Abstract
INTRODUCTION: This is a retrospective study to determine the preoperative and postoperative binocular status of adults who have undergone surgical correction of strabismus. METHODS: A list of all consecutive adult patients who underwent surgery for strabismus between June 1990 and December 2001 (surgery performed by M.B.M.) was compiled, and their medical charts were reviewed. Patients were included if their charts were available for review and if information on binocularity was recorded. Binocularity was measured by the Titmus stereo test, Worth 4-dot test, or synoptophore. Improvements or decreases in stereo acuity were noted 6 weeks postoperatively and at the final office visit. Prism management was incorporated preoperatively and/or postoperatively in some of our patients. A total of 112 patients underwent surgery for strabismus. Of these, 72 patients, aged 16 to 80, were included; 24 were excluded because their charts did not contain any information on stereo acuity at least 6 weeks postoperatively or they were lost to follow-up after surgery, and 16 were excluded because their charts were unavailable from storage. RESULTS: A variety of surgeries were performed, the most common being a bilateral medial rectus recession. Eleven patients required a second surgery, and two required a third surgery. Overall, 30 (42%) of the 72 patients improved in binocular function, 38 (53%) remained the same, and 4 (5%) had decreases in their stereo acuity. CONCLUSION: The benefits of surgical correction of strabismus in adults include improvement in binocular function, as seen in 42% of the patients in the study.
Full Text
The Full Text of this article is available as a PDF (163.7 KB).
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Burke J. P., Leach C. M., Davis H. Psychosocial implications of strabismus surgery in adults. J Pediatr Ophthalmol Strabismus. 1997 May-Jun;34(3):159–164. doi: 10.3928/0191-3913-19970501-06. [DOI] [PubMed] [Google Scholar]
- Kushner B. J., Morton G. V. Postoperative binocularity in adults with longstanding strabismus. Ophthalmology. 1992 Mar;99(3):316–319. doi: 10.1016/s0161-6420(92)31970-0. [DOI] [PubMed] [Google Scholar]
- Morris R. J., Scott W. E., Dickey C. F. Fusion after surgical alignment of longstanding strabismus in adults. Ophthalmology. 1993 Jan;100(1):135–138. doi: 10.1016/s0161-6420(93)31703-3. [DOI] [PubMed] [Google Scholar]
- O'Neal T. D., Rosenbaum A. L., Stathacopoulos R. A. Distance stereo acuity improvement in intermittent exotropic patients following strabismus surgery. J Pediatr Ophthalmol Strabismus. 1995 Nov-Dec;32(6):353–358. doi: 10.3928/0191-3913-19951101-06. [DOI] [PubMed] [Google Scholar]
- Pratt-Johnson J. A. Fusion ability lost and regained in visual adults. Graefes Arch Clin Exp Ophthalmol. 1988;226(2):111–112. doi: 10.1007/BF02173294. [DOI] [PubMed] [Google Scholar]
- Rosenbaum A. L. The goal of adult strabismus surgery is not cosmetic. Arch Ophthalmol. 1999 Feb;117(2):250–250. doi: 10.1001/archopht.117.2.250. [DOI] [PubMed] [Google Scholar]
- Satterfield D., Keltner J. L., Morrison T. L. Psychosocial aspects of strabismus study. Arch Ophthalmol. 1993 Aug;111(8):1100–1105. doi: 10.1001/archopht.1993.01090080096024. [DOI] [PubMed] [Google Scholar]
- Scott W. E., Kutschke P. J., Lee W. R. 20th annual Frank Costenbader Lecture--adult strabismus. J Pediatr Ophthalmol Strabismus. 1995 Nov-Dec;32(6):348–352. doi: 10.3928/0191-3913-19951101-05. [DOI] [PubMed] [Google Scholar]
- Wortham E., 5th, Greenwald M. J. Expanded binocular peripheral visual fields following surgery for esotropia. J Pediatr Ophthalmol Strabismus. 1989 May-Jun;26(3):109–112. doi: 10.3928/0191-3913-19890501-04. [DOI] [PubMed] [Google Scholar]