Mona A Abd El-Ghaffar, Manal A Kasem, Amr M.H Alkannishy, Ibrahim T El-Adawe
Journal of the Egyptian Ophthalmological Society 2018 111(1):33-36
Purpose This prospective study included 30 patients attending the outpatient clinic of Mansoura Ophthalmic Center during the period from November 2013 to November 2014. Patients and methods A total of 16 patients presented with residual deviations, five patients with consecutive deviation, one patient with new vertical deviation, and eight patients with mixed, new with either all cases residual and consecuitive. Reoperation was done for all cases, and all cases were followed up for 6 months postoperatively. Results Postoperative results, early follow-up and 6-month follow-up showed that 18 patients became orthotropic after reoperation, five patients became orthotropic on glasses after reoperation and seven patients needed re-reoperation. Conclusion There are many risk factors that may increase the incidence of postoperative unsatisfactory alignment after strabismus surgery, such as improper diagnosis, improper surgical decision making or improper surgical procedure. These factors can be avoided as much as possible, but even with accurate diagnosis, proper surgical plan and perfectly done surgery, reoperation may still be needed.
Journal of the Egyptian Ophthalmological Society 2018 111(1):33-36
Purpose This prospective study included 30 patients attending the outpatient clinic of Mansoura Ophthalmic Center during the period from November 2013 to November 2014. Patients and methods A total of 16 patients presented with residual deviations, five patients with consecutive deviation, one patient with new vertical deviation, and eight patients with mixed, new with either all cases residual and consecuitive. Reoperation was done for all cases, and all cases were followed up for 6 months postoperatively. Results Postoperative results, early follow-up and 6-month follow-up showed that 18 patients became orthotropic after reoperation, five patients became orthotropic on glasses after reoperation and seven patients needed re-reoperation. Conclusion There are many risk factors that may increase the incidence of postoperative unsatisfactory alignment after strabismus surgery, such as improper diagnosis, improper surgical decision making or improper surgical procedure. These factors can be avoided as much as possible, but even with accurate diagnosis, proper surgical plan and perfectly done surgery, reoperation may still be needed.