A randomised comparison of bilateral recession versus unilateral recession-resection as surgery for infantile esotropia.

J-R Polling; M.j. Eijkemans; J. Esser; U. Gilles; G. Kolling; E. Schulz; B. Lorenz; P. Roggenkaemper; V. Herzau; A; Zubcov; Marcel Ten Tusscher; D. Wittebol-Post; G. Gusek-Schneider; J. Cruysberg; H. Simonsz

A randomised comparison of bilateral recession versus unilateral recession-resection as surgery for infantile esotropia.

J-R Polling, M.j. Eijkemans, J. Esser, U. Gilles, G. Kolling, E. Schulz, B. Lorenz, P. Roggenkaemper, V. Herzau, A; Zubcov, Marcel Ten Tusscher, D. Wittebol-Post, G. Gusek-Schneider, J. Cruysberg, H. Simonsz

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Research output: Contribution to journal › Article › peer-review

26 Citations (Scopus)

Abstract

Objective: Infantile esotropia, a common form of strabismus, is treated either by bilateral recession (BR) or by unilateral recession-resection (RR). Differences in degree of alignment achieved by these two procedures have not previously been examined in a randomised controlled trial.

Design: Controlled, randomised multicentre trial.

Setting: 12 university clinics.

Participants and intervention: 124 patients were randomly assigned to either BR or RR. Standardised protocol prescribed that the total relocation of the muscles, in millimetres, was calculated by dividing the preoperative latent angle of strabismus at distance, in degrees, by 1.6.

Main outcome measure: Alignment assessed as the variation of the postoperative angle of strabismus during alternating cover.

Results: The mean preoperative latent angle of strabismus at distance fixation was +17.2 degrees (SD 4.4) for BR and +17.5 degrees (4.0) for RR. The mean postoperative angle of strabismus at distance was +2.3 degrees (5.1) for BR and +2.9 degrees (3.5) for RR (p = 0.46 for reduction in the angle and p = 0.22 for the within-group variation). The mean reduction in the angle of strabismus was 1.41 degrees (0.45) per millimetre of muscle relocation for RR and 1.47 (0.50) for BR (p = 0.50 for reduction in the angle). Alignment was associated with postoperative binocular vision (p = 0.001) in both groups.

Conclusions: No statistically significant difference was found between BR and RR as surgery for infantile esotropia.

Original language	English
Pages (from-to)	954-957
Number of pages	4
Journal	Br J Ophthalmol
Volume	93
Issue number	July
Publication status	Published - 2009

Keywords

Child
Preschool
Esotropia
Surgery
Oculomotor Muscles
Ophthalmologic Surgical Procedures
Retinoscopy
Treatment Outcome
Vision, Binocular
Visual Acuity

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http://www.ncbi.nlm.nih.gov/pubmed/19336428

Cite this

Polling, J-R., Eijkemans, M. J., Esser, J., Gilles, U., Kolling, G., Schulz, E., Lorenz, B., Roggenkaemper, P., Herzau, V., Zubcov, A., Ten Tusscher, M., Wittebol-Post, D., Gusek-Schneider, G., Cruysberg, J., & Simonsz, H. (2009). A randomised comparison of bilateral recession versus unilateral recession-resection as surgery for infantile esotropia. Br J Ophthalmol, 93(July), 954-957. http://www.ncbi.nlm.nih.gov/pubmed/19336428

Polling, J-R ; Eijkemans, M.j. ; Esser, J. ; Gilles, U. ; Kolling, G. ; Schulz, E. ; Lorenz, B. ; Roggenkaemper, P. ; Herzau, V. ; Zubcov, A; ; Ten Tusscher, Marcel ; Wittebol-Post, D. ; Gusek-Schneider, G. ; Cruysberg, J. ; Simonsz, H. / A randomised comparison of bilateral recession versus unilateral recession-resection as surgery for infantile esotropia. In: Br J Ophthalmol. 2009 ; Vol. 93, No. July. pp. 954-957.

@article{4d3140c0e44f46588afa1c4e49004c25,

title = "A randomised comparison of bilateral recession versus unilateral recession-resection as surgery for infantile esotropia.",

abstract = "Objective: Infantile esotropia, a common form of strabismus, is treated either by bilateral recession (BR) or by unilateral recession-resection (RR). Differences in degree of alignment achieved by these two procedures have not previously been examined in a randomised controlled trial. Design: Controlled, randomised multicentre trial. Setting: 12 university clinics. Participants and intervention: 124 patients were randomly assigned to either BR or RR. Standardised protocol prescribed that the total relocation of the muscles, in millimetres, was calculated by dividing the preoperative latent angle of strabismus at distance, in degrees, by 1.6. Main outcome measure: Alignment assessed as the variation of the postoperative angle of strabismus during alternating cover. Results: The mean preoperative latent angle of strabismus at distance fixation was +17.2 degrees (SD 4.4) for BR and +17.5 degrees (4.0) for RR. The mean postoperative angle of strabismus at distance was +2.3 degrees (5.1) for BR and +2.9 degrees (3.5) for RR (p = 0.46 for reduction in the angle and p = 0.22 for the within-group variation). The mean reduction in the angle of strabismus was 1.41 degrees (0.45) per millimetre of muscle relocation for RR and 1.47 (0.50) for BR (p = 0.50 for reduction in the angle). Alignment was associated with postoperative binocular vision (p = 0.001) in both groups. Conclusions: No statistically significant difference was found between BR and RR as surgery for infantile esotropia.",

keywords = "Child, Preschool, Esotropia, Surgery, Oculomotor Muscles, Ophthalmologic Surgical Procedures, Retinoscopy, Treatment Outcome, Vision, Binocular, Visual Acuity",

