Session: Poster session C
Rectus Muscle Fenestration as an Alternative Procedure for Horizontal Strabismus Management
INTRODUCTION
An emerging alternative procedure known as fenestration is gaining attention for revolutionize horizontal strabismus management.The main advantage from this procedure is the reduction in recovery time for the patient since sutures are not required. This intricate procedure represents a pivotal step in the pursuit of optimal correction for strabismus.
METHODS
This is a retrospective and descriptive study, the study which involved 27 patients (median age: 8.5 years, range: 2.5 to 50 years.
The table of Kenneth Wright was used for reference with the addition of 2mm as is standard in the literature. Success was defined as postoperative alignment within 8DP of orthotropia in the primary position at the last follow-up. A history of previous strabismus surgery, orbital surgery, nystagmus, or neurological disorders were excluded from this study.
RESULTS
A total of 27 children were included. The mean preoperative angle of deviation at distance improved from the preoperative angle of deviation at a distance ranged from 25DP to 70DP mean: 38.3 DP, SD: 10.53, after the procedure it showed improvement ranging from 8 to 10DP, the definition of a success postoperative result angle: 8DP to 10DP, range: 10DP, P < 0.001 postoperatively P<0.001.
At one-month follow-up, both groups in total demonstrated an 85.1% frequency of orthotropia alignment, with significant reductions in esotropia (3.3D/mm) and exotropia (4.09D/mm)
Success outcome was achieved in 81.4%-85,1% of the cases at the 1 day and 1 month follow-up . There were no reported postoperative complications.
No discernible differences were noted between bilateral and unilateral cases OR 0.71, IQR 0.09-6.42; p < 0.711.
CONCLUSIONS
The efficacy and safety of muscle fenestration for correcting horizontal strabismus were found to be comparable between bilateral fenestration and resection, it is important to note that this study had a limited follow-up period. In Costa RIca conventional surgery a 71%, success rate was obtained.
An emerging alternative procedure known as fenestration is gaining attention for revolutionize horizontal strabismus management.The main advantage from this procedure is the reduction in recovery time for the patient since sutures are not required. This intricate procedure represents a pivotal step in the pursuit of optimal correction for strabismus.
METHODS
This is a retrospective and descriptive study, the study which involved 27 patients (median age: 8.5 years, range: 2.5 to 50 years.
The table of Kenneth Wright was used for reference with the addition of 2mm as is standard in the literature. Success was defined as postoperative alignment within 8DP of orthotropia in the primary position at the last follow-up. A history of previous strabismus surgery, orbital surgery, nystagmus, or neurological disorders were excluded from this study.
RESULTS
A total of 27 children were included. The mean preoperative angle of deviation at distance improved from the preoperative angle of deviation at a distance ranged from 25DP to 70DP mean: 38.3 DP, SD: 10.53, after the procedure it showed improvement ranging from 8 to 10DP, the definition of a success postoperative result angle: 8DP to 10DP, range: 10DP, P < 0.001 postoperatively P<0.001.
At one-month follow-up, both groups in total demonstrated an 85.1% frequency of orthotropia alignment, with significant reductions in esotropia (3.3D/mm) and exotropia (4.09D/mm)
Success outcome was achieved in 81.4%-85,1% of the cases at the 1 day and 1 month follow-up . There were no reported postoperative complications.
No discernible differences were noted between bilateral and unilateral cases OR 0.71, IQR 0.09-6.42; p < 0.711.
CONCLUSIONS
The efficacy and safety of muscle fenestration for correcting horizontal strabismus were found to be comparable between bilateral fenestration and resection, it is important to note that this study had a limited follow-up period. In Costa RIca conventional surgery a 71%, success rate was obtained.