 resulted in a residual deviation within the range of a partial success.
conclusionsWe suggest, where possible, a two-horizontal muscles approach in small angle EIE, while a multiple muscles surgery in large angle EIE.
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