scholarly journals Surgical outcome of strabismus

2015 ◽  
Vol 12 (2) ◽  
pp. 23-26
Author(s):  
Sabina Shrestha ◽  
Aparajita Manoranjan ◽  
Sushan Shrestha
Keyword(s):  
Prospective Study ◽  
Surgical Outcome ◽  
Strabismus Surgery ◽  
Posterior Segment ◽  
Single Muscle ◽  
Single Vision ◽  
Convergent Squint ◽  
Binocular Single Vision ◽  
A Prospective Study

Introduction: Strabismus is encountered daily by paediatric ophthalmologists and orthoptists in their practice.Strabismus and amblyopia affect 5% of the population. The aim of the study was to determine the surgicaloutcome of strabismus.Methods: It was a prospective study conducted at Nepal Eye Hospital from 2010 to 2011 with the samplesize of 40. Patients undergoing strabismus surgery either for esotropia or exotropia were included in the study.Detailed preoperative and postoperative orthoptic evaluation of all the patients was done apart from the anteriorand posterior segment examination and the surgical outcome was assessed.Results: Forty patients of which 52.5% males and 47.5% females with mean age of 21.025 years underwentstrabismus surgery. Manifest divergent squint was present in 61%, manifest convergent squint in 38% andintermittent squint in 5% of patients. 87.5% underwent 2 muscle surgery, 10% underwent 3 muscle surgeryand 2.5% underwent single muscle surgery. Postoperative deviation for near was 0 ???? in 10%, 2-8 ???? in 37.5%and 10-15???? in 27.5%. Similarly, postoperative deviation for distance was 0???? in 22%, 2-8???? in 27% and 10-15????in 22%. Binocular single vision was present in 50% patients preoperatively and 53% patients postoperatively.Conclusion: Though cosmesis has been improved in most of the patients after strabismus surgery, binocularsingle vision and stereopsis improved in very minimal percentage of patients as the surgery was done after theage of visual maturation in most of the cases. This accentuates the need for strabismus surgery within the yearsof cortical plasticitydoi: http://dx.doi.org/10.3126/mjsbh.v12i2.12921 

scholarly journals Surgical outcome of strabismus

2015 ◽  
Vol 12 (2) ◽  
Author(s):  
Sabina Shrestha
Keyword(s):  
Prospective Study ◽  
Sample Size ◽  
Surgical Outcome ◽  
Cortical Plasticity ◽  
Strabismus Surgery ◽  
Posterior Segment ◽  
Single Muscle ◽  
Single Vision ◽  
Binocular Single Vision ◽  
A Prospective Study

<p><strong>Introduction: </strong></p> <p>Strabismus is encountered daily by paediatric ophthalmologists and orthoptists in their practice. Strabismus and amblyopia affect 5% of the population. The aim of the study was to determine the surgical outcome of strabismus.</p> <p><strong>Methods: </strong></p> <p>It was a prospective study conducted at Nepal Eye Hospital from 2010 to 2011 with the sample size of 40. Patients undergoing strabismus surgery either for esotropia or exotropia were included in the study. Detailed preoperative and postoperative orthoptic evaluation of all the patients was done apart from the anterior and posterior segment examination and the surgical outcome was assessed.</p> <p><strong>Results:</strong></p> <p>Forty patients of which 52.5% males and 47.5% females with mean age of 21.025 years underwent strabismus surgery. Manifest divergent squint was present in 61%, manifest convergent squint in 38% and intermittent squint in 5% of patients. 87.5% underwent 2 muscle surgery, 10% underwent 3 muscle surgery and 2.5% underwent single muscle surgery. Postoperative deviation for near was 0 ? in 10%, 2-8 ? in 37.5% and 10-15? in 27.5%. Similarly, postoperative deviation for distance was 0? in 22%, 2-8? in 27% and 10-15? in 22%. Binocular single vision was present in 50% patients preoperatively and 53% patients postoperatively.<strong> &nbsp;</strong></p> <p><strong>Conclusion:</strong></p> <p>Though cosmesis has been improved in most of the patients after strabismus surgery, binocular single vision and stereopsis improved in very minimal percentage of patients as the surgery was done after the age of visual maturation in most of the cases. This accentuates the need for strabismus surgery within the years of cortical plasticity.</p>

scholarly journals Quality of life improves after strabismus surgery in patients with Graves' orbitopathy

2014 ◽  
Vol 170 (5) ◽  
pp. 785-789 ◽  
Author(s):  
Hinke Marijke Jellema ◽  
Elly Merckel-Timmer ◽  
Roel Kloos ◽  
Peerooz Saeed ◽  
Maarten P Mourits
Keyword(s):  
Quality Of Life ◽  
Prospective Study ◽  
Case Series ◽  
Strabismus Surgery ◽  
Weak Correlation ◽  
Visual Functioning ◽  
Single Vision ◽  
Graves Orbitopathy ◽  
Binocular Single Vision

