Outcome of Esotropia Surgery in 2 Tertiary Hospitals in Cameroon

Viola Andin Dohvoma,1,2 Stève Robert Ebana Mvogo,1 Jean Audrey Ndongo,1 Caroline Tsimi Mvilongo,2 Côme Ebana Mvogo1,2 1Faculty of Medicine and Biomedical Sciences, University of Yaoundé I, Yaoundé, Cameroon; 2Yaoundé Central Hospital, Yaound&...

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Autores principales:	Dohvoma VA, Ebana Mvogo SR, Ndongo JA, Mvilongo CT, Ebana Mvogo C
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2020
Materias:	esotropia infantile esotropia esotropia surgery Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/e7e955ba154f4f27917a9d9789d0471e
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spelling	oai:doaj.org-article:e7e955ba154f4f27917a9d9789d0471e2021-12-02T03:32:52ZOutcome of Esotropia Surgery in 2 Tertiary Hospitals in Cameroon1177-5483https://doaj.org/article/e7e955ba154f4f27917a9d9789d0471e2020-02-01T00:00:00Zhttps://www.dovepress.com/outcome-of-esotropia-surgery-in-2-tertiary-hospitals-in-cameroon-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Viola Andin Dohvoma,1,2 Stève Robert Ebana Mvogo,1 Jean Audrey Ndongo,1 Caroline Tsimi Mvilongo,2 Côme Ebana Mvogo1,2 1Faculty of Medicine and Biomedical Sciences, University of Yaoundé I, Yaoundé, Cameroon; 2Yaoundé Central Hospital, Yaoundé, CameroonCorrespondence: Viola Andin DohvomaFaculty of Medicine and Biomedical Sciences, University of Yaoundé I, P.O. Box 3851 Messa, Yaoundé, CameroonTel +237 6 99735506Email andinv@gmail.comPurpose: To evaluate the ocular alignment following esotropia surgery in our setting.Patients and Methods: We conducted a cross sectional descriptive study which spanned 19 years, from October 1999 to September 2018 at the Douala General Hospital and the Yaoundé Central Hospital. Complete medical records of patients who underwent surgery for esotropia during the study period were included. Data collected included age at diagnosis, sex, age of onset of esotropia, age at surgery, refractive error, type of surgery performed, pre and post-operative angle of deviation. The outcome was considered good when the postoperative angle was ≤ 10 prism diopters (PD).Results: Four hundred and ninety patients with primary esotropia were seen during the study period. Only 155 returned for follow-up after wearing the full cycloplegic correction for a minimum period of 3 months. Accommodative esotropia was found in 32 cases (20.6%). Among the 123 cases requiring surgery, 63 cases underwent surgery (51.2%). Fifty-nine complete records were included (59.3% females and 40.7% males). The mean age at the time of diagnosis was 6.5 ± 6.1 years and the mean age at the time of surgery was 8.7 ± 6.1 years. The mean preoperative angle at distance was 42.8 ± 10.8 PD. The outcome was good in 91.5% of cases. No factor influenced the outcome of surgery.Conclusion: The outcome of esotropia surgery was good in this study. This could serve to increase patient motivation to accept surgery in our setting.Keywords: esotropia, infantile esotropia, esotropia surgeryDohvoma VAEbana Mvogo SRNdongo JAMvilongo CTEbana Mvogo CDove Medical Pressarticleesotropiainfantile esotropiaesotropia surgeryOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 14, Pp 449-454 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	esotropia infantile esotropia esotropia surgery Ophthalmology RE1-994
spellingShingle	esotropia infantile esotropia esotropia surgery Ophthalmology RE1-994 Dohvoma VA Ebana Mvogo SR Ndongo JA Mvilongo CT Ebana Mvogo C Outcome of Esotropia Surgery in 2 Tertiary Hospitals in Cameroon
description	Viola Andin Dohvoma,1,2 Stève Robert Ebana Mvogo,1 Jean Audrey Ndongo,1 Caroline Tsimi Mvilongo,2 Côme Ebana Mvogo1,2 1Faculty of Medicine and Biomedical Sciences, University of Yaoundé I, Yaoundé, Cameroon; 2Yaoundé Central Hospital, Yaoundé, CameroonCorrespondence: Viola Andin DohvomaFaculty of Medicine and Biomedical Sciences, University of Yaoundé I, P.O. Box 3851 Messa, Yaoundé, CameroonTel +237 6 99735506Email andinv@gmail.comPurpose: To evaluate the ocular alignment following esotropia surgery in our setting.Patients and Methods: We conducted a cross sectional descriptive study which spanned 19 years, from October 1999 to September 2018 at the Douala General Hospital and the Yaoundé Central Hospital. Complete medical records of patients who underwent surgery for esotropia during the study period were included. Data collected included age at diagnosis, sex, age of onset of esotropia, age at surgery, refractive error, type of surgery performed, pre and post-operative angle of deviation. The outcome was considered good when the postoperative angle was ≤ 10 prism diopters (PD).Results: Four hundred and ninety patients with primary esotropia were seen during the study period. Only 155 returned for follow-up after wearing the full cycloplegic correction for a minimum period of 3 months. Accommodative esotropia was found in 32 cases (20.6%). Among the 123 cases requiring surgery, 63 cases underwent surgery (51.2%). Fifty-nine complete records were included (59.3% females and 40.7% males). The mean age at the time of diagnosis was 6.5 ± 6.1 years and the mean age at the time of surgery was 8.7 ± 6.1 years. The mean preoperative angle at distance was 42.8 ± 10.8 PD. The outcome was good in 91.5% of cases. No factor influenced the outcome of surgery.Conclusion: The outcome of esotropia surgery was good in this study. This could serve to increase patient motivation to accept surgery in our setting.Keywords: esotropia, infantile esotropia, esotropia surgery
format	article
author	Dohvoma VA Ebana Mvogo SR Ndongo JA Mvilongo CT Ebana Mvogo C
author_facet	Dohvoma VA Ebana Mvogo SR Ndongo JA Mvilongo CT Ebana Mvogo C
author_sort	Dohvoma VA
title	Outcome of Esotropia Surgery in 2 Tertiary Hospitals in Cameroon
title_short	Outcome of Esotropia Surgery in 2 Tertiary Hospitals in Cameroon
title_full	Outcome of Esotropia Surgery in 2 Tertiary Hospitals in Cameroon
title_fullStr	Outcome of Esotropia Surgery in 2 Tertiary Hospitals in Cameroon
title_full_unstemmed	Outcome of Esotropia Surgery in 2 Tertiary Hospitals in Cameroon
title_sort	outcome of esotropia surgery in 2 tertiary hospitals in cameroon
publisher	Dove Medical Press
publishDate	2020
url	https://doaj.org/article/e7e955ba154f4f27917a9d9789d0471e
work_keys_str_mv	AT dohvomava outcomeofesotropiasurgeryin2tertiaryhospitalsincameroon AT ebanamvogosr outcomeofesotropiasurgeryin2tertiaryhospitalsincameroon AT ndongoja outcomeofesotropiasurgeryin2tertiaryhospitalsincameroon AT mvilongoct outcomeofesotropiasurgeryin2tertiaryhospitalsincameroon AT ebanamvogoc outcomeofesotropiasurgeryin2tertiaryhospitalsincameroon
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Outcome of Esotropia Surgery in 2 Tertiary Hospitals in Cameroon

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