Evaluation of Efficacy and Lateral Gaze Incomitance in Symmetrical and Asymmetrical Surgery for Concomitant Esotropia and Exotropia

Ahmed Alaadin Ismail, Mohamed Farouk Abdelkader, Asmaa Anwar Mohamed, Sahar Torky Abdelaziz Ophthalmology Department, Faculty of Medicine, Minia University, Minia, EgyptCorrespondence: Sahar Torky Abdelaziz Email sahar.torky@yahoo.comPurpose: Evaluation of asymmetrical and symmetrical horizontal str...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Ismail AA, Abdelkader MF, Mohamed AA, Abdelaziz ST
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2021
Materias:	asymmetrical symmetrical esotropia exotropia horizontal strabismus lateral incomitance Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/e6264b3cb0434204ba9333546dddcd79
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:e6264b3cb0434204ba9333546dddcd79
record_format	dspace
spelling	oai:doaj.org-article:e6264b3cb0434204ba9333546dddcd792021-12-02T16:33:33ZEvaluation of Efficacy and Lateral Gaze Incomitance in Symmetrical and Asymmetrical Surgery for Concomitant Esotropia and Exotropia1177-5483https://doaj.org/article/e6264b3cb0434204ba9333546dddcd792021-08-01T00:00:00Zhttps://www.dovepress.com/evaluation-of-efficacy-and-lateral-gaze-incomitance-in-symmetrical-and-peer-reviewed-fulltext-article-OPTHhttps://doaj.org/toc/1177-5483Ahmed Alaadin Ismail, Mohamed Farouk Abdelkader, Asmaa Anwar Mohamed, Sahar Torky Abdelaziz Ophthalmology Department, Faculty of Medicine, Minia University, Minia, EgyptCorrespondence: Sahar Torky Abdelaziz Email sahar.torky@yahoo.comPurpose: Evaluation of asymmetrical and symmetrical horizontal strabismus surgery as regards efficacy and postoperative lateral gaze incomitance.Patients and Methods: This prospective comparative interventional case series study included 40 patients of age more than 3 years with alternating horizontal strabismus. Patients were divided according to the type of horizontal deviation into esotropia and exotropia groups, which were further subdivided into asymmetrical and symmetrical subgroups in each type. The surgery was defined as symmetrical procedure if the surgery was done on the same muscle in the two eyes and it was defined as asymmetric in recess-resect procedures in one eye, and three horizontal muscles surgery. Preoperative and postoperative measurements were done in primary position, right, and left gaze using alternate prism cover test and hand-held orthopedic goniometer.Results: At the end of follow-up period, a statistically insignificant difference (P value = 0.8057) was present in the success rate between the asymmetrical and symmetrical subgroups of esotropia (90 and 86.67%, respectively) and it was 100% in both exotropia subgroups. Lateral gaze incomitance results were different between esotropia and exotropia subgroups. In esotropia, a statistically significant difference was reported at 1 month (0.009), which became insignificant at 6 months (0.077) and 12 months (0.077) between asymmetrical and symmetrical subgroups. In exotropia subgroups, there was a statistically insignificant difference in lateral gaze incomitance at 1, 6, and 12 months (P = 1).Conclusion: Asymmetrical procedure had the same efficacy and success rate of symmetrical procedure for the correction of concomitant horizontal deviations in primary gaze without persistent postoperative lateral gaze incomitance, especially in exotropia.Clinical Trial Registration: NCT04199286.Keywords: asymmetrical, symmetrical, esotropia, exotropia, horizontal strabismus, lateral incomitanceIsmail AAAbdelkader MFMohamed AAAbdelaziz STDove Medical Pressarticleasymmetricalsymmetricalesotropiaexotropiahorizontal strabismuslateral incomitanceOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 15, Pp 3613-3621 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	asymmetrical symmetrical esotropia exotropia horizontal strabismus lateral incomitance Ophthalmology RE1-994
spellingShingle	asymmetrical symmetrical esotropia exotropia horizontal strabismus lateral incomitance Ophthalmology RE1-994 Ismail AA Abdelkader MF Mohamed AA Abdelaziz ST Evaluation of Efficacy and Lateral Gaze Incomitance in Symmetrical and Asymmetrical Surgery for Concomitant Esotropia and Exotropia
