Infantile esotropia: risk factors associated with reoperation

Adriano Magli,1 Luca Rombetto,2 Francesco Matarazzo,2 Roberta Carelli1 1Department of Ophthalmology, Orthoptics and Pediatric Ophthalmology, University of Salerno, Salerno, 2Department of Ophthalmology, Federico II University, Naples, Italy Abstract: The aim of this study was to identify clinical...

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Autores principales:	Magli A, Rombetto L, Matarazzo F, Carelli R
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2016
Materias:	Infantile Esotropia Risk Factors Reoperation Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/2da7b488e47240dc83684f02c28523f6
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spelling	oai:doaj.org-article:2da7b488e47240dc83684f02c28523f62021-12-02T06:34:39ZInfantile esotropia: risk factors associated with reoperation1177-5483https://doaj.org/article/2da7b488e47240dc83684f02c28523f62016-10-01T00:00:00Zhttps://www.dovepress.com/infantile-esotropia-risk-factors-associated-with-reoperation-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Adriano Magli,1 Luca Rombetto,2 Francesco Matarazzo,2 Roberta Carelli1 1Department of Ophthalmology, Orthoptics and Pediatric Ophthalmology, University of Salerno, Salerno, 2Department of Ophthalmology, Federico II University, Naples, Italy Abstract: The aim of this study was to identify clinical and demographic factors associated with misalignment after first surgery performed on children affected by infantile esotropia to evaluate the reoperation rate. A retrospective study was carried out, analyzing data from 525 children who underwent bilateral medial recti recession, bilateral lateral recti resection, and inferior oblique recession and anteroposition by the same surgeon (AM). Postoperative evaluation included assessment of motor alignment at approximately 3 months, 6 months, 1 year, and 5 years. Statistical analysis was performed with a logistical regression model in which the dependent variable was the presence/absence of reoperation. We found that late surgery (after 3 years of age) and a family history of strabismus are associated with a higher risk of reoperation, while some clinical factors, including some classically associated with worst motor outcome as preoperative angle, dissociated vertical deviation, and amblyopia, did not influence the incidence of reoperation in infantile esotropia. Male patients and patients with hyperopia in preoperative examinations have a significantly decreased reoperation rate. Keywords: infantile esotropia, risk factors, reoperationMagli ARombetto LMatarazzo FCarelli RDove Medical PressarticleInfantile EsotropiaRisk FactorsReoperationOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 10, Pp 2079-2083 (2016)
institution	DOAJ
collection	DOAJ
language	EN
topic	Infantile Esotropia Risk Factors Reoperation Ophthalmology RE1-994
spellingShingle	Infantile Esotropia Risk Factors Reoperation Ophthalmology RE1-994 Magli A Rombetto L Matarazzo F Carelli R Infantile esotropia: risk factors associated with reoperation
description	Adriano Magli,1 Luca Rombetto,2 Francesco Matarazzo,2 Roberta Carelli1 1Department of Ophthalmology, Orthoptics and Pediatric Ophthalmology, University of Salerno, Salerno, 2Department of Ophthalmology, Federico II University, Naples, Italy Abstract: The aim of this study was to identify clinical and demographic factors associated with misalignment after first surgery performed on children affected by infantile esotropia to evaluate the reoperation rate. A retrospective study was carried out, analyzing data from 525 children who underwent bilateral medial recti recession, bilateral lateral recti resection, and inferior oblique recession and anteroposition by the same surgeon (AM). Postoperative evaluation included assessment of motor alignment at approximately 3 months, 6 months, 1 year, and 5 years. Statistical analysis was performed with a logistical regression model in which the dependent variable was the presence/absence of reoperation. We found that late surgery (after 3 years of age) and a family history of strabismus are associated with a higher risk of reoperation, while some clinical factors, including some classically associated with worst motor outcome as preoperative angle, dissociated vertical deviation, and amblyopia, did not influence the incidence of reoperation in infantile esotropia. Male patients and patients with hyperopia in preoperative examinations have a significantly decreased reoperation rate. Keywords: infantile esotropia, risk factors, reoperation
format	article
author	Magli A Rombetto L Matarazzo F Carelli R
author_facet	Magli A Rombetto L Matarazzo F Carelli R
author_sort	Magli A
title	Infantile esotropia: risk factors associated with reoperation
title_short	Infantile esotropia: risk factors associated with reoperation
title_full	Infantile esotropia: risk factors associated with reoperation
title_fullStr	Infantile esotropia: risk factors associated with reoperation
title_full_unstemmed	Infantile esotropia: risk factors associated with reoperation
title_sort	infantile esotropia: risk factors associated with reoperation
publisher	Dove Medical Press
publishDate	2016
url	https://doaj.org/article/2da7b488e47240dc83684f02c28523f6
work_keys_str_mv	AT maglia infantileesotropiariskfactorsassociatedwithreoperation AT rombettol infantileesotropiariskfactorsassociatedwithreoperation AT matarazzof infantileesotropiariskfactorsassociatedwithreoperation AT carellir infantileesotropiariskfactorsassociatedwithreoperation
_version_	1718399803479556096

Infantile esotropia: risk factors associated with reoperation

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