Strabismus in Senile Cataract Patients

Spierer, Abraham; Priel, Ayelet; Sachs, Dan

doi:10.1016/j.jaapos.2005.05.007

Cited by 3 publications

(2 citation statements)

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“…It has been proposed that partial sensory deprivation, including VF or acuity deficits, may cause or exacerbate sensory heterophorias and heterotropias. 13 We found that VA, in particular acuity less than 20/200 in one or both eyes, was associated with preoperative tropias. It is not surprising that monocular status is significantly associated with tropias at baseline, as binocular fusion can maintain ocular alignment in the presence of a phoria but the deviation manifests as a tropia when binocular fusional control is not present.…”

Section: Discussionmentioning

confidence: 58%

“…Previous studies suggest that motility disturbances are more common with age 11,12 and cataract formation. 13 However, the prevalence of motility disturbances in a moderately advanced glaucoma population has not previously been reported to our knowledge. It has been proposed that partial sensory deprivation, including VF or acuity deficits, may cause or exacerbate sensory heterophorias and heterotropias.…”

Section: Discussionmentioning

confidence: 81%

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Motility Disturbances in the Tube Versus Trabeculectomy Study During the First Year of Follow-up

Rauscher

Gedde

Schiffman

et al. 2009

American Journal of Ophthalmology

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PURPOSE To describe the preoperative and postoperative motility disturbances encountered in the Tube Versus Trabeculectomy (TVT) Study during the first year of follow-up. DESIGN Multicenter randomized clinical trial. METHODS SETTINGS: Seventeen clinical centers. POPULATION: Patients 18 to 85 years old who had previous trabeculectomy and/or cataract surgery and uncontrolled glaucoma with intraocular pressure ≥18 mm Hg and ≤40 mm Hg on maximum tolerated medical therapy. INTERVENTIONS: 350-mm2 Baerveldt glaucoma implant or trabeculectomy with mitomycin C (MMC). MAIN OUTCOME MEASURES: Preoperative and postoperative evaluation of ocular motility and diplopia. RESULTS Motility disturbances were detected in 55 patients (28%) at baseline. New-onset persistent diplopia was reported in 5 patients (5%) in the tube group and no patients in the trabeculectomy group at 1 year (P = .06). A new postoperative motility disturbance developed or worsened in 7 patients (9.9%) in the tube group and no patients in the trabeculectomy group during the first year of follow-up (P = .005). Postoperative motility disturbances were also associated with increasing age (P < .001) and right eye surgery (P = .044). CONCLUSIONS Preoperative motility disturbances were common among patients in the TVT Study. New postoperative motility disturbances were more frequent following tube shunt surgery than trabeculectomy with MMC after 1 year of follow-up.

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Section: Discussionmentioning

confidence: 58%