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Updated: Jul 5, 2025

Author Spotlight: Advancements in Refractive Surgical Correction for Presbyopia and Exploring Postoperative Visual Acuity
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Author Spotlight: Advancements in Refractive Surgical Correction for Presbyopia and Exploring Postoperative Visual Acuity

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Refractive Changes After Horizontal Strabismus Surgery.

Yu Bi1, Shibin Lin1

  • 1Department of Ophthalmology, Joint Shantou International Eye Center of Shantou University, The Chinese University of Hong Kong, Guangdong Province, Shantou, China.

Current Eye Research
|January 15, 2024
PubMed
Summary
This summary is machine-generated.

Horizontal strabismus surgery in patients with high refractive error can lead to a myopic shift. Astigmatism changes are possible after rectus recession surgery, and glasses should not be adjusted within one month post-op for combined recession and resection procedures.

Keywords:
Astigmatismrefractive errorspherical equivalentstrabismus

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Area of Science:

  • Ophthalmology
  • Refractive Surgery
  • Strabismus Surgery

Background:

  • Horizontal strabismus and high refractive error present unique challenges in ophthalmic surgery.
  • Understanding refractive changes post-surgery is crucial for patient management.

Purpose of the Study:

  • To investigate refractive status changes after horizontal strabismus surgery in patients with high refractive error.
  • To compare refractive outcomes between different surgical approaches.

Main Methods:

  • Prospective study comparing two groups: horizontal rectus recession (group 1) and combined horizontal rectus recession/resection (group 2).
  • Refractive status (spherical equivalent and cylinder) evaluated preoperatively and at 1 and 3 months postoperatively.
  • Comparison of refractive changes between the two surgical groups.

Main Results:

  • Group 1 showed a non-significant myopic shift (-0.26 D) and a significant increase in astigmatism (+0.34 D) at 3 months.
  • Group 2 demonstrated a significant myopic shift (-0.28 D at 1 month, -0.21 D at 3 months) and a significant increase in astigmatism (+0.30 D at 1 month).
  • Progression towards myopia was observed in the spherical equivalent for group 2.

Conclusions:

  • Horizontal strabismus surgery in high refractive error patients can induce a myopic shift.
  • Patients undergoing rectus recession should be counseled on potential astigmatism changes.
  • Delaying glasses adjustment for 1 month post-op is advised for combined recession/resection surgery.