The Management of Strabismus in Adults—III. The Effects on Disability

Beauchamp, George R.; Black, Bradley; Coats, David K.; Enzenauer, Robert W.; Hutchinson, Amy K.; Saunders, Richard; Simon, John W.; Stager, David R.; Wilson, M. Edward; Zobal-Ratner, Jitka; Felius, Joost

doi:10.1016/j.jaapos.2005.04.009

Cited by 74 publications

(48 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…2,3 Improvement in extraocular alignment alone, used as the sole criteria for success in many strabismus studies, may not relieve disabling symptoms, or improve quality of life for the patient. [4][5][6][7] Studies of the efficacy of strabismus surgery in adults most frequently examine motor criteria alone, giving artificially elevated success rates for patients who may be unhappy with their surgical outcome due to continued diplopia or poor quality of life. 8 Our primary aim was to examine both motor and sensory outcomes of extraocular muscle surgery for sixth nerve palsy.…”

Section: Introductionmentioning

confidence: 99%

Functional and Motor Outcomes of Strabismus Surgery for Chronic Isolated Adult Sixth Nerve Palsy

Peragallo¹,

Hutchinson²,

Lenhart³

et al. 2014

Neuro-Ophthalmology

Self Cite

View full text Add to dashboard Cite

Abducens nerve palsy is the most common acquired ocular motor nerve palsy in adults. Chronic cases of abducens palsy often require surgical intervention to relieve disabling diplopia. The goal of this study was to identify factors associated with surgical outcomes in isolated abducens palsy. Medical records of all adult patients from 1988 to 2012 with abducens palsies who underwent strabismus procedures were retrospectively reviewed. Motor alignment, extraocular motility, and sensory outcomes were recorded. Success was defined as absence of diplopia without prisms or face turn, vertical deviation 2 prism dioptres (PD), and horizontal deviation 10 PD. Eighty-one patients (age range: 20-86 years) met inclusion criteria. Success was achieved in 58% of patients. Final success rates for abducens palsy were 50% for neoplastic, 59% traumatic, 57% for microvascular/unknown, and 67% for other central nervous system causes (p40.05). Patients with an underlying neoplastic or traumatic aetiology required more than one strabismus procedure more often than those with microvascular/idiopathic or other central nervous system causes (48% vs. 24%; p = 0.03). For complete abducens palsies, patients who underwent Hummelsheim-type procedures had a higher success rate than those who underwent a full-tendon vertical rectus muscle transposition. (78% versus 35%; p = 0.049). Success rates for strabismus procedures in patients with abducens palsies are similar across all aetiologies. Frequency of re-operation is higher among those patients with neoplastic or traumatic aetiologies for their abducens palsies. Hummelsheim-type procedures have a higher success rate for complete abducens palsies than full-tendon vertical rectus transpositions.

show abstract

Section: Introductionmentioning

confidence: 99%

Functional and Motor Outcomes of Strabismus Surgery for Chronic Isolated Adult Sixth Nerve Palsy

Peragallo¹,

Hutchinson²,

Lenhart³

et al. 2014

Neuro-Ophthalmology

Self Cite

View full text Add to dashboard Cite

show abstract

“…21,22 Even dynamic visual field correlated to activities of daily living is improved by strabismus surgery. 23 The adverse psychosocial sequel of adult strabismus is improved by surgical correction.…”

Section: Figure 1: Distribution Of Types Of Strabismusmentioning

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.

View full text Add to dashboard Cite

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.

show abstract

“…1 Surgery to realign the eyes is associated with eliminating diplopia, expanding the visual field and reducing torticollis, as well as overall improvements in quality of life, patient satisfaction and confidence. [2][3][4][5][6][7] However, this is not the case for everyone. While 95% of patients achieve clinical success 6 weeks following surgery, only 60% of patients experience a meaningful improvement in quality of life.…”

Section: Introductionmentioning

confidence: 99%

Does strabismus surgery improve quality and mood, and what factors influence this?

McBain

MacKenzie

Hancox

et al. 2016

Eye

View full text Add to dashboard Cite

The Management of Strabismus in Adults—III. The Effects on Disability

Cited by 74 publications

References 17 publications

Functional and Motor Outcomes of Strabismus Surgery for Chronic Isolated Adult Sixth Nerve Palsy

Functional and Motor Outcomes of Strabismus Surgery for Chronic Isolated Adult Sixth Nerve Palsy

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

Does strabismus surgery improve quality and mood, and what factors influence this?

Contact Info

Product

Resources

About