Preoperative Predictors for Esodeviation and Exodeviation after Cataract Surgery in Children

Area of Science:

• Ophthalmology
• Pediatric Ophthalmology
• Strabismus Surgery

Background:

• Cataract surgery in children can lead to strabismus.
• Predicting the type of strabismus (esodeviation vs. exodeviation) after cataract surgery is crucial for surgical planning.

Purpose of the Study:

• To identify preoperative predictors for esodeviation versus exodeviation strabismus surgery in children post-cataract surgery.
• To understand the influence of age at cataract surgery on the type of subsequent strabismus deviation.

Main Methods:

• Retrospective study of pediatric patients (<18 years) who underwent cataract surgery and subsequent strabismus surgery.
• Statistical analysis including T-tests, chi-square tests, and binomial logistic regression to identify significant variables.

Main Results:

• 142 patients underwent strabismus surgery post-cataract surgery: 50.7% esodeviation, 38.7% exodeviation, 10.6% vertical strabismus.
• Age at cataract surgery was a significant predictor: each year increase raised odds of exotropia surgery by 1.620.
• Children with cataract surgery at ≥1 year had 4.9 times higher odds of exodeviation surgery compared to those <1 year.

Conclusions:

• Younger age at cataract surgery is linked to a higher probability of requiring esodeviation surgery.
• Older age at cataract surgery increases the likelihood of needing exodeviation surgery for strabismus.