Botulinum vs Adjustable Suture Surgery in the Treatment of Horizontal Misalignment in Adult Patients Lacking Fusion

Introduction: Strabismus affects the quality of life of adults both in functional and psychosocial aspect of life. This study was conducted to compare the health related quality of life in adults before and after strabismus surgery. Methods: It was a prospective quantitative study conducted in Nepal Eye Hospital from Sep 2015 to July 2016.Thirty one adult participants with strabismus undergoing strabismus surgery completed the study. Twenty open ended adult strabismus questionnaire (AS-20) were used to assess the health related quality of life of adults before and one month after strabismus surgery. Results: The overall median score of adult strabismus questionnaire for quality of life improved from 68.75 (Interquartile range (IQR 25) to 91.25 (IQR 17.5) after strabismus surgery (p value < 0.00). Similarly, the median function subscale and median psychosocial subscale also improved from 72 (IQR 25) to 95 (10) and from 55 (IQR 37.5) to 90 (IQR 15) respectively after surgery. Conclusion:The quality of life of adult strabismic patients improved significantly after stabismus surgery.

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“…Ocular alignment is successfully normalized in about 80% of cases. 18,19,20 Quality of life before and after strabismus surgery; Shrestha S et al…”

Section: Discussionmentioning

confidence: 99%

Quality of Life of Adults Before and After Strabismus Surgery at a Tertiary Care Eye Centre of Kathmandu, Nepal

Shrestha

Manoranjan²,

Shrestha

2017

Med. J. Shree Birendra Hosp.

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“…Many studies have shown that the pretreatment angle of deviation is the main parameter which affects the outcome of BTX A treatment (12,13) . Paul (14) reported that BTX A injection is as effective as surgery in mild and moderate cases (<30 PD), while surgery should be the choice in severe cases (>30 PD).…”

Section: Discussionmentioning

confidence: 99%

Efficacy of Botulinum Toxin A Injection in Horizontal Strabismus

Yıldırım¹,

Tetikoğlu²,

Kuru³

et al. 2017

Okmeydani Medical Journal

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Objective: To evaulate the efficacy of botulinum toxin A injection and factors affecting the treatment in strabismus. Material and Methods: Botulinum toxin A administered 43 patients with the diagnosis of horizontal deviation in 26'sında (%60,5) ezotropya mevcutken, 17'sinde (%39,5) ekzotropta vardı. Hastaların 16'sı (%37,2) rezidüel şaşılık, 19'u (%44,2) paralitik şaşılık, 8'i (%18,6) ise konsekütiv şaşılık idi. Otuz (%69,[8][9][10][11][12][13][14][15][16][17][18][19][20] 13 (%30,2)

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“…The results of surgery in the correction of adult concomitant strabismus, however, have been encouraging, including the use of adjustable sutures in adults with diplopia symptoms (Carruthers et al, 1990). A multicenter retrospective study looked at ocular alignment after surgery in adult patients with strabismus onset before visual maturation (BVM) and after visual maturation (AVM) (Beauchamp et al, 2003).…”

Section: Discussionmentioning

confidence: 99%