Strabismus surgery

斜视手术
  • 文章类型: Case Reports
    Polyglactin910缝线由于其良好的处理和吸收质量而通常用于斜视手术。然而,它们引起过敏反应的可能性在医学文献中记录很少。这个病例报告强调了这种罕见的并发症,强调及时识别和管理此类反应以确保最佳患者预后的重要性。
    方法:在斜视手术期间,对一名11岁的女孩进行了8-0,polyglactin910缝线治疗。然而,术后两天,她经历了持续的发红,肿胀,尽管抗生素治疗,她的左眼疼痛。六天后,缝线被移除,导致症状立即减轻。通过两个月的随访,病人完全康复,没有炎症或并发症的迹象。
    该病例突出了对斜视手术中使用的polyglactin910缝线的罕见但关键的过敏反应。病人持续的炎症,疼痛,对抗生素的耐药性表明局部过敏反应,而不是感染。缝线移除后症状的迅速缓解支持缝线相关过敏反应的诊断。这种情况强调需要考虑缝合材料作为术后并发症的潜在原因,特别是当标准治疗失败时。
    结论:医疗保健提供者应警惕斜视手术后对缝线的潜在过敏反应。及时识别和去除对于解决症状和实现最佳患者结果至关重要。这种情况强调了考虑对缝合材料过敏的术后护理方案的重要性。
    UNASSIGNED: Polyglactin 910 sutures are commonly used in strabismus surgery due to their favorable handling and absorption qualities. However, their potential to cause allergic reactions is poorly documented in medical literature. This case report emphasizes this rare complication, stressing the importance of promptly recognizing and managing such reactions to ensure optimal patient outcomes.
    METHODS: An 11-year-old girl with a history of left congenital partial third nerve palsy was treated with 8-0, polyglactin 910 sutures during a strabismus surgery. However, two days postoperatively, she experienced persistent redness, swelling, and pain in her left eye despite antibiotic therapy. After six days, the sutures were removed, resulting in an immediate reduction in symptoms. By the two-month follow-up, the patient fully recovered, with no signs of inflammation or complications.
    UNASSIGNED: This case highlights a rare but crucial allergic reaction to polyglactin 910 sutures used in strabismus surgery. The patient\'s persistent inflammation, pain, and resistance to antibiotics indicated a localized allergic reaction, rather than an infection. The prompt resolution of symptoms after suture removal supports the diagnosis of suture-related allergic reaction. This case emphasizes the need to consider suture material as a potential cause of postoperative complications, especially when standard treatment fails.
    CONCLUSIONS: Healthcare providers should be alert to potential allergic reactions to sutures after strabismus surgery. Timely identification and removal are vital for resolving the symptoms and achieving optimal patient outcomes. This case emphasizes the importance of postoperative care protocols that consider allergies to suture material.
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  • 文章类型: Journal Article
    目的:使用光学相干断层扫描血管造影(OCTA)研究水平直肌手术引起的后段血流动力学变化。
    方法:经历至少一次水平直肌衰退的患者,切除,或组合手术包括在内。术前和术后30天对患者进行OCTA评估。浅表毛细血管丛(SCP)-血管密度(VD)术后改变,深毛细血管丛(DCP)-VD,检查了中央凹无血管区(FAZ)面积和脉络膜毛细血管(CC)-血流面积参数。比较了单肌和双肌手术组之间在整个手术眼组中检测到显着变化的参数的平均差异(Δ)。
    结果:纳入24例患者的25只眼,平均年龄为16.40±6.75岁(5-29)。眼睛,10例接受了单肌收缩手术。对15只眼进行了双肌肉手术。上凹旁区域的SCP-VD在术后显着增加(53.23±4.11%vs.54.54±3.67%,p=0.032)。对于DCP-VD,所有地区都有统计学上的显着增长,除了上半球和中央凹区域(均p<0.05)。FAZ面积没有显著改变(p=0.207)。CC流动面积显着增加(2.171±0.146mm2与2.232±0.115mm2,p=0.013)。两组之间仅在ΔSCP-VD/parafova上值方面存在显着差异(-0.62±0.98vs.1.57±3.07,p=0.019)。
    结论:常规水平直肌手术可能导致后段血流动力学改变。切开的肌肉数量似乎不会极大地影响发生的变化的幅度。
    结论:已知情况•常规水平直肌手术后,睫状前动脉没有再通,相反,通过增加后长睫状动脉的流量来维持眼前段血流。•以前使用多普勒超声检查的研究显示眼动脉流量增加,视网膜中央动脉和后睫状长动脉。什么是新的•在这项研究中,使用光学相干断层扫描血管造影设备,在术后第一个月观察到浅层和深层毛细血管丛血管密度和脉络膜毛细血管流面积参数显著增加.•在常规水平直肌手术后的早期检测到视网膜和脉络膜脉管系统的血流动力学增加。•切开的肌肉数量似乎不会极大地影响发生的变化的幅度。
    OBJECTIVE: To investigate the changes in posterior segment hemodynamics caused by horizontal rectus muscle surgeries using the optic coherence tomography angiography (OCTA).
