Abstract
Aim: This study aimed to investigate the effects of horizontal strabismus surgery on refractive error and anterior segment parameters.
Material and Methods: Fifty-four eyes of 27 patients were included in this study. Patients underwent repeated refraction measurements and anterior segment evaluation preoperatively, first week, first month, third month, and sixth month postoperatively. Patients were divided into three groups, those who underwent resection (group 1), recession (group 2), and healthy eyes without any surgical intervention (group 3).
Results: The mean age of the patients was 24.4±11.1 years and 14 (51.9%) were female. There was a statistically significant difference in central corneal thickness in group 2 before and after surgery (p=0.037). The mean central corneal thickness was highest in the first week with 548.14±40.42 µm and lowest in the first month with 541.50±41.75 µm after surgery. There was a statistically significant difference in cell density (p=0.004) and mean cell area (p=0.004) between groups 1 and 2 in the first week after surgery. The cell density level was statistically significantly higher in group 1 in all postoperative measurements. In addition, the mean cell area level was statistically significantly lower in group 1.
Conclusion: Strabismus surgery has an effect on anterior segment parameters in addition to correcting eye movements and visual axis. Depending on the type of intervention, the number of affected anterior segment parameters also varies. In the management of the patient in the postoperative period, the anterior segment structures should be carefully evaluated at each examination and the findings should be noted.
References
- Wan MJ, Hunter DG. Complications of strabismus surgery: Incidence and risk factors. Semin Ophthalmol. 2014;29(5-6):421-8.
- Ziylan Ş, Egemenoğlu A, Yabaş Ö, Karslıoğlu Ş, Daruga İ. Corneal topographic changes after strabismus operations. MN Oftalmoloji. 2004;11(4):321-3. Turkish.
- Al-Tamimi E, Al-Nosair G, Yassin S. Effect of horizontal strabismus surgery on the refractive status. Strabismus. 2015;23(3):111-6.
- Olvera-Barrios A, Elizondo-Omaña R, Tamez-Tamez VE, García-Rodríguez M de los A, Villarreal-Silva EE, Guzmán López S. Anterior segment ischemia and strabismus surgery: from the anatomy to the clinic. Rev Arg de Anat Clin. 2015;7(1):44-51.
- Noh JH, Park KH, Lee JY, Jung MS, Kim SY. Changes in refractive error and anterior segment parameters after isolated lateral rectus muscle recession. J AAPOS. 2013;17(3):291-5.
- Gilbert PW. The origin and development of the extrinsic ocular muscles in the domestic cat. J Morphol. 1947;81(2):151-93.
- Yanoff M, Duker JS. Pediatric and adult strabismus. In: Yanoff M, Duker. JS, editors. Ophthalmology. 5th ed. Edinburgh: Elsevier; 2019. p.1190-257.
- Ferris JD, Davies PEJ. In: Surgical techniques in ophthalmology series: strabismus surgery. Çev. Hasanreisoğlu B. İstanbul: Veri Medikal Yayıncılık; 2009. p.13-27. Turkish.
- Vallés-Torres J, García-Martín E, Peña-Calvo P, Sanjuan-Villarreal A, Gil-Arribas LM, Fernández-Tirado FJ. Contact topical anesthesia for strabismus surgery in adult patients. Rev Esp Anestesiol Reanim. 2015;62(5):265-9. English, Spanish.
- Müller A, Doughty MJ, Watson L. A retrospective pilot study to assess the impact of strabismus surgery on the corneal endothelium in children. Ophthalmic Physiol Opt. 2002;22(1):38-45.
- Denis D, Toesca E. Prospective study on the repercussions of oculomotor surgery on children's corneal endothelium. J Fr Ophtalmol. 2010;33(5):334-41. French.
- Gusek-Schneider GC, Kamoun R, Klaas D, Seitz B. Corneal endothelial cell density following strabismus surgery. Klin Monbl Augenheilkd. 2007;224(3):190-4. German.
- Emre S, Çankaya C, Demirel S, Doganay S. Comparison of preoperative and postoperative anterior segment measurements with Pentacam in horizontal muscle surgery. Eur J Ophthalmol. 2008;18(1):7-12.
- Hutcheson KA. Large, visually significant, and transient change in refractive error after uncomplicated strabismus surgery. J AAPOS. 2003;7(4):295-7.
- Karakosta C, Bougioukas KI, Karra M, Kontopanos G, Methenitis G, Liaskou M, et al. Changes in astigmatism after horizontal muscle recession strabismus surgery: A retrospective cohort study. Indian J Ophthalmol. 2021 Jul;69(7):1888-93.
- Mezad-Koursh D, Leshno A, Ziv-Baran T, Stolovitch C. Refractive changes induced by strabismus corrective surgery in adults. J Ophthalmol. 2017;2017:2680204.
Abstract
Amaç: Bu çalışmada horizontal şaşılık cerrahisinin, refraksiyon kusuru ve ön segment parametrelerine olan etkilerinin araştırılması amaçlanmıştır.
Gereç ve Yöntemler: Bu çalışmaya 27 hastanın toplam 54 gözü dahil edildi. Hastalara cerrahi öncesi, cerrahi sonrası birinci hafta, birinci ay, üçüncü ay ve altıncı ayda tekrarlayan refraksiyon ölçümü ve ön segment değerlendirilmesi yapıldı. Hastalar, rezeksiyon (kısaltma) yapılanlar (grup 1), resesyon (geriletme) yapılanlar (grup 2) ve herhangi bir cerrahi müdahale geçirmemiş sağlıklı gözler (grup 3) olmak üzere üç gruba ayrıldı.
