Infantil Esotropyada Cerrahi Yaşının ve Preoperatif Klinik Parametrelerin Cerrahi Başarıya ve Uzun Dönem Klinik Parametrelere Etkisini Tartışmak

Abstract

Timing of the surgery has been controversial in the treatment of infantile esotropia. There are both advantages and disadvantages of early surgical timing of infantile esotropia. The purpose of this study was to describe the demographic and clinical features of patients and to evaluate the final level of binocular vision and the effects of surgical timing on final clinical parameters. 118 patients diagnosed with infantile esotropia who had regular follow up records were analyzed retrospectively. Patients were divided into 3 groups according to their operating ages (Group 1: 0-12 months, group 2: 13-24 months, group 3: 25 months and older). Surgical success was defined on the final postoperative visit in between the range of <10 prism diopters (PD) esotropia and <5 PD exotropia. 100 patients (84.7%) underwent surgical treatment. Anatomic success was 41.6% in group 1, 54.9% in group 2 and 73.4% in group 3. Results showed that surgical anatomic success increases with the increasing operating age (p <0.05). As the decision made on the postoperative visit, 16.6% of the patients in group 1, 19.3% of the patients in group 2 went on to second surgery. Group 3 did not require any further surgery. The necessity of secondary surgery decreases with the increasing operating age (p <0.05). Within the patients whose stereoacuity and fusion could be evaluated no statistically significant differences in levels of stereoacuity and fusion were found between group 1, 2 and 3 (p>0.05).