    METHODS: Patients who underwent at least one horizontal rectus recession, resection, or combination surgery were included. The patients were evaluated with an OCTA preoperatively and 30 days postoperatively. Postoperative changes in superficial capillary plexus (SCP)-vessel density (VD), deep capillary plexus (DCP)-VD, foveal avascular zone (FAZ) area and choriocapillaris (CC)-flow area parameters were examined. The mean differences (Δ) for the parameters in which significant changes were detected in the whole operated eyes group were compared between the single- and two-muscle surgery groups.
    RESULTS: Twenty-five eyes of 24 patients with an average age of 16.40 ± 6.75 years (5-29) were included. Of the eyes, 10 underwent single muscle recession surgery. Two-muscle surgeries were performed in 15 eyes. SCP-VD in the superior parafoveal region increased significantly postoperatively (53.23 ± 4.11% vs. 54.54 ± 3.67%, p = 0.032). For DCP-VD, there was a statistically significant increase in all zones, except the superior hemisphere and fovea regions (p < 0.05 for all). FAZ area did not change significantly (p = 0.207). There was a significant increase in the CC-flow area (2.171 ± 0.146 mm2 vs. 2.232 ± 0.115 mm2, p = 0.013). There was a significant difference between the two groups only for the Δ SCP-VD/parafovea superior value (-0.62 ± 0.98 vs. 1.57 ± 3.07, p = 0.019).
    CONCLUSIONS: Conventional horizontal rectus muscle surgeries may cause alterations in posterior segment hemodynamics. The number of muscles incised does not seem to greatly affect the magnitude of changes that occur.
    CONCLUSIONS: What is known • After conventional horizontal rectus muscle surgeries, the anterior ciliary arteries are not recanalized, instead, anterior segment blood flow is maintained by increasing the flow in the long posterior ciliary arteries. • Previous studies using Doppler ultrasonography have shown increased flow in the ophthalmic artery, central retinal artery and long posterior ciliary arteries. What is new • In this study, significant increases were observed in superficial and deep capillary plexus-vessel density and choriocapillaris-flow area parameters in the first postoperative month with optic coherence tomography angiography device. • Hemodynamic increases in both retinal and choroidal vasculature were detected in the early period after conventional horizontal rectus muscle surgeries. • The number of muscles incised does not seem to greatly affect the magnitude of changes that occur.
