[Treatment of non accomodated concomitant strabismus]

Area of Science:

• Ophthalmology
• Pediatric Ophthalmology
• Strabismus Management

Context:

• Non-accommodative concomitant strabismus affects children, impacting visual development.
• Surgical and non-surgical treatments are employed, but optimal timing and methods require clarification.

Purpose:

• To compare surgical treatment alone versus complex pre- and postoperative pleoptic, orthoptic, and diploptic therapy for strabismus.
• To identify the optimal age for surgical intervention in strabismus treatment.

Summary:

• A study of 75 children (2-10 years) with concomitant convergent strabismus compared early (2-4 years) versus later (4-10 years) surgical treatment, with and without complex vision therapy.
• The 4-10 year group with complex therapy achieved 68% binocular vision recovery, compared to 40% in the 2-4 year group with similar therapy.
• Early surgery (2-4 years) with occlusion showed only 40% recovery, while later surgery (4-10 years) with occlusion yielded 25% recovery, highlighting the benefit of comprehensive therapy.

Impact:

• Complex pre- and postoperative pleoptic, orthoptic, and diploptic treatment, alongside occlusion, demonstrates significant efficacy in strabismus management.
• Results suggest that delaying surgical treatment for strabismus may negatively impact the potential for achieving optimal visual outcomes.