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Ocular alignment and results of strabismus surgery in neurologically impaired children
Ciğdem Ülkü Can1, Sibel Polat, Meryem Yaşar
1Ministry of Health Ulucanlar Eye Education and Research Hospital, 3 Clinic Ankara, Turkey.
Insights
Strabismus surgery can effectively improve ocular alignment in neurologically impaired children with stable or high-angle deviations. Long-term follow-up is crucial for surgical decision-making in these complex cases.
Area of Science:
- Ophthalmology
- Pediatric Neurology
- Surgical Outcomes
Background:
- Strabismus is a common condition in neurologically impaired children.
- Ocular alignment can be challenging to manage in this population.
- Surgical intervention is a potential treatment option.
Purpose of the Study:
- To assess the effectiveness of strabismus surgery in neurologically impaired children.
- To evaluate ocular alignment and surgical outcomes.
- To identify factors influencing surgical success.
Main Methods:
- Retrospective analysis of 33 neurologically impaired children with strabismus.
- Evaluation of patient records including refractive errors, strabismus type and angle, and surgical procedures.
- Mean follow-up of 34.0±16.5 months.
Main Results:
- Twenty-three patients had esodeviation; others had exodeviation.
- Nineteen patients exhibited highly variable deviation angles.
- Surgery in 12 patients with stable or high-angle deviations reduced mean horizontal deviation from 43.75±10.69 D to 12.83±8.38 D.
Conclusions:
- Strabismus surgery is effective for neurologically impaired children with stable or high-angle deviations.
- Careful, long-term follow-up is essential before deciding on surgical intervention.
- Surgical outcomes can significantly improve ocular alignment in this cohort.
Aim:
To evaluate ocular alignment and surgical results of strabismus surgery in neurologically impaired children.
Methods:
Files of 33 neurologically impaired squint children were evaluated. Twelve patients had cerebral palsy(CP), 4 had CP with mental retardation, therest had mental-motor retardation of unknown cause. Cycloplegic refractions, type and angle of strabismus, surgeries performed were recorded.
Results:
Mean follow-up was 34.0±16.5 months. Twenty-three patients had esodeviation, the remaining had exodeviation. In 19 patients, angle of deviations measured at different visits were highly variable. Twelve patients with stable angle of deviations or with unstable but high angle deviations had horizontal muscle surgery. Mean horizontal deviation decreased from 43.75±10,69 D to 12.83±8.38 D with surgery.
Conclusion:
In neurologically impaired strabismic children, surgery is effective in patients with stable deviations or unstable but high angle deviations. Decision for surgery should be made after a long follow up period.
