Objective: To investigate the long-term effect of exotropia surgery on the choroidal structure.
Material And Method: The study included 18 patients treated with medial rectus resection and lateral rectus recession for exotropia and 18 healthy patients as a control group. Demographic and clinical characteristics as well as enhanced depth imaging optical coherence tomography (EDI-OCT) scans were collected retrospectively. Images were binarized using ImageJ software; total choroidal area along with luminal and stromal areas (TCA, LA, and SA) were segmented, and CVI was computed as the ratio of LA/TCA. In addition, choroidal thickness (CT) was evaluated.
Results: No significant differences were found between operated eyes, fellow eyes, and control group eyes in terms of CT, TCA, LA, SA, and CVI.
Conclusion: Strabismus surgery does not appear to negatively effect the choroidal layer in the long term. We recommend that this surgery be performed without delay as it positively affects the psychological health of the patient and improves quality of life.
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http://dx.doi.org/10.1016/j.pdpdt.2021.102421 | DOI Listing |
J Binocul Vis Ocul Motil
January 2025
Department of Ophthalmology, Vanderbilt Eye Institute, Nashville, Tennessee.
Parinaud syndrome, also known as dorsal midbrain syndrome, is a condition affecting the dorsal midbrain region of the brainstem that presents with a triad of ophthalmic clinical findings, including upgaze paresis, convergence retraction nystagmus, and light-near dissociation. This case report will discuss the clinical presentation of Parinaud syndrome in a four-year-old patient who was seen in an out-patient clinic for intermittent exotropia 5 months after a suboccipital craniotomy resection of a pineal mass and ventriculoperitoneal (VP) shunt placement for associated hydrocephalus. Current literature is relatively sparse regarding the presentation of Parinaud syndrome in the pediatric population, with little known about prognosis and potential for recovery.
View Article and Find Full Text PDFJ Binocul Vis Ocul Motil
January 2025
Eye Center, Sanno Hospital, Tokyo, Japan.
Purpose: To investigate changes in eye alignment before and after ICL implantation in patients with myopia having corrected distance visual acuity (CDVA) of ≥0.0 logMAR.
Subjects And Methods: The medical records of 1012 patients without eye movement limitation who underwent bilateral ICL implantation were retrospectively reviewed a at the Eye Center of Sanno Hospital in Japan.
Sci Rep
January 2025
Department of Ophthalmology, Seoul National University College of Medicine, Seoul National University Bundang Hospital, 82, Gumi-ro 173beon-gil, Bundang-gu, Seongnam, 13620, Gyeonggi-do, Republic of Korea.
Duane retraction syndrome (DRS) is complicated to treat due to its wide spectrum of clinical presentations and the treatment of choice varies among surgeons. To provide insight into this challenging condition, we evaluated the long-term surgical outcomes of esotropic DRS type 1. The surgical motor success, defined as a horizontal deviation of 8 prism diopters (PD) or less, was found in 77.
View Article and Find Full Text PDFJ AAPOS
January 2025
Department of Ophthalmology & Visual Sciences, Washington University School of Medicine, St. Louis, Missouri. Electronic address:
Background: The location of extraocular muscle (EOM) insertions is clinically relevant in ophthalmologic surgery. The spiral of Tillaux has been a reference for normal EOM insertion since the nineteenth century. Research on EOM insertions is limited and has focused on adult cadaveric eyes.
View Article and Find Full Text PDFJ Pediatr Ophthalmol Strabismus
January 2025
This report describes the longest case of a retained metallic intraorbital foreign body with no complications and development of delayed sensory exotropia following traumatic sclopetaria in childhood. A 9-year-old girl suffered a BB gun injury to the left eye, leading to chorioretinitis sclopetaria and loss of vision. The visual acuity was 20/800 with a relative afferent pupillary defect and choroidal rupture with subretinal hemorrhage that evolved to sclopetaria over time.
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