The relationship between abduction deficit and reoperation among patients with infantile esotropia
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Zhale Rajavi. Flat 5, No.6, 3rd Sharestan, North Pesian, Moghaddas Ardebili Ave., Vali-ye- Asr St., Tehran 1986866814, Iran. zhalerajavi@gmail.com; Hamideh Sabbaghi. No. 23, Paidarfard St., Boostan 9 St., Pasdaran Ave., Tehran 1666673111, Iran. sabbaghi.opt@gmail.com

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    Abstract:

    AIM: To determine the relationship between abduction deficit and reoperation among patients with infantile esotropia (IET). METHODS: The records of 216 patients (432 eyes) with IET who underwent surgery, from 2010 to 2015 were studied. Patients with IET whose deviation appeared before 6mo of age and had stable preoperative deviation in two examinations with at least 2wk apart and a minimum 3mo postoperative follow up were included. Cases with early onset accommodative esotropia, congenital cataract, retinopathy of prematurity (ROP), manifest nystagmus, fundus lesions, neurologic and ophthalmic anomalies, 6th nerve palsy and Duane’s syndrome were excluded. Preoperative abduction deficit was considered from -1 to -3 grading scale. Three months after surgery, children were classified into no-need reoperation [deviation≤15 prism diopters (PD)], and need-reoperation groups (deviation>15 PD). RESULTS: In this retrospective study, 117 female and 99 male patients with the mean surgical age of 4.7±6.4y were included. Reoperation rate was 33.3% and 16.0% in IET patients with and without abduction deficit, respectively in patients who had a history of late surgery. Abduction deficit increased the odds of reoperation by 82% [OR=1.82, 95% confidence interval (CI) =1.05 to 3.19, P=0.003] in patients who had a history of late surgery (>2 years old, P=0.021). Abduction deficit was improved significantly after operation (P<0.001). CONCLUSION: Based on our results, abduction deficit can be considered as a risk factor of reoperation in IET patients who are operated at the age of more than 2y.

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Zhale Rajavi, Hamideh Sabbaghi, Pooya Torkian, et al. The relationship between abduction deficit and reoperation among patients with infantile esotropia. Int J Ophthalmol, 2018,11(3):478-483

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Publication History
  • Received:September 08,2017
  • Revised:December 25,2017
  • Adopted:
  • Online: March 13,2018
  • Published: