Results Of Monocular Surgery Under Peribulbar Anesthesia For Large-angle Horizontal Strabismus.

dc.creatorMillán, Tatiana
dc.creatorde Carvalho, Keila Monteiro
dc.creatorMinguini, Nilza
dc.date2009
dc.date2015-11-27T13:15:17Z
dc.date2015-11-27T13:15:17Z
dc.date.accessioned2018-03-29T01:08:56Z
dc.date.available2018-03-29T01:08:56Z
dc.identifierClinics (são Paulo, Brazil). v. 64, n. 4, p. 303-8, 2009.
dc.identifier1980-5322
dc.identifier
dc.identifierhttp://www.ncbi.nlm.nih.gov/pubmed/19488586
dc.identifierhttp://repositorio.unicamp.br/jspui/handle/REPOSIP/198343
dc.identifier19488586
dc.identifier.urihttp://repositorioslatinoamericanos.uchile.cl/handle/2250/1298576
dc.descriptionTo evaluate the results of monocular surgery under peribulbar anesthesia for large-angle horizontal strabismus. Monocular surgery may preserve some muscles if a repeat operation is required, may help to avoid the exposure of the dominant eye to the inherent risks of a surgical procedure and may reduce surgical time. We evaluated ninety-two consecutive patients who underwent monocular surgery under peribulbar anesthesia for large-angle horizontal strabismus (angle of 40 prism diopters or greater). Patients were divided into group 1- esotropia and group 2 -exotropia. The postoperative follow-up was at 6 months, when the residual deviation was evaluated. In cases of residual deviations of over 15 PD (prism diopter), a second procedure was indicated. In all patients with preoperative deviations up to 60 PD, residual deviations were under 15 PD. Some patients with preoperative deviations of 65 PD (two in group 1 and four in group 2) and all patients with deviations over 65 PD had residual deviations over 15 PD. The 13 patients who underwent a second procedure experienced successful outcomes. Our ROC curve analysis showed that the cutoff point for obtaining a successful surgical result was 62.5 PD. No patient presented with a major limitation in respect of ocular movement. Monocular surgery under peribulbar anesthesia can be an alternative for horizontal large-angle strabismus given deviations of up to 60 PD. Monocular surgery did not result in successful outcomes for deviations of over 65 PD.
dc.description64
dc.description303-8
dc.languageeng
dc.relationClinics (são Paulo, Brazil)
dc.relationClinics (Sao Paulo)
dc.rightsaberto
dc.rights
dc.sourcePubMed
dc.subjectAdult
dc.subjectAnalysis Of Variance
dc.subjectAnesthesia, Local
dc.subjectEsotropia
dc.subjectExotropia
dc.subjectHumans
dc.subjectMiddle Aged
dc.subjectRoc Curve
dc.subjectStatistics, Nonparametric
dc.subjectTreatment Outcome
dc.subjectYoung Adult
dc.titleResults Of Monocular Surgery Under Peribulbar Anesthesia For Large-angle Horizontal Strabismus.
dc.typeArtículos de revistas


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