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Modified Posterior Vertebral Column Resection for Patients with Thoracolumbar Kyphotic Deformity

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[Long-term follow-up after surgery for exodeviation].

H Kordic¹, V Sturm, K Landau

¹Augenklinik, Universitätsspital Zürich, Zürich, Schweiz. Helena.Kordic@usz.ch

Klinische Monatsblatter Fur Augenheilkunde

|April 23, 2009

Summary

Long-term follow-up of strabismus surgery for exodeviations shows stable results, with most patients achieving satisfactory outcomes. Adjusting surgical dosage could improve orthophoric results but risks overcorrection.

Area of Science:

Ophthalmology
Surgical Outcomes
Pediatric Eye Care

Background:

Preoperative determination of surgical dosage in strabismus surgery presents a significant challenge.
Exodeviations require careful management to achieve optimal long-term visual alignment.

Purpose of the Study:

To assess the long-term follow-up results of strabismus surgery for exodeviations.
To evaluate the effectiveness of the surgical dosages employed in these procedures.

Main Methods:

A study of 53 consecutive patients undergoing surgery for exodeviations was conducted.
One-year and long-term (average 13 years) postoperative outcomes were analyzed using strict criteria.
Patient-reported outcomes were collected via questionnaire.

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Main Results:

One year postoperatively, outcomes were: 6 very good, 14 good, 31 satisfactory, 2 poor.
At 13 years postoperatively, outcomes were: 0 very good, 4 good, 12 satisfactory, 2 poor.
The mean divergent strabismus angle increased by 2.9 degrees over the 12 years following the first postoperative year.

Conclusions:

Long-term follow-up reveals remarkably stable outcomes compared to one-year results.
More aggressive surgical dosing could yield better orthophoric results but increases the risk of overcorrection.