Publications by authors named "Bradley C Black"
Purpose: To evaluate the effectiveness of recession of the inferior rectus (IR) and superior rectus (SR) muscles of the same eye in the treatment of incomitant hypertropia with diplopia.
Methods: Retrospective record review of two groups. (1) Patients with hypertropia and diplopia in downgaze and with fusion in the primary position underwent adjustable recessions of the IR and SR muscles of the eye that was hypotropic in downgaze.
Purpose: To evaluate the effect of refractive error management on resolution of accommodative esotropia, deterioration of accommodative esotropia, and the natural history of hypermetropia in accommodative esotropia.
Methods: Retrospective cohort study and nested case-control study of patients with accommodative esotropia untreated prior to diagnosis by the author. Eligibility criteria included esodeviation of >/=10 prism diopters (PD) on distance and near fixation on initial examination, hypermetropia, distance esodeviation <10 PD with full cycloplegic refraction correction on first follow-up examination, and at least 2 years of follow-up.
Introduction: This is the third article in a series on the various facets of the management of strabismus in adults. Here, we give a broad overview of the types and severity of disability and provide initial validation of an instrument (questionnaire) to assess these disability aspects.
Methods: After undergoing strabismus surgery, 101 patients from 6 centers completed a 6-item questionnaire in which they rated both the before-surgery and after-surgery severity of problems associated with their strabismus, ranging from specific health, daily functioning, social interaction, concerns about the future, and self-image to job-related difficulties.
Purpose: As part of a larger study intended to evaluate the management of strabismus in adults, we documented and compared patient and provider perspectives on the various factors that may contribute to treatment outcome and value of strabismus care.
Methods: By completing a questionnaire, 170 patients with strabismus (ages 19 to 87 years) and 11 strabismus specialists who performed surgery on these patients each indicated the relative weight of several disease- and treatment-related contributors to the outcome and value of care. In addition, each respondent rated the severity of the strabismus before and after surgery.
Introduction: This is the first in a series of articles intended to evaluate the management of strabismus in adults, including clinical outcomes and the quality, cost, and value of treatment from the perspectives of patients and health care providers. Here we present clinical characteristics, complexity of surgery, treatment success, and resolved complaints in a group of adult patients who underwent strabismus surgery.
Methods: This is a multicenter retrospective study analyzing the type and amount of ocular misalignment before and after surgery in adult patients with strabismus onset before (BVM, or age < 9 years) or after (AVM, or age >/= 9 years) visual maturation.
Background: The value of health care must be calculated by weighing quality of care with cost of care, and quality of care must be measured not only by objective clinical outcomes but also by resulting health-related quality of life and patient satisfaction. To date, no validated method allows this determination. In this article, we present results of a survey to determine an intensity and complexity index (ICI) for strabismus surgery and discuss how this information can be used in a larger system of determining treatment outcomes and value.
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