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[Results of treatment in congenital esotropia]
Alina Bakunowicz-Łazarczyk1, Barbara Scherer-Wollna, Dorota Sredzińska-Kita
1Kliniki Okulistyki Dzieciecej Akademii Medycznej w Białymstoku.
Insights
Early surgical intervention for congenital esotropia in young children (1.5–2.5 years) yields favorable outcomes, with many achieving orthoposition and binocular vision.
Area of Science:
- Ophthalmology
- Pediatric Surgery
Context:
- Congenital esotropia is a common condition in young children.
- Early surgical correction is crucial for visual development.
Purpose:
- To evaluate the functional outcomes of surgical treatment for congenital esotropia in children aged 1.5 to 2.5 years.
- To assess the success rate of primary operations and the need for secondary procedures.
Summary:
- Forty-two children with congenital esotropia (strabismus angles +20 to +45 degrees) underwent surgical correction.
- Post-operative results showed orthoposition in 28 children and binocular vision in 20.
- Six children required a second operation due to muscle imbalance or residual strabismus.
Impact:
- Surgical intervention for congenital esotropia in this age group leads to good functional results.
- Early treatment can improve visual alignment and binocularity in affected children.
The Aim:
We analyzed results of the operations in congenital esotropia.
Material And Methods:
In paediatric ophthalmology department were treated 42 children in age 1.5 to 2.5 years with congenital esotropia. Strabismus angles were from +20 degrees to +45 degrees. After the operations children were controlled in paediatric ophthalmology clinic. The pleoptic-ortoptic therapy was applied when children finished 3.5 years old.
Results:
28 children had orthoposition after primary operations and 20 had binocular vision. 6 children had second operation due to excessive functional activity inferior oblique muscle or residual angle.
Conclusion:
The operations of children with congenital esotropia between 1.5 to 2.5 years old provided good functional results.