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J AAPOS. 2013 Dec;17(6):594-7. doi: 10.1016/j.jaapos.2013.08.009. Epub 2013 Nov 9.

Risk factors influencing the outcome of strabismus surgery following retinal detachment surgery with scleral buckle.

Author information

  • 1Jules Stein Eye Institute, Department of Ophthalmology, University of California, Los Angeles.

Abstract

PURPOSE:

To determine factors associated with surgical success in patients undergoing strabismus surgery after retinal detachment repair with scleral buckle.

METHODS:

The medical records of consecutive patients who underwent strabismus surgery after repair of retinal detachment with scleral buckle were retrospectively reviewed. A successful "motor" outcome was defined as horizontal deviation <10(Δ) and vertical deviation <4(Δ) in the primary position; successful "sensory" outcome was no diplopia in the primary position. Various factors such as removing the scleral buckle at the time of strabismus surgery, the macula structural status, size of the preoperative deviation, presence of restriction to passive movement, and whether the eye with the scleral buckle was the operated eye were compared among groups based on motor success.

RESULTS:

A total of 25 patients were included. The overall motor success rate was 72% after 1.8 ± 0.9 operations, with 62% of patients diplopia free in the primary position. Horizontal deviation <10(Δ) (P = 0.005) and minimal restriction on forced duction test were associated with motor success after the first surgery (P = 0.05). Partial or entire scleral buckle removal (n = 15) and fellow-eye surgery were not significantly correlated with motor success in our cohort. There were no retinal redetachments after scleral buckle removal.

CONCLUSIONS:

A small preoperative horizontal deviation, and minimally restricted ocular rotations were associated with better results. Removing the scleral buckle did not improve results.

Copyright © 2013 American Association for Pediatric Ophthalmology and Strabismus. Published by Mosby, Inc. All rights reserved.

PMID:
24215808
[PubMed - indexed for MEDLINE]
PMCID:
PMC3870881
Free PMC Article
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