Purpose. We previousiy reported infantile constant exotropes had a higher rate of associated neurologic and ocular abnormalities than did infantile constant esotropes. To determine the effect of the presence of neurologic and ocular abnormalities on surgical outcome, 229 patients were reviewed. Methods. 229 consecutive infants who first underwent strabismus surgery at the age of 9 months or less were studied. The number of surgeries to achieve cosmetically acceptable alignment was calculated. Results. Infantile constant esotropes with neurologic abnormalities, with ocular abnormalities, and with no abnormalities underwent an average of 1.4 (S.D.=0.56), 1.2 (S.D.=0.42), and 1.3 (S.D.=0.51) surgeries respectively. Infantile constant exotropes with neurologic abnormalities and with no abnormalities underwent an average of 1.4 (S.D.=0.49) and 1.6 (S.D.=0.8) surgeries respectively. Conclusions. The presence of associated ocular and neurologic abnormalities in infantile strabismus does not significantly influence the number of surgeries required for ocular alignment.
|Journal||Investigative Ophthalmology and Visual Science|
|State||Published - Feb 15 1996|