Bulgular: Hastaların yaş ortalaması 24,4±11,1 yıl ve 14’ü (%51,9) kadındı. Grup 2’de cerrahi öncesi ve sonrası dönemde merkezi kornea kalınlığında istatistiksel olarak anlamlı bir farklılık saptandı (p=0,037). Ortalama merkezi kornea kalınlığı ameliyat sonrası 548,14±40,42 µm ile birinci haftada en yüksek, 541,50±41,75 µm ile birinci ayda en düşüktü. Cerrahi sonrası birinci haftada, grup 1 ve 2 arasında, hücre yoğunluğu (p=0,004) ve ortalama hücre alanı (p=0,004) değerlerinde istatistiksel olarak anlamlı bir farklılık vardı. Cerrahi sonrası tüm ölçümlerde hücre yoğunluğu düzeyi grup 1'de istatistiksel olarak anlamlı derecede yüksekti. Ayrıca, ortalama hücre alanı düzeyi grup 1'de istatistiksel olarak anlamlı derecede düşüktü.
Sonuç: Şaşılık cerrahisi, göz hareketlerini ve görme eksenini düzeltmenin yanı sıra ön segment parametreleri üzerine de etkilidir. Müdahalenin tipine bağlı olmak üzere, etkilenen ön segment parametrelerin sayısı da değişmektedir. Cerrahi sonrası dönemdeki hastanın yönetiminde her muayenede ön segment yapıları dikkatli değerlendirilmeli ve bulgular not edilmelidir.
References
- Wan MJ, Hunter DG. Complications of strabismus surgery: Incidence and risk factors. Semin Ophthalmol. 2014;29(5-6):421-8.
- Ziylan Ş, Egemenoğlu A, Yabaş Ö, Karslıoğlu Ş, Daruga İ. Corneal topographic changes after strabismus operations. MN Oftalmoloji. 2004;11(4):321-3. Turkish.
- Al-Tamimi E, Al-Nosair G, Yassin S. Effect of horizontal strabismus surgery on the refractive status. Strabismus. 2015;23(3):111-6.
- Olvera-Barrios A, Elizondo-Omaña R, Tamez-Tamez VE, García-Rodríguez M de los A, Villarreal-Silva EE, Guzmán López S. Anterior segment ischemia and strabismus surgery: from the anatomy to the clinic. Rev Arg de Anat Clin. 2015;7(1):44-51.
- Noh JH, Park KH, Lee JY, Jung MS, Kim SY. Changes in refractive error and anterior segment parameters after isolated lateral rectus muscle recession. J AAPOS. 2013;17(3):291-5.
- Gilbert PW. The origin and development of the extrinsic ocular muscles in the domestic cat. J Morphol. 1947;81(2):151-93.
- Yanoff M, Duker JS. Pediatric and adult strabismus. In: Yanoff M, Duker. JS, editors. Ophthalmology. 5th ed. Edinburgh: Elsevier; 2019. p.1190-257.
- Ferris JD, Davies PEJ. In: Surgical techniques in ophthalmology series: strabismus surgery. Çev. Hasanreisoğlu B. İstanbul: Veri Medikal Yayıncılık; 2009. p.13-27. Turkish.
- Vallés-Torres J, García-Martín E, Peña-Calvo P, Sanjuan-Villarreal A, Gil-Arribas LM, Fernández-Tirado FJ. Contact topical anesthesia for strabismus surgery in adult patients. Rev Esp Anestesiol Reanim. 2015;62(5):265-9. English, Spanish.
- Müller A, Doughty MJ, Watson L. A retrospective pilot study to assess the impact of strabismus surgery on the corneal endothelium in children. Ophthalmic Physiol Opt. 2002;22(1):38-45.
- Denis D, Toesca E. Prospective study on the repercussions of oculomotor surgery on children's corneal endothelium. J Fr Ophtalmol. 2010;33(5):334-41. French.
- Gusek-Schneider GC, Kamoun R, Klaas D, Seitz B. Corneal endothelial cell density following strabismus surgery. Klin Monbl Augenheilkd. 2007;224(3):190-4. German.
- Emre S, Çankaya C, Demirel S, Doganay S. Comparison of preoperative and postoperative anterior segment measurements with Pentacam in horizontal muscle surgery. Eur J Ophthalmol. 2008;18(1):7-12.
- Hutcheson KA. Large, visually significant, and transient change in refractive error after uncomplicated strabismus surgery. J AAPOS. 2003;7(4):295-7.
- Karakosta C, Bougioukas KI, Karra M, Kontopanos G, Methenitis G, Liaskou M, et al. Changes in astigmatism after horizontal muscle recession strabismus surgery: A retrospective cohort study. Indian J Ophthalmol. 2021 Jul;69(7):1888-93.
- Mezad-Koursh D, Leshno A, Ziv-Baran T, Stolovitch C. Refractive changes induced by strabismus corrective surgery in adults. J Ophthalmol. 2017;2017:2680204.
Details
| Primary Language | English |
|---|---|
| Subjects | Clinical Sciences |
| Journal Section | Research Article |
| Authors | |
| Early Pub Date | August 2, 2023 |
| Publication Date | August 30, 2023 |
| Submission Date | January 7, 2023 |
| Published in Issue | Year 2023 Volume: 25 Issue: 2 |
Cite
Duzce Medical Journal is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.