description	Ahmed Alaadin Ismail, Mohamed Farouk Abdelkader, Asmaa Anwar Mohamed, Sahar Torky Abdelaziz Ophthalmology Department, Faculty of Medicine, Minia University, Minia, EgyptCorrespondence: Sahar Torky Abdelaziz Email sahar.torky@yahoo.comPurpose: Evaluation of asymmetrical and symmetrical horizontal strabismus surgery as regards efficacy and postoperative lateral gaze incomitance.Patients and Methods: This prospective comparative interventional case series study included 40 patients of age more than 3 years with alternating horizontal strabismus. Patients were divided according to the type of horizontal deviation into esotropia and exotropia groups, which were further subdivided into asymmetrical and symmetrical subgroups in each type. The surgery was defined as symmetrical procedure if the surgery was done on the same muscle in the two eyes and it was defined as asymmetric in recess-resect procedures in one eye, and three horizontal muscles surgery. Preoperative and postoperative measurements were done in primary position, right, and left gaze using alternate prism cover test and hand-held orthopedic goniometer.Results: At the end of follow-up period, a statistically insignificant difference (P value = 0.8057) was present in the success rate between the asymmetrical and symmetrical subgroups of esotropia (90 and 86.67%, respectively) and it was 100% in both exotropia subgroups. Lateral gaze incomitance results were different between esotropia and exotropia subgroups. In esotropia, a statistically significant difference was reported at 1 month (0.009), which became insignificant at 6 months (0.077) and 12 months (0.077) between asymmetrical and symmetrical subgroups. In exotropia subgroups, there was a statistically insignificant difference in lateral gaze incomitance at 1, 6, and 12 months (P = 1).Conclusion: Asymmetrical procedure had the same efficacy and success rate of symmetrical procedure for the correction of concomitant horizontal deviations in primary gaze without persistent postoperative lateral gaze incomitance, especially in exotropia.Clinical Trial Registration: NCT04199286.Keywords: asymmetrical, symmetrical, esotropia, exotropia, horizontal strabismus, lateral incomitance
format	article
author	Ismail AA Abdelkader MF Mohamed AA Abdelaziz ST
author_facet	Ismail AA Abdelkader MF Mohamed AA Abdelaziz ST
author_sort	Ismail AA
title	Evaluation of Efficacy and Lateral Gaze Incomitance in Symmetrical and Asymmetrical Surgery for Concomitant Esotropia and Exotropia
title_short	Evaluation of Efficacy and Lateral Gaze Incomitance in Symmetrical and Asymmetrical Surgery for Concomitant Esotropia and Exotropia
title_full	Evaluation of Efficacy and Lateral Gaze Incomitance in Symmetrical and Asymmetrical Surgery for Concomitant Esotropia and Exotropia
title_fullStr	Evaluation of Efficacy and Lateral Gaze Incomitance in Symmetrical and Asymmetrical Surgery for Concomitant Esotropia and Exotropia
title_full_unstemmed	Evaluation of Efficacy and Lateral Gaze Incomitance in Symmetrical and Asymmetrical Surgery for Concomitant Esotropia and Exotropia
title_sort	evaluation of efficacy and lateral gaze incomitance in symmetrical and asymmetrical surgery for concomitant esotropia and exotropia
publisher	Dove Medical Press
publishDate	2021
url	https://doaj.org/article/e6264b3cb0434204ba9333546dddcd79
work_keys_str_mv	AT ismailaa evaluationofefficacyandlateralgazeincomitanceinsymmetricalandasymmetricalsurgeryforconcomitantesotropiaandexotropia AT abdelkadermf evaluationofefficacyandlateralgazeincomitanceinsymmetricalandasymmetricalsurgeryforconcomitantesotropiaandexotropia AT mohamedaa evaluationofefficacyandlateralgazeincomitanceinsymmetricalandasymmetricalsurgeryforconcomitantesotropiaandexotropia AT abdelazizst evaluationofefficacyandlateralgazeincomitanceinsymmetricalandasymmetricalsurgeryforconcomitantesotropiaandexotropia
_version_	1718383784950235136

Evaluation of Efficacy and Lateral Gaze Incomitance in Symmetrical and Asymmetrical Surgery for Concomitant Esotropia and Exotropia

Ejemplares similares