ObjectiveTo evaluate the influence of strabismus surgery on quality of life (QoL) in Graves' orbitopathy (GO) patients.DesignProspective study of case series.MethodsConsecutive GO-patients who were scheduled for their first strabismus surgery were included in the study. The patients completed the GO-QoL questionnaire within 3 months before the surgery and 2–4 months after the surgery. A complete orthoptic examination, including the field of binocular single vision (BSV), was performed. Clinically relevant response (CRR) in the QoL was also evaluated.ResultsIn this study, 28 patients were included. The GO-QoL score for visual functioning was 46.3±24.2 before surgery and 65.7±30.5 after surgery (P=0.009). The GO-QoL score for appearance changed from 60.6±25.9 to 69.5±24.2 (P=0.005). After surgery, the field of BSV increased from 24.3±34.8 to 68.5±36.0 points (P=0.000). A weak correlation was found between the field of BSV and the visual functioning score after surgery (r=0.417; P=0.034). CRR was found in 20 (71%) patients. Those with a CRR showed a larger field of BSV (P=0.002) and better GO-QoL scores (P=0.008).ConclusionsGO-QoL score increases significantly for both visual functioning and appearance after the first strabismus surgery in GO-patients, showing the highest improvement for the visual functioning questions. Both the GO-QoL and field of BSV outcomes correlate well with the CRR.

scholarly journals A Prospective Study of Spectrum of Depressed Fractures of Skull and its Surgical Outcome

2015 ◽  
Vol 6 (4) ◽  
pp. 134-138
Author(s):  
Vishwanath Sidram ◽  
PC Chandra Kumar ◽  
Bellara Raghavendra
Keyword(s):  
Prospective Study ◽  
Neurological Deficit ◽  
Surgical Outcome ◽  
Skull Fracture ◽  
Clinical Profile ◽  
Care Hospital ◽  
Associated Injuries ◽  
Depressed Fracture ◽  
Case Series Study ◽  
A Prospective Study

ABSTRACT Background Depressed skull fracture is a very serious type of trauma occurring in 11% of severe head injuries, and there is a consistent association between the presence of cranial fracture and higher incidence of intracranial lesions, neurological deficit, and poor outcome. Depressed cranial fractures have to be treated aggressively because of their association with infection and late epilepsy. Objectives To study the clinical profile and surgical outcome of patients with depressed cranial fractures. Materials and methods A case series study of 44 patients with depressed fracture was conducted in a tertiary care hospital setting at the Department of Neurosurgery, Vijayanagara Institute of Medical Sciences, Bellary, Karnataka, during the period from June 2013 to January 2015. Among the selected patients, the clinical profile, radiological profile, and surgical interventions were undertaken and the outcomes were noted. Appropriate descriptive statistics were used to analyze the findings and to draw inferences. Results There were 30 males and 14 females. The mean age of the patients was 26.95 ± 14.87 years (6–65 years). The common cause of depressed fracture was road traffic accident (45%) and assault (40.9%); 63% of them had compound type and half of the fractures were located in the frontal region. Common associated injuries were extradural hematoma (50%) followed by dural tear (27.3%). Common complications were wound infection (9.1%) and cerebrospinal fluid leak (9.1%). Conclusion The management of depressed fractures should be individualized depending on factors like the degree of depression, communication with the exterior, neurological deficit and presence of associated injuries. How to cite this article Sidram V, Kumar PCC, Raghavendra B. A Prospective Study of Spectrum of Depressed Fractures

Strabismus and oculomotility

2012 ◽  
Author(s):  
Rebecca Ford ◽  
Moneesh Patel
Keyword(s):  
Clinical Skills ◽  
Strabismus Surgery ◽  
Ocular Motility ◽  
Clinical Knowledge ◽  
Ocular Movements ◽  
Single Vision ◽  
Visual Acuity Testing ◽  
Concomitant Strabismus ◽  
Binocular Single Vision ◽  
Retinal Correspondence

The chapter begins by discussing the anatomy and actions of the extraocular muscles and central control of ocular motility, before covering the key clinical skills, namely patient assessment, assessment of ocular movements, visual acuity testing, tests of stereopsis and binocular single vision, tests of retinal correspondence and suppression, and Hess charts. It then covers the key areas of clinical knowledge, including amblyopia, binocular vision and stereopsis, concomitant strabismus, incomitant strabismus, restrictive ocular motility disorders, complex ocular motility syndromes, vertical deviations , and alphabet patterns, and the key practical skills, namely the principles of strabismus surgery and other procedures in strabismus. The chapter concludes with five case-based discussions, on myopic anisometropia, esotropia, infantile esotropia, orbital floor fracture, and consecutive exotropia.

Paediatric ophthalmology and strabismus

2016 ◽  
Author(s):  
Lucy Barker ◽  
Kelly MacKenzie ◽  
Joanne Hancox ◽  
Wanda Kozlowska ◽  
Andrew Tatham
Keyword(s):  
Clinical Skills ◽  
Strabismus Surgery ◽  
Ocular Movements ◽  
Single Vision ◽  
Ocular Deviation ◽  
Concomitant Strabismus ◽  
Binocular Single Vision ◽  
Paediatric Ophthalmology ◽  
And Storage ◽  
Retinal Correspondence

This chapter focuses on paediatric ophthalmology and strabismus. It details the embryology, anatomy, and actions of the extraocular muscles, along with clinical skills that include patient assessment and assessment of visual acuity, binocular vision, and stereopsis, assessment of binocular single vision, and retinal correspondence and suppression. It then discusses amblyopia, the measurement and assessment of ocular deviation, the assessment of ocular movements, Hess charts, and the field of binocular single vision. In addition, it discusses concomitant strabismus (the heterophorias, esotropia, and exotropia), incomitant strabismus, the principles of strabismus surgery, general paediatric development, retinopathy of prematurity, retinoblastoma, congenital cataract, paediatric glaucoma, uveitis in children, phacomatoses, and metabolic and storage diseases.

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