ABSTRACT
PURPOSE: To compare comfort and inflammation in patients treated with postoperative topical antibiotic steroids in one eye versus no treatment in the other eye. METHODS: This prospective, randomized single-masked study included all patients with planned symmetrical strabismus surgery via fornix incision. One eye was randomly assigned to topical postoperative tobramycin-dexamethasone and the other eye was not treated. Patient and parent questionnaires were administered, and two masked observers assessed conjunctival injection over the muscle and wound site. RESULTS: A total of 70 patients completed at least 1 postoperative visit and were included. There was no statistically significant difference between the treatment eye and the no treatment eye in any of the studied parameters. CONCLUSIONS: Postoperative topical antibiotic steroid did not prove to be superior to no treatment in uncomplicated fornix surgery with regard to patient comfort and inflammation. In those cases, consideration may be given to sparing the patient the inconvenience, cost, and potential complications of the topical medication.
Subject(s)
Anti-Bacterial Agents/administration & dosage , Dexamethasone/administration & dosage , Ophthalmologic Surgical Procedures/methods , Steroids/administration & dosage , Strabismus/surgery , Tobramycin/administration & dosage , Adolescent , Adult , Child , Child, Preschool , Drug Therapy, Combination , Eye Pain/prevention & control , Female , Humans , Infant , Male , Middle Aged , Ophthalmic Solutions/administration & dosage , Prospective Studies , Surgical Wound Infection/prevention & control , Young AdultABSTRACT
The Publisher regrets that this article is an accidental duplication of an article that has already been published, http://dx.doi.org/10.1016/j.jaapos.2017.03.003. The duplicate article has therefore been withdrawn. The full Elsevier Policy on Article Withdrawal can be found at https://www.elsevier.com/about/our-business/policies/article-withdrawal.
ABSTRACT
BACKGROUND: Surgical treatments for large-angle exotropia include bilateral lateral rectus recession, recession-resection procedures, and three- and four-muscle surgery. Undercorrection and limitation of abduction are common complications of these procedures. This study reports the results of bilateral medial rectus resection as a first procedure for primary large-angle exotropia. METHODS: The medical records of patients who underwent bilateral medial rectus resection for angles ≥60Δ in the period from 2006 till 2016 with a minimum follow-up period of 6 months were reviewed retrospectively. The amount of resection ranged from 8 mm to 12 mm according to the preoperative angle. Success was defined as a final outcome within the range of 8Δ of esotropia to 10Δ of exotropia. RESULTS: A total of 64 patients were included, in whom angles ranged from 60Δ to 140Δ. The overall success rate was 77%, and there was no significant difference in success rate between classes of smaller and larger angles. Limitation of abduction was seen in first postoperative week. At 6 months' follow-up 64% of eyes had no limitation of abduction. CONCLUSIONS: In our patient cohort bilateral medial rectus resection successfully corrected large-angle exotropia of up to 140Δ, with results comparable to three- and four-muscle procedures. It has the advantage of not causing significant abduction deficits, even with resections up to 12 mm.
