Treatment Outcomes in Concomitant Esotropias
Journal Title: Journal of Medical Science And clinical Research - Year 2018, Vol 6, Issue 1
Abstract
Purpose: To assess the outcome of various treatment modalities of concomitant esotropias. Design: Prospective randomized population based study. Materials & Methodology: 100 patients who attended squint clinic of Regional institute of Ophthalmology, Thiruvananthapuram were included in the study. Results: Of the 100 cases in our study,31% had amblyopia at presentation of which majority (61.29%) improved with occlusion therapy (improvement of 2 lines or more ).Of the patients treated by non surgical methods (19 patients), 84.21% & 73.68% attained acceptable anatomical outcome and some form of BSV respectively by treatment. Of the surgically treated group not much difference in motor alignment was noted by symmetrical bimedial recession (70.21%) or asymmetrical recession-resection (67.86%) surgery for esotropia. The refractive status after surgery showed a Myopic change in both spherical and astigmatic component, but only meridional equivalent at 180° was statistically significant (-0.21± 0.28). Conclusion: From the study it is evident that conventional occlusion therapy is a simple and cost effective treatment for amblyopia. Ideal treatment by non-surgical or surgical methods or combination of both if advocated early will help to attain acceptable anatomical and sensory outcome thus eliminating or else decreasing the density of amblyopia
Authors and Affiliations
Dalia S
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