A randomised comparison of bilateral recession versus unilateral recession-resection as surgery for infantile esotropia.
Br J Ophthalmol
; 93(7): 954-7, 2009 Jul.
Article
in En
| MEDLINE
| ID: mdl-19336428
ABSTRACT
OBJECTIVE:
Infantile esotropia, a common form of strabismus, is treated either by bilateral recession (BR) or by unilateral recession-resection (RR). Differences in degree of alignment achieved by these two procedures have not previously been examined in a randomised controlled trial.DESIGN:
Controlled, randomised multicentre trial.SETTING:
12 university clinics. PARTICIPANTS AND INTERVENTION 124 patients were randomly assigned to either BR or RR. Standardised protocol prescribed that the total relocation of the muscles, in millimetres, was calculated by dividing the preoperative latent angle of strabismus at distance, in degrees, by 1.6. MAIN OUTCOMEMEASURE:
Alignment assessed as the variation of the postoperative angle of strabismus during alternating cover.RESULTS:
The mean preoperative latent angle of strabismus at distance fixation was +17.2 degrees (SD 4.4) for BR and +17.5 degrees (4.0) for RR. The mean postoperative angle of strabismus at distance was +2.3 degrees (5.1) for BR and +2.9 degrees (3.5) for RR (p = 0.46 for reduction in the angle and p = 0.22 for the within-group variation). The mean reduction in the angle of strabismus was 1.41 degrees (0.45) per millimetre of muscle relocation for RR and 1.47 (0.50) for BR (p = 0.50 for reduction in the angle). Alignment was associated with postoperative binocular vision (p = 0.001) in both groups.CONCLUSIONS:
No statistically significant difference was found between BR and RR as surgery for infantile esotropia.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Ophthalmologic Surgical Procedures
/
Esotropia
/
Oculomotor Muscles
Type of study:
Clinical_trials
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Guideline
Limits:
Child
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Child, preschool
/
Female
/
Humans
/
Male
Language:
En
Journal:
Br J Ophthalmol
Year:
2009
Type:
Article
Affiliation country:
Netherlands