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JE M Castillo, G Campomanes-Eguiarte, D Romero-Apis, M Acosta-Silva, F Zavaleta-Herrera; Monocular Vs. Binocular Surgical Correction Of Non Accomodative Esotropia . Invest. Ophthalmol. Vis. Sci. 2002;43(13):218.
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© ARVO (1962-2015); The Authors (2016-present)
Purpose:To demonstrate that motor results in both monocular and binocular surgical techniques for the no accommodative esotropia (NAET) surgical treatment are similar in a long period of time. Methods:An observational, comparative and prospective study that includes 24 patients with NAET with 20 to 40 prismatic diopters of deviation. We consider like NAET patients with constant angle, without vertical deviations, and without ductions’ anomalies or psychomotor retard. We classified patients into two groups. Group I (15 patients) had treatment with monocular surgery with a recession of medial rectus and resection of lateral rectus, Group II had a surgical treatment with recession of both medial rectus (9 patients). Then, we explored each patient during the first week and later at one month and three months after the surgery. Results:: Ten patients were female, 14 male, with an age average of 7.7 years old. In the first group (monocular) we have 78% of orthoposition and 22% of residual esotropia. The second one (binocular) has 64% of orthoposition and 36% residuals. There was no duction limitations in any group neither secondary strabismus like consecutive deviations or adhesions syndromes. Conclusion:Both techniques have no duction limitations, neither consecutive deviation, giving us the fact, that the two of them decrease significantly the prismatic diopters of deviation. The group I had best orthoposition results suggesting that it was the first treatment option in patients with NAET (20-40 prismatic diopters) without other ocular movements anomalies.
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