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May 27, 2005
Three-Muscle Surgery for Infantile Esotropia in Children Younger Than Age 2 Years
Journal of Pediatric Ophthalmology and Strabismus,May/June, 2005
Surgical records of 10 patients with esotropia ≥ 55 prism diopters (PD) who underwent three-muscle surgery for large-angle infantile esotropia were reviewed.Mean age at initial surgery was 13 months. Mean preoperative deviation was 62.5 PD of esotropia. A single surgery was associated with satisfactory horizontal alignment in only three (30%) patients at last follow-up (mean, 37.1 months; range, 8-70 months). Esotropia was undercorrected in one (10%) and overcorrected in six (60%) patients, all of whom required additional surgery. One patient with satisfactory horizontal alignment required an additional procedure to correct a right hypertropia causing a left face turn.
CONCLUSIONS:In contrast to older children and adults, three-muscle surgery may be inappropriate for infants with large-angle esotropia due to a large overcorrection rate. This controversy may benefit from a prospective study.
Posted by afarahi at May 27, 2005 08:31 PM