author = "J-R Polling and M.j. Eijkemans and J. Esser and U. Gilles and G. Kolling and E. Schulz and B. Lorenz and P. Roggenkaemper and V. Herzau and A; Zubcov and {Ten Tusscher}, Marcel and D. Wittebol-Post and G. Gusek-Schneider and J. Cruysberg and H. Simonsz",

year = "2009",

language = "English",

volume = "93",

pages = "954--957",

journal = "British Journal of Ophthalmology",

issn = "0007-1161",

publisher = "BMJ Publishing Group",

number = "July",

}

Polling, J-R, Eijkemans, MJ, Esser, J, Gilles, U, Kolling, G, Schulz, E, Lorenz, B, Roggenkaemper, P, Herzau, V, Zubcov, A, Ten Tusscher, M, Wittebol-Post, D, Gusek-Schneider, G, Cruysberg, J & Simonsz, H 2009, 'A randomised comparison of bilateral recession versus unilateral recession-resection as surgery for infantile esotropia.', Br J Ophthalmol, vol. 93, no. July, pp. 954-957. <http://www.ncbi.nlm.nih.gov/pubmed/19336428>

A randomised comparison of bilateral recession versus unilateral recession-resection as surgery for infantile esotropia. / Polling, J-R; Eijkemans, M.j.; Esser, J.; Gilles, U.; Kolling, G.; Schulz, E.; Lorenz, B.; Roggenkaemper, P.; Herzau, V.; Zubcov, A; Ten Tusscher, Marcel; Wittebol-Post, D.; Gusek-Schneider, G.; Cruysberg, J.; Simonsz, H.

In: Br J Ophthalmol, Vol. 93, No. July, 2009, p. 954-957.

Research output: Contribution to journal › Article › peer-review

TY - JOUR

T1 - A randomised comparison of bilateral recession versus unilateral recession-resection as surgery for infantile esotropia.

AU - Polling, J-R

AU - Eijkemans, M.j.

AU - Esser, J.

AU - Gilles, U.

AU - Kolling, G.

AU - Schulz, E.

AU - Lorenz, B.

AU - Roggenkaemper, P.

AU - Herzau, V.

AU - Zubcov, A;

AU - Ten Tusscher, Marcel

AU - Wittebol-Post, D.

AU - Gusek-Schneider, G.

AU - Cruysberg, J.

AU - Simonsz, H.

PY - 2009

Y1 - 2009

N2 - Objective: Infantile esotropia, a common form of strabismus, is treated either by bilateral recession (BR) or by unilateral recession-resection (RR). Differences in degree of alignment achieved by these two procedures have not previously been examined in a randomised controlled trial. Design: Controlled, randomised multicentre trial. Setting: 12 university clinics. Participants and intervention: 124 patients were randomly assigned to either BR or RR. Standardised protocol prescribed that the total relocation of the muscles, in millimetres, was calculated by dividing the preoperative latent angle of strabismus at distance, in degrees, by 1.6. Main outcome measure: Alignment assessed as the variation of the postoperative angle of strabismus during alternating cover. Results: The mean preoperative latent angle of strabismus at distance fixation was +17.2 degrees (SD 4.4) for BR and +17.5 degrees (4.0) for RR. The mean postoperative angle of strabismus at distance was +2.3 degrees (5.1) for BR and +2.9 degrees (3.5) for RR (p = 0.46 for reduction in the angle and p = 0.22 for the within-group variation). The mean reduction in the angle of strabismus was 1.41 degrees (0.45) per millimetre of muscle relocation for RR and 1.47 (0.50) for BR (p = 0.50 for reduction in the angle). Alignment was associated with postoperative binocular vision (p = 0.001) in both groups. Conclusions: No statistically significant difference was found between BR and RR as surgery for infantile esotropia.

AB - Objective: Infantile esotropia, a common form of strabismus, is treated either by bilateral recession (BR) or by unilateral recession-resection (RR). Differences in degree of alignment achieved by these two procedures have not previously been examined in a randomised controlled trial. Design: Controlled, randomised multicentre trial. Setting: 12 university clinics. Participants and intervention: 124 patients were randomly assigned to either BR or RR. Standardised protocol prescribed that the total relocation of the muscles, in millimetres, was calculated by dividing the preoperative latent angle of strabismus at distance, in degrees, by 1.6. Main outcome measure: Alignment assessed as the variation of the postoperative angle of strabismus during alternating cover. Results: The mean preoperative latent angle of strabismus at distance fixation was +17.2 degrees (SD 4.4) for BR and +17.5 degrees (4.0) for RR. The mean postoperative angle of strabismus at distance was +2.3 degrees (5.1) for BR and +2.9 degrees (3.5) for RR (p = 0.46 for reduction in the angle and p = 0.22 for the within-group variation). The mean reduction in the angle of strabismus was 1.41 degrees (0.45) per millimetre of muscle relocation for RR and 1.47 (0.50) for BR (p = 0.50 for reduction in the angle). Alignment was associated with postoperative binocular vision (p = 0.001) in both groups. Conclusions: No statistically significant difference was found between BR and RR as surgery for infantile esotropia.

KW - Child

KW - Preschool

KW - Esotropia

KW - Surgery

KW - Oculomotor Muscles

KW - Ophthalmologic Surgical Procedures

KW - Retinoscopy

KW - Treatment Outcome

KW - Vision, Binocular

KW - Visual Acuity

M3 - Article

VL - 93

SP - 954

EP - 957

JO - British Journal of Ophthalmology

JF - British Journal of Ophthalmology

SN - 0007-1161

IS - July

ER -

A randomised comparison of bilateral recession versus unilateral recession-resection as surgery for infantile esotropia.

Abstract

Keywords

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