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Esotropia Surgery Considering the Angle under General Anesthesia.

Soh-Eun Ahn1, Suk-Gyu Ha2, Seung-Hyun Kim2

  • 1a Sungmo Eye Hospital , Busan , Korea.

Seminars in Ophthalmology
|August 18, 2016
PubMed
Summary

Esotropia surgery correction under general anesthesia (G-correction) initially differs from awake correction (A-correction) but becomes comparable by one week post-op. Surgeons should adhere to awake state surgical plans for esotropia correction.

Keywords:
Angle of deviationesotropiaeye positiongeneral anesthesia

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Area of Science:

  • Ophthalmology
  • Pediatric Surgery
  • Strabismus Surgery

Background:

  • Esotropia surgery aims to correct eye misalignment.
  • Assessing the angle of deviation is crucial for surgical planning.
  • Anesthesia may influence intraoperative measurements and surgical outcomes.

Purpose of the Study:

  • To compare the effectiveness of esotropia correction under general anesthesia versus in a conscious state.
  • To evaluate differences in surgical outcomes based on the state of anesthesia during measurement.

Main Methods:

  • Retrospective chart review of 42 esotropia surgery patients.
  • Measurement of deviation angles using prism cover test (awake) and Hirschberg/Krimsky tests (anesthetized).
  • Comparison of A-correction and G-correction at various postoperative time points.

Main Results:

  • Initial G-correction (30.0 PD) was significantly different from A-correction on postoperative day one (p=0.003).
  • No significant differences were observed between A-correction and G-correction at one week, one month, and final follow-up.
  • Median patient age was 4.0 years with a median preoperative esodeviation of 30.0 PD.

Conclusions:

  • Esotropia correction achieved under general anesthesia is comparable to awake correction by one week post-surgery.
  • Performing esotropia surgery based on the initial surgical plan made in the awakened state is recommended.
  • Confirming intraoperative correction against the plan may be beneficial when deviations occur.