Polling, J-R and Eijkemans, M. J. C. and Esser, J. and Gilles, U. and Kolling, G. H. and Schulz, E. and Lorenz, B. and Roggenkaemper, P. and Herzau, V. and Zubcov, A. and ten Tusscher, M. P. M. and Wittebol-Post, D. and Gusek-Schneider, G. C. and Cruysberg, J. R. M. and Simonsz, H. J. (2009) A randomised comparison of bilateral recession versus unilateral recession-resection as surgery for infantile esotropia. BRITISH JOURNAL OF OPHTHALMOLOGY, 93 (7). pp. 954-957. ISSN 0007-1161, 1468-2079
Full text not available from this repository. (Request a copy)Abstract
Objective: Infantile esotropia, a common form of strabismus, is treated either by bilateral recession (BR) or by unilateral recession-resection (RR). Differences in degree of alignment achieved by these two procedures have not previously been examined in a randomised controlled trial. Design: Controlled, randomised multicentre trial. Setting: 12 university clinics. Participants and intervention: 124 patients were randomly assigned to either BR or RR. Standardised protocol prescribed that the total relocation of the muscles, in millimetres, was calculated by dividing the preoperative latent angle of strabismus at distance, in degrees, by 1.6. Main outcome measure: Alignment assessed as the variation of the postoperative angle of strabismus during alternating cover. Results: The mean preoperative latent angle of strabismus at distance fixation was +17.2 degrees (SD 4.4) for BR and +17.5 degrees (4.0) for RR. The mean postoperative angle of strabismus at distance was +2.3 degrees (5.1) for BR and +2.9 degrees (3.5) for RR (p = 0.46 for reduction in the angle and p = 0.22 for the within-group variation). The mean reduction in the angle of strabismus was 1.41 degrees (0.45) per millimetre of muscle relocation for RR and 1.47 (0.50) for BR (p = 0.50 for reduction in the angle). Alignment was associated with postoperative binocular vision (p = 0.001) in both groups. Conclusions: No statistically significant difference was found between BR and RR as surgery for infantile esotropia.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | ; |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Abteilung für Pädiatrische Ophthalmologie, Strabismologie und Ophthalmogenetik |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 10 Sep 2020 13:30 |
| Last Modified: | 10 Sep 2020 13:30 |
| URI: | https://pred.uni-regensburg.de/id/eprint/28728 |
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