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  • 文章类型: Case Reports
    纳米眼,以异常小的眼球为特征,由于其独特的解剖学限制,在斜视的管理中提出了重大挑战。这份详细的病例报告强调了患有纳眼的患者的斜视手术的复杂性和结果,为这种罕见疾病所需的手术考虑和适应提供有价值的见解。这个案子的主题,一个被诊断患有内斜视和高度远视的年轻女孩,进行了单侧内侧直肌衰退,试图纠正内斜视。尽管手术方法和术后管理谨慎,为期两年的随访显示,对干预措施的反应有限,视力改善,但持续存在内斜视和缺乏立体视觉发育。此病例阐明了在手术治疗内眼斜视的几个关键考虑因素,包括由于地球尺寸小导致手术有效性降低的可能性,准确的术前评估的重要性,以及预测手术结果的挑战。此外,它讨论了这些发现对未来手术计划的影响,修正手术的潜在需求,以及更广泛的研究背景,强调在斜视手术中更深入了解纳米眼球的生物力学和解剖学特殊性的必要性。报告最后提出了改善手术策略和患者预后的建议。提倡进行更全面的研究,并采用量身定制的方法来治疗纳眼斜视。
    Nanophthalmos, characterized by an abnormally small ocular globe, presents significant challenges in the management of strabismus due to its unique anatomical constraints. This detailed case report highlights the intricacies and outcomes of strabismus surgery in a patient with nanophthalmos, providing valuable insights into the surgical considerations and adaptations required for this rare condition. The subject of this case, a young girl diagnosed with esotropia and high hyperopia, underwent unilateral medial rectus muscle recession in an attempt to correct her esotropia. Despite the careful surgical approach and postoperative management, a two-year follow-up revealed a limited response to the intervention, with improvements in visual acuity but continued presence of esotropia and lack of stereopsis development. This case sheds light on several key considerations in the surgical treatment of strabismus in nanophthalmos patients, including the potential for reduced surgical effectiveness due to the small globe size, the importance of accurate preoperative assessment, and the challenges in predicting surgical outcomes. Additionally, it discusses the implications of these findings for future surgical planning, the potential need for revision surgeries, and the broader research context, emphasizing the necessity for a deeper understanding of the biomechanical and anatomical particularities of nanophthalmos in the context of strabismus surgery. The report concludes with recommendations for improving surgical strategies and patient outcomes, advocating for more comprehensive studies and a tailored approach to treating strabismus in individuals with nanophthalmos.
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  • 文章类型: Journal Article
    先天性眼球内陷是一种罕见的疾病,其特征是眼球向后移位,通常与骨轨道异常或整个地球发育缺陷有关。本报告的目的是介绍两个无关的继发于异常副眶带的先天性眼球内翻病例,并描述眼眶成像的特征,以将这种情况与其他原因区分开。
    回顾了2例先天性眼球内陷并被发现有异常的副眶眼外肌带的患者的病例记录。临床特征,初步诊断,高分辨率磁共振成像(MRI)发现,并记录了手术结果.在其中一种情况下,使用3维重建模型来了解方法和手术管理。
    两名患者均表现为单侧重度眼球内陷,地球仪收回,出生后各个方向的眼球运动受限.轨道的高分辨率MRI显示了一个短的异常带,肌肉等强度,由直肌腹部产生,并附着于视神经附近的眼球后下部分。眼外肌及眼运动神经口径正常。在一个病人中,由于带的位置非常靠后,靠近视神经,因此未进行手术。在另一个病人身上,偏差没有改善,尽管成功切断了配饰带,由于广泛的疤痕。
    异常的副眶眼外肌带是一种罕见且经常被忽视的先天性眼球内陷的原因,与有限的眼球运动有关。对轨道进行成像可以帮助诊断并帮助将其与其他原因区分开。解决该问题的安全手术方法有限,和可用的方法可能是无效的。这两种情况突出表明,即使采用密集的手术干预,导致眼球内翻的副眼外肌带的管理也可能极具挑战性,并且难以改善。
    UNASSIGNED: Congenital enophthalmos is a rare condition characterized by posterior displacement of the globe, often associated with bony orbital anomalies or whole globe development defects. The purpose of this report is to present two unrelated cases of congenital enophthalmos secondary to anomalous accessory orbital bands and to describe characteristics of orbital imaging that differentiate this condition from the other causes.
    UNASSIGNED: The case records of two patients who presented with congenital enophthalmos and were discovered to have anomalous accessory orbital extraocular muscle bands were reviewed. The clinical features, initial diagnosis, high resolution magnetic resonance imaging (MRI) findings, and surgical outcomes were noted. A 3-dimensional reconstruction model was used to understand the approach and surgical management in one of the cases.
