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Binocular function and amblyopia after early surgery in infantile eosotropia
M O'Keefe1, N Abdulla, R Bowell
1Department of Paediatric Ophthalmology, Children's Hospital, Dublin, Ireland.
Acta Ophthalmologica Scandinavica
|October 1, 1996
Summary
Surgery for infantile esotropia in early childhood can lead to some binocular function, but high-grade stereopsis is rare. Many children still experience amblyopia even after treatment.
Area of Science:
- Ophthalmology
- Pediatric Ophthalmology
- Strabismus Surgery
Background:
- Infantile esotropia is a common form of strabismus in infants.
- Early surgical intervention is often recommended to correct eye alignment.
- Assessing long-term visual outcomes, including binocular function and amblyopia, is crucial.
Purpose of the Study:
- To evaluate binocular function and the prevalence of amblyopia in children who underwent surgery for infantile esotropia within the first 24 months of life.
Main Methods:
- Retrospective analysis of pediatric patients who had surgery for infantile esotropia.
- Assessment of binocular functions such as peripheral fusion and stereopsis.
- Evaluation of amblyopia status post-surgery and amblyopia treatment.
Main Results:
- 56% of children achieved peripheral fusion after surgery.
- No child in the study achieved high-grade stereopsis.
- 20% of children continued to have amblyopia despite surgical and therapeutic interventions.
Conclusions:
- Surgical correction of infantile esotropia can improve some aspects of binocular function, like peripheral fusion.
- High-grade stereopsis is not typically achieved following this surgical approach.
- A significant percentage of children remain amblyopic, indicating a need for further research and treatment strategies.