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Planning Strabismus Surgery: How to Avoid Pitfalls and Complications.

Authors :
Aroichane M
Source :
The American orthoptic journal [Am Orthopt J] 2016 Jan; Vol. 66 (1), pp. 63-78.
Publication Year :
2016

Abstract

Background and Purpose: Good surgical results following strabismus surgery depend on several factors. In this article, detailed steps for planning strabismus surgery will be reviewed for basic horizontal strabismus surgery, vertical, and oblique muscle surgeries. The thought process behind each case will be presented to help in selecting the best surgical approach to optimize postoperative results.<br />Patients and Method: The surgical planning for strabismus will be developed with clinical examples from easy cases to more complex ones. Preoperative pictures of the ocular alignment are an integral part of planning surgery and help in documenting the strabismus before and after surgery.<br />Results: Three cases of strabismus cases will be reviewed with several key factors for planning surgery, including visual acuity, refractive error, potential for stereovision, and risk of postoperative diplopia. The most important factor is accurate orthoptic measurements. The surgical planning for each patient is detailed along with preoperative pictures.<br />Conclusion: Strabismus surgery results can be improved by careful preoperative planning. The surgeon has the ability to discern potential pitfalls that can alter the surgical outcome. Surgical planning allows a dedicated time of reflection before surgery, foreseeing potential problems, and avoiding them during the surgery.<br /> (© 2016 Board of regents of the University of Wisconsin System, American Orthoptic Journal, Volume 66, 2016, ISSN 0065-955X, E-ISSN 1553-4448.)

Details

Language :
English
ISSN :
0065-955X
Volume :
66
Issue :
1
Database :
MEDLINE
Journal :
The American orthoptic journal
Publication Type :
Academic Journal
Accession number :
27799579
Full Text :
https://doi.org/10.3368/aoj.66.1.63