    UNASSIGNED: Both patients presented with unilateral severe enophthalmos, globe retraction, and restricted ocular motility in all directions since birth. High-resolution MRI of the orbits revealed a short anomalous band, isointense to the muscle, arising from a rectus muscle belly and attaching to the posteroinferior part of the globe adjacent to the optic nerve. The caliber of the extraocular muscles and ocular motor nerves was normal. In one patient, surgery was not pursued due to the extreme posterior location of the band with proximity to the optic nerve. In the other patient, the deviation did not improve, despite successfully severing the accessory band, due to extensive scarring.
    UNASSIGNED: Anomalous accessory orbital extraocular muscle bands are a rare and often overlooked cause of congenital enophthalmos when associated with limited ocular motility. Imaging the orbit can aid in diagnosis and help differentiate it from other causes. Safe surgical approaches to address the problem are limited, and available approaches may not be effective. These two cases highlight that the management of accessory extraocular muscle bands causing enophthalmos can be extremely challenging and difficult to improve even with intensive surgical intervention.
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  • 文章类型: Case Reports
    在治疗孔源性视网膜脱离(RRD)后,出于各种原因进行巩膜扣(SB)摘除。如扣暴露,迁移,和感染。SB摘除最令人担忧的并发症是视网膜再脱离。我们报告了一个独特的病例,该患者在巩膜扣去除前移和巩膜扣暴露后约一个月出现斜视。我们还分享了一个成功的斜视手术,其主要目的是缓解患者的主要注视复视。
    Scleral buckle (SB) removal is done for a variety of reasons following treatment of rhegmatogenous retinal detachments (RRD), such as buckle exposure, migration, and infection. The most worrying complication of SB removal is retinal redetachment. We report a unique case of a patient developing strabismus about one month after scleral buckle removal for anterior migration and exposure of the scleral buckle. We also share a successful strabismus surgery which had a main aim of relieving diplopia in the patient\'s primary gaze.
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  • 文章类型: Journal Article
    背景:学习进行斜视手术是眼科医生手术训练的一个重要方面。手术步骤的自动分类策略可以提高培训课程的有效性和对居民绩效的有效评估。为此,我们旨在开发和验证一种深度学习(DL)模型,用于自动检测视频中的斜视手术步骤。
    方法:在本研究中,我们收集了上海儿童医院的479个斜视手术视频,上海交通大学医学院附属,从2017年7月到2021年10月。根据国际眼科理事会的眼科手术能力评估规则(ICO-OSCAR:斜视),将视频手动切成八个斜视手术步骤的3345个剪辑。视频数据集按眼睛水平随机分为训练(60%),验证(20%)和测试数据集(20%)。我们评估了两种混合DL算法:基于递归神经网络(RNN)和基于变压器的模型。评估指标包括:准确性,接收器工作特性曲线下的面积,精度,召回和F1得分。
    结果:DL模型识别斜视手术视频剪辑中的步骤,使用基于Transformer的模型获得了1.00(95%CI1.00-1.00)的宏观平均AUC,使用基于RNN的模型获得了0.98(95%CI0.97-1.00)。分别。与基于RNN的模型相比,基于Transformer的模型具有更高的准确性(0.96与0.83,p<0.001)。在检测斜视手术的不同步骤时,基于Transformer的模型的预测能力优于RNN。基于Transformer的模型的精度介于0.90和1之间,基于RNN的模型的精度介于0.75到0.94之间。f1分数对于基于Transformer的模型介于0.93和1之间,对于基于RNN的模型介于0.78到0.92之间。
    结论:DL模型可以高精度地自动识别斜视手术的视频步骤,并且基于Transformer的算法在对视频帧的时空特征进行建模时表现出出色的性能。
    BACKGROUND: Learning to perform strabismus surgery is an essential aspect of ophthalmologists\' surgical training. Automated classification strategy for surgical steps can improve the effectiveness of training curricula and the efficient evaluation of residents\' performance. To this end, we aimed to develop and validate a deep learning (DL) model for automated detecting strabismus surgery steps in the videos.
    METHODS: In this study, we gathered 479 strabismus surgery videos from Shanghai Children\'s Hospital, affiliated to Shanghai Jiao Tong University School of Medicine, spanning July 2017 to October 2021. The videos were manually cut into 3345 clips of the eight strabismus surgical steps based on the International Council of Ophthalmology\'s Ophthalmology Surgical Competency Assessment Rubrics (ICO-OSCAR: strabismus). The videos dataset was randomly split by eye-level into a training (60%), validation (20%) and testing dataset (20%). We evaluated two hybrid DL algorithms: a Recurrent Neural Network (RNN) based and a Transformer-based model. The evaluation metrics included: accuracy, area under the receiver operating characteristic curve, precision, recall and F1-score.
    RESULTS: DL models identified the steps in video clips of strabismus surgery achieved macro-average AUC of 1.00 (95% CI 1.00-1.00) with Transformer-based model and 0.98 (95% CI 0.97-1.00) with RNN-based model, respectively. The Transformer-based model yielded a higher accuracy compared with RNN-based models (0.96 vs. 0.83, p < 0.001). In detecting different steps of strabismus surgery, the predictive ability of the Transformer-based model was better than that of the RNN. Precision ranged between 0.90 and 1 for the Transformer-based model and 0.75 to 0.94 for the RNN-based model. The f1-score ranged between 0.93 and 1 for the Transformer-based model and 0.78 to 0.92 for the RNN-based model.
    CONCLUSIONS: The DL models can automate identify video steps of strabismus surgery with high accuracy and Transformer-based algorithms show excellent performance when modeling spatiotemporal features of video frames.
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  • 文章类型: Journal Article
    目的:苏醒期躁动(EA)是苏醒期常见的并发症。研究人员旨在调查从麻醉后监护病房(PACU)到处于镇静状态的病房出院的儿科患者是否可以降低EA的发生率。
    方法:前瞻性随机对照研究。
    方法:本研究是在接受斜视手术的4至6岁患者中进行的。有100名患者随机分配到镇静组,这些患者在镇静状态下从PACU出院到病房,并在父母的陪同下恢复了意识(P组,n=50)和出院时完全清醒的对照组(C组,n=50)。主要结果是EA的发生率。次要结果包括救援措施,放电时间,放电点的血液动力学参数,拔管后1和2小时,和父母满意度得分。
    结果:与C组相比,P组EA的发生率显着降低(P=0.023)。C组需要采取抢救措施的患者数量高于P组(P=0.041)。P组PACU出院时间明显短于C组(P<.001)。P组患儿从PACU出院时的心率明显低于C组(P=.003),两组血氧饱和度(SpO2)和平均动脉血压比较差异无统计学意义(P>0.05)。
    结论:在镇静状态下出院的患儿可降低接受斜视手术的EA的发生率。
    OBJECTIVE: Emergence agitation (EA) is a frequent complication during emergence. The researchers aimed to investigate whether discharged pediatric patients from the postanesthesia care unit (PACU) to wards under sedated status could reduce the incidence of EA.
    METHODS: Prospective randomized controlled study.
    METHODS: This study was conducted in 4 to 6 year old patients who had undergone strabismus surgeries. There were 100 patients randomly assigned to a sedated group who were discharged from PACU to the ward under a sedated state and regained consciousness accompanied with their parents (Group P, n = 50) and the control group who were fully awake when discharged (Group C, n = 50). The primary outcome was the incidence of EA. The secondary outcomes included rescue measure, discharge time, hemodynamic parameters at the point of discharge, 1 and 2 hours after extubation, and the parental satisfaction score.
    RESULTS: The incidence of EA in Group P was significantly reduced compared to Group C (P = .023). The number of patients who needed rescue measures was higher in Group C than in Group P (P = .041). The PACU discharge time in Group P was significantly shorter than in Group C (P < .001). The heart rate of the pediatric patients in Group P was significantly lower than in Group C at the point of discharge from PACU to the ward (P = .003), while the oxygen saturation (SpO2) and the mean arterial blood pressure were comