Surgical treatment of patientswithconvergent concomitant strabismus: clinical effectiveness and long-term outcomes

Savinova O. Suleymenov M. Utelbayeva Z. Degtyarevskaya T. Rusanova E.
21 May 2022 Ibn Sina Trust

Bangladesh Journal of Medical Science
2022 #21 Issue 3 570 - 576 pp.

Objective:The study aimed to evaluate the clinical efficacy, early and long-term outcomes of a modified surgical treatment method of convergent concomitant strabismus in children. Materials and methods: Thestudy enrolled 159 children (88 girls (55.3%) and 71 boys (44.7%)) aged 4 to 8 years (mean age, 6.05 ± 0.82 years) suffering from convergent concomitant strabismus. Of a total number, 57 children underwenttraditionalsurgicalintervention(controlgroup), and102 children underwent surgical intervention with the proposed modified approach (main group). Results and Discussion: In the distant timeframe (1-3 years after surgery), 141 children were examined.Inthe remotepostoperativeperiod,thecorrect eyeposition was preserved in 46 children (49.5%) in the main group vs.5children (10.4%) in the control group (OR = 8.42, 95% CI [3.06-23.14], p<0.05). A secondary deviation occurred in 3 main group children (3.2%) compared to 7 control group children (14.6%) (OR = 5.12, 95% CI [1.26-20.81], p<0.05). In the long-term period, 32 (34.4%) childrenin the main group and 30 (62.5%) in the control group required repeated surgery to eliminate secondary divergent strabismus and residual deviation angle (OR = 3.18, 95% CI [1.54-6.56],p<0.05). Conclusion. Thus, the proposed modified surgical treatment method of convergent concomitant strabismus in children is more effective than traditional methods.

angle of deviation , convergent concomitant strabismus , resection of the external forward oculomotor muscle , the recession of the internal oculomotor muscle

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Department of Pharmacy, I.M. Sechenov First Moscow State Medical University, Moscow, Russian Federation
Department of Ophthalmology, Asfendiyarov Kazakh National Medical University, Almaty, Kazakhstan
Department of Biology and General Genetic, I.M. Sechenov First Moscow State Medical University, Moscow, Russian Federation
Sklifosovsky Institute of Clinical Medicine, I.M. Sechenov First Moscow State Medical University, Moscow, Russian Federation

Department of Pharmacy
Department of Ophthalmology
Department of Biology and General Genetic
Sklifosovsky Institute of Clinical Medicine

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