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Angle-closure glaucoma, or closed-angle glaucoma, is an eye condition where the iris bulges out and blocks the iridocorneal angle, resulting in a buildup of aqueous humor and increased intraocular pressure. Immediate medical attention is necessary due to the sudden onset of symptoms. The treatment for angle-closure glaucoma includes short-term and long-term approaches. Short-term treatment involves using eye drops like pilocarpine to lower intraocular pressure by increasing aqueous humor...
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Phased strabismus surgery under topical anesthesia.

Elena Franco1,2, Silvia Mancioppi3, Elena Forini4

  • 1Department of Translational Medicine, University of Ferrara, Ferrara, Italy.

European Journal of Ophthalmology
|April 28, 2023
PubMed
Summary
This summary is machine-generated.

Phased strabismus surgery under topical anesthesia is feasible for adults and children. Intraoperative alignment checks in seated or supine positions yield similar surgical success rates.

Keywords:
Strabismus surgeryfixed suturespediatric strabismustarget angle of deviationtopical anesthesia

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Area of Science:

  • Ophthalmology
  • Surgical Techniques

Background:

  • Strabismus surgery traditionally involves general anesthesia.
  • Phased approaches may offer advantages in specific cases.
  • Topical anesthesia in strabismus surgery is gaining traction.

Purpose of the Study:

  • To assess the feasibility and outcomes of phased strabismus surgery using topical anesthesia.
  • To compare intraoperative ocular alignment measurements in supine versus seated positions.

Main Methods:

  • Retrospective analysis of 38 patients undergoing phased strabismus surgery with fixed sutures under topical anesthesia.
  • Surgery involved one or two muscles initially, with a potential second phase for an additional muscle.
  • Intraoperative alternate prism cover test performed in both supine and seated positions.

Main Results:

  • Phased surgery was well-tolerated, with 32% requiring a second phase.
  • No significant difference in intraoperative alignment between supine and seated positions.
  • High surgical success rates: 88% for horizontal and 87% for vertical deviations at 6 months.

Conclusions:

  • Phased strabismus surgery is a feasible and effective technique for diverse strabismus types in pediatric and adult populations.
  • Intraoperative ocular alignment assessment is accurate in both supine and seated patient positions, offering flexibility.