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Otago Glaucoma Surgery Outcome Study: Examining the Development of Strabismus Causing Diplopia in Patients Who Have Received Molteno Implant Surgery.
Borowsky, Thomas; Bevin, Tui H; Thompson, Andrew M; Herbison, Peter; Molteno, Anthony C B; Mitchell, Logan.
Afiliação
  • Borowsky T; Department of Medicine, University of Otago Dunedin School of Medicine , Dunedin, New Zealand.
  • Bevin TH; Department of Medicine, University of Otago Dunedin School of Medicine , Dunedin, New Zealand.
  • Thompson AM; Department of Medicine, University of Otago Dunedin School of Medicine , Dunedin, New Zealand.
  • Herbison P; Department of Preventive and Social Medicine, University of Otago , Dunedin, New Zealand.
  • Molteno ACB; Department of Medicine, University of Otago Dunedin School of Medicine , Dunedin, New Zealand.
  • Mitchell L; Department of Medicine, University of Otago Dunedin School of Medicine , Dunedin, New Zealand.
J Binocul Vis Ocul Motil ; 70(2): 57-62, 2020.
Article em En | MEDLINE | ID: mdl-32186470
OBJECTIVE: To evaluate the development of postoperative strabismus causing diplopia in patients who received Molteno implant surgery for the treatment of glaucoma. METHODS: The Otago Glaucoma Surgery Outcome study (OGSOS) was used to select cases who had undergone Molteno implant surgery to examine the effect on the development of strabismus causing diplopia. Information was collected on treatments provided to correct motility disturbance, and their success, in this retrospective non-comparative study. RESULTS: 32 cases (3.3%) were found to have developed diplopia following the Molteno implant surgery from a total of 977 cases. Of these, the strabismus in 23 cases was described in sufficient detail to permit clinical categorization. Most (19/23) demonstrated an exodeviation, hyperdeviation, or a combination thereof, although 2/6 cases with superonasal plate location demonstrated a hypodeviation. Diplopia generally resolved spontaneously (20/32 cases). Treatment was required in eight cases, usually conservative and successful (6/8 cases), but strabismus surgery was required in two cases, and was unsuccessful. CONCLUSIONS: This study found a low incidence of diplopia developing post-Molteno implant surgery. Strabismus features suggested a restrictive etiology, and spontaneous recovery was common (62.5%). Surgical correction proved unsuccessful - confirming persistent postoperative diplopia after Molteno implant surgery to be a rare but surgically challenging complication.
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Texto completo: 1 Base de dados: MEDLINE Assunto principal: Glaucoma / Estrabismo / Implantes de Molteno / Diplopia Tipo de estudo: Observational_studies / Risk_factors_studies Limite: Adult / Aged / Aged80 / Female / Humans / Male / Middle aged Idioma: En Revista: J Binocul Vis Ocul Motil Ano de publicação: 2020 Tipo de documento: Article País de afiliação: Nova Zelândia

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Glaucoma / Estrabismo / Implantes de Molteno / Diplopia Tipo de estudo: Observational_studies / Risk_factors_studies Limite: Adult / Aged / Aged80 / Female / Humans / Male / Middle aged Idioma: En Revista: J Binocul Vis Ocul Motil Ano de publicação: 2020 Tipo de documento: Article País de afiliação: Nova Zelândia