dc.creator | Rossetto, Julia D. [UNIFESP] | |
dc.creator | Cavuoto, Kara M. | |
dc.creator | Allemann, Norma [UNIFESP] | |
dc.creator | McKeown, Craig A. | |
dc.creator | Capo, Hilda | |
dc.date.accessioned | 2020-07-17T14:02:30Z | |
dc.date.accessioned | 2022-10-07T20:45:42Z | |
dc.date.available | 2020-07-17T14:02:30Z | |
dc.date.available | 2022-10-07T20:45:42Z | |
dc.date.created | 2020-07-17T14:02:30Z | |
dc.date.issued | 2017 | |
dc.identifier | American Journal Of Ophthalmology. New York, v. 176, p. 236-243, 2017. | |
dc.identifier | 0002-9394 | |
dc.identifier | https://repositorio.unifesp.br/handle/11600/54841 | |
dc.identifier | 10.1016/j.ajo.2017.01.025 | |
dc.identifier | WOS:000398885100030 | |
dc.identifier.uri | http://repositorioslatinoamericanos.uchile.cl/handle/2250/4022469 | |
dc.description.abstract | PURPOSE: To assess the accuracy of anterior segment optical coherence tomography (AS-OCT) in measuring the distance of extraocular muscle (EOM) insertion to the limbus to improve preoperative assessment of adult patients undergoing strabismus surgery. DESIGN: Reliability analysis. METHODS: SETTING: An institutional practice. PATIENT POPULATION: Seventy-four adult patients scheduled for strabismus surgery on rectus muscles. OBSERVATION PROCEDURE: The distance between the EOM insertion and the limbus was measured preoperatively with AS-OCT. The value was compared with the intraoperative measurement obtained with calipers. Additional measurements included the limbus-anterior chamber angle distance with AS-OCT and the axial length with IOLMaster. MAIN OUTCOME MEASURE: Agreement between preoperative AS-OCT and intraoperative measurements. A difference of 51 mm was "clinically acceptable." RESULTS: A total of 144 muscles were analyzed. Thirty-one of 33 reoperated muscles were successfully imaged. AS-OCT measurements were within 1 mm of intraoperative measurements in 77% of all muscles. The accuracy was higher for muscles with no prior surgery (83%), as compared with reoperated muscles (58%). Although the accuracy decreased when comparing reoperations to primary surgeries for the medial (79% to 63% | |
dc.description.abstract | P = .09 | |
dc.description.abstract | 95% confidence interval [CI], -1.38 to 0.11) and the lateral rectus (81% to 49% | |
dc.description.abstract | P = .11 | |
dc.description.abstract | 95% CI, -2.06 to 0.22), the difference was not significant. No correlation between limbus-anterior chamber angle distance and axial length was established. CONCLUSIONS: AS-OCT is valuable in identifying EOM insertions in primary strabismus surgeries, but the accuracy decreases in reoperations. (C) 2017 Elsevier Inc. All rights reserved. | |
dc.language | eng | |
dc.publisher | Elsevier Science Inc | |
dc.relation | American Journal Of Ophthalmology | |
dc.rights | Acesso restrito | |
dc.title | Accuracy of Optical Coherence Tomography Measurements of Rectus Muscle Insertions in Adult Patients Undergoing Strabismus Surgery | |
dc.type | Artigo | |