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Decreasing strabismus surgery.

A Arora1, B Williams, A K Arora

  • 1The Western Eye Hospital, London, UK.

The British Journal of Ophthalmology
|March 19, 2005
PubMed
Summary
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Paediatric strabismus surgery frequency has declined significantly in England and Ontario over the past decade. This trend may be due to improved conservative management and increased surgical subspecialization.

Area of Science:

  • Ophthalmology
  • Pediatric Surgery
  • Health Services Research

Background:

  • Strabismus surgery in children is a common ophthalmic procedure.
  • Trends in the frequency of paediatric strabismus surgery may reflect changes in clinical practice and healthcare delivery.

Purpose of the Study:

  • To investigate changes in the frequency of paediatric strabismus surgery across different countries and healthcare systems over a ten-year period.

Main Methods:

  • Retrospective analysis of strabismus surgery data for children (0-16 years) in England (1989-2000) and Ontario, Canada (1994-2000).
  • Comparison with published data from Scotland (1989-2000).

Main Results:

  • A significant decrease in strabismus surgeries was observed in England (41.2%) and Ontario (26.1%) between the study periods.

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  • Specific surgical techniques showed varied trends, with some decreasing (e.g., combined rectus recession/resection) and others increasing (e.g., bimedial recessions, oblique tenotomies, adjustable sutures).

    • Conclusions:

    • The observed decline in paediatric strabismus surgery frequency is confirmed.
    • Potential contributing factors include improved non-surgical management and increased subspecialization leading to better surgical outcomes and fewer re-operations.
    • These changes have implications for surgical services and ophthalmology training.