Non-adjustable surgery for acute acquired comitant esotropia under general anesthesia

Area of Science:

• Ophthalmology
• Surgical Techniques
• Strabismus

Background:

• Acute acquired comitant esotropia requires effective surgical correction.
• The non-adjustable suture technique is a surgical option for this condition.
• Assessing surgical outcomes is crucial for treatment optimization.

Purpose of the Study:

• To evaluate the surgical results of the non-adjustable suture technique for acute acquired comitant esotropia.
• To determine the motor and sensory success rates of this surgical approach.
• To analyze the efficacy of using the maximum deviation angle after occlusion for surgical planning.

Main Methods:

• Retrospective case study of 40 patients with acute acquired comitant esotropia.
• Surgical correction using the non-adjustable suture technique under general anesthesia.
• Measurement of maximum deviation angle after 1-hour eye occlusion for surgical planning.

Main Results:

• Preoperative esodeviation averaged 28.0 ± 12.8 PD.
• 70% of patients achieved good motor success (orthotropia).
• 96% of patients achieved good sensory success (no diplopia with binocular vision).

Conclusions:

• The non-adjustable suture technique provides excellent motor and sensory success rates for acute acquired comitant esotropia.
• Surgical planning based on the maximum deviation angle after occlusion is effective.
• This technique offers a reliable option for correcting this condition.