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Relation between preoperative hyperopia and surgical outcome in infantile esotropia

Haeng Jin Lee1, Jeong-Ah Kim1, Seong-Joon Kim1,2

  • 1Department of Ophthalmology, Seoul National University College of Medicine, Seoul 110-744, South Korea.

International Journal of Ophthalmology
|December 28, 2018
PubMed

Insights

Preoperative hyperopia up to +5.0 diopters (D) did not impact surgical success for infantile esotropia. This suggests that surgical correction for esotropia is still viable in children with moderate hyperopia.

Area of Science:

  • Ophthalmology
  • Pediatric Ophthalmology
  • Strabismus Surgery

Background:

  • Infantile esotropia is a common form of strabismus in young children.
  • The role of preoperative hyperopia in surgical outcomes for infantile esotropia remains an area of investigation.

Purpose of the Study:

  • To evaluate the relationship between preoperative hyperopia and surgical outcomes in patients younger than 24 months with infantile esotropia.

Main Methods:

  • Retrospective review of medical records for patients undergoing bilateral medial rectus muscle recession.
  • Patients were stratified into two groups based on preoperative hyperopia: < +3.0 D (Group I) and +3.0 to +5.0 D (Group II).
  • Postoperative alignment was assessed at multiple time points up to 1 year, with yearly follow-up thereafter.

Main Results:

  • Forty-six patients were analyzed (33 in Group I, 13 in Group II).
  • Mean preoperative refractive errors were +0.88 D (Group I) and +3.45 D (Group II).
  • No significant differences in surgical outcomes, success rates, or associated conditions (inferior oblique overaction, dissociated vertical deviation, re-operation rates) were observed between the groups.

Conclusions:

  • Preoperative hyperopia of less than +5.0 D does not adversely affect the surgical outcomes of infantile esotropia.
  • Surgical correction for esotropia should be considered even in the presence of moderate hyperopia, particularly when the esodeviation angle remains consistent after refractive correction.
Abstract

Keywords:
hyperopiainfantile esotropiamedial rectus muscle recession

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