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Monocular surgery to correct large-angle esotropia: a 10-year follow-up study
Edmilson Gigante1, Rodrigo Abdalla Romão1, Fátima de Jesus Passador Valério1
1Department of Strabismus, Hospital Regional de Presidente Prudente, Presidente Prudente, SP, Brazil.
Monocular surgery for large-angle esotropia demonstrated stable results over 10 years in both children and adults. This surgical approach proved safe, with no significant consecutive exotropia observed long-term.
Area of Science:
- Ophthalmology
- Strabismus Surgery
- Pediatric Ophthalmology
Background:
- Large-angle esotropia often requires surgical intervention.
- Monocular surgical techniques aim for effective correction of significant eye deviations.
- Long-term stability and potential complications like consecutive exotropia are critical considerations.
Purpose of the Study:
- To evaluate the 10-year surgical stability of monocular surgery for large-angle esotropia.
- To assess the safety and efficacy of this technique in both pediatric and adult patients.
- To investigate the incidence of consecutive exotropia following the surgical correction.
Main Methods:
- A 10-year follow-up study was conducted on patients who underwent monocular surgery for large-angle esotropia.
- Angles of deviation were measured using prism cover testing and the Krimsky method.
- Statistical analysis included Student's t-test and McNemar's test to compare outcomes.
Main Results:
- No significant differences in deviation angles were found between 6 months and 10 years post-surgery (p=0.922).
- Surgical outcomes were comparable between adult and pediatric patient groups (p=0.767).
- Only five of 40 patients developed small-angle exotropia; large consecutive exotropia was not observed.
Conclusions:
- Monocular surgery utilizing large medial rectus recessions and lateral rectus resections is a viable and safe option for correcting large-angle esotropia.
- The technique provides stable results in both children and adults over the long term.
- The risk of developing significant consecutive exotropia is low with this surgical approach.
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