Combined strabismus and phacoemulsification cataract surgery: A useful option in selected patients

Squirrell, David; Edwards, Matthew; Burke, John P.

doi:10.1038/eye.2001.240

Cited by 6 publications

(3 citation statements)

References 4 publications

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“…[ 21 ] in 1998 reported a combined procedure in 14 pediatric patients where strabismus success was achieved in 11 of them, but visual results could not be commented on. Squirrel and Burke[ 22 ] in 2001 reported three combined squint surgery with phacoemulsification. The first patient had inactive thyroid disease and underwent squint surgery on horizontal rectus muscle, the second patient had a long-standing fourth nerve palsy which decompensated and had intractable vertical diplopia who then underwent Inferior oblique myectomy and the third patient had ocular fibrosis syndrome who underwent inferior rectus and lateral rectus recession to correct his ocular deviation.…”

Section: Discussionmentioning

confidence: 99%

Augmented loop myopexy with concurrent intraocular lens implantation for myopic strabismus fixus

Shetty

Aguiar

Vijayalakshmi

et al. 2023

Indian Journal of Ophthalmology

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Purpose: To evaluate safety profile and surgical outcomes of loop myopexy with concurrent intra-ocular lens implantation in cases of myopic strabismus fixus (MSF). Methods: A retrospective chart review of patients who underwent loop myopexy with concurrent small incision cataract surgery with intra-ocular lens implantation between January 2017 and July 2021 for MSF at a tertiary eye care centre was undertaken. A minimum of 6 months of follow-up after surgery was required for inclusion. The main outcome measures were improvement in alignment postoperatively, improvement in extra-ocular motility postoperatively, intraoperative and postoperative complications and post-operative visual acuity. Results: 12 eyes of 7 patients (male (6): female (1)) underwent modified loop myopexy at a mean age of 46.86 years (range 32-65 years). 5 patients underwent bilateral loop myopexy with intra-ocular lens implantation whereas 2 patients underwent unilateral loop with intra-ocular lens implantation. All eyes underwent additional medial rectus (MR) recession with lateral rectus (LR) plication. At the last follow-up, mean esotropia improved to 16 prism dioptres (PD) (Range: 10-20 PD) from 80 PD (Range:60-90PD), P = 0.016; and success (deviation ≤20PD) was achieved in 73% (95% CI 48 to 89%). Mean hypotropia at presentation was 10 PD (range 6-14 PD), which improved to 0 PD (range 0-9 PD), P = 0.063. Mean BCVA improved from 1.08 LogMar to 0.3 LogMar units. Conclusion: Loop myopexy combined with intra-ocular lens implantation is a safe and effective procedure in the management of patients who have Myopic Strabismus Fixus with visually significant cataract and improves both visual acuity and ocular alignment significantly.

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Section: Discussionmentioning

confidence: 99%

Augmented loop myopexy with concurrent intraocular lens implantation for myopic strabismus fixus

Shetty

Aguiar

Vijayalakshmi

et al. 2023

Indian Journal of Ophthalmology

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“…Others have reported similar uncomplicated and satisfactory results of combined intraocular and strabismus surgery. 1,3,5 The primary purpose of our study was to evaluate the safety and efficacy of combining intraocular and strabismus surgery in both pediatric and adult patients. This was a retrospective, interventional case series, so no comparisons can be made to a control group of noncombined, staged surgical cases regarding complications and results.…”

Section: Discussionmentioning

confidence: 99%

“…[1][2][3][4][5] Combining cataract extraction or other lens procedures with strabismus correction may reduce the number of surgical and anesthetic procedures, speed rehabilitation, and offer financial benefit to the patient and third-party payors. However, concerns may arise regarding a potential increased risk of postoperative infection, anterior segment ischemia, or excessive discomfort for the patient.…”

mentioning

confidence: 99%

Combined Strabismus and Lens Surgery

Ticho

Kaufman

2006

Journal of American Association for Pediatric Ophthalmology and

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Die Kombination von Augenmuskeloperationen mit anderen Eingriffen am oder im Auge

Ehrt

Boergen

2004

Ophthalmologe

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Strabismus and motility disorders of the eye can be linked in many different ways to intraocular diseases and disorders of the lid and orbit. Different functional aspects have to be considered before performing combined eye muscle and intraocular or adnexal surgery. This allows to avoid unnecessary operations, to choose the right dosage of the operation, to limit the risk of diplopia, and finally to achieve a satisfying result for the patient.

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Combined strabismus and phacoemulsification cataract surgery: A useful option in selected patients

Abstract: Conclusions Combined strabismus and cataract surgery is a safe procedure that can optimise visual alignment and improve visual acuity with a minimum number of operations.

Cited by 6 publications

References 4 publications

Augmented loop myopexy with concurrent intraocular lens implantation for myopic strabismus fixus

Augmented loop myopexy with concurrent intraocular lens implantation for myopic strabismus fixus

Combined Strabismus and Lens Surgery

Die Kombination von Augenmuskeloperationen mit anderen Eingriffen am oder im Auge

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