Sekonder Duyusal Şaşılıkta Görme Keskinliğinin Cerrahi Sonuçlar Üzerine Etkisi

Effect of Visual Acuity on the Surgical Outcomes of Secondary Sensory Strabismus

Hande TAYLAN ŞEKEROĞLU, Kadriye ERKAN TURAN, Emin Cumhur ŞENER, Ali Şefik SANAÇ

Özet

Amaç: Sekonder duyusal şaşılıkta cerrahi sonuçlarını incelemek ve görme keskinliğinin cerrahi başarı üzerine etkisini tartışmaktır.Gereç ve Yöntem: Sadece görme kaybı olan göze geriletme-rezeksiyon yapılan duyusal şaşılık hastalarının tıbbi kayıtları incelendi. Görme keskinliği

Abstract

Objectives: To investigate the outcomes of secondary sensory strabismus surgery and to discuss the effect of visual acuity on success.Materials and Methods: The medical records of patients with sensory strabismus who underwent recession-resection on the eye with vision loss were reviewed. Only patients with visual acuity of ≤0.2 in the operated eye were enrolled. Data including age at surgery, visual acuity, etiology of vision loss, preoperative and postoperative deviations, follow-up duration, and surgical outcomes were recorded. Success was defined as a final deviation of ≤10 prism diopters (PD). To evaluate the effect of visual acuity on postoperative success, patients were grouped as follows according to the visual acuity of the operated eye: group 1, visual acuity 0.05 for all). The success rate was 62.5% at short-term and 42.1% at longterm follow-up. There was no statistically significant difference in short-term success rate among visual acuity subgroups (p=0.331), whereas the difference was statistically significant at long-term follow-up (p=0.002). The long-term success rate was higher in group 3 compared to groups 1 and 2.Conclusion: Better visual acuity seems to be a potential predictor for higher long-term success after strabismus surgery in patients with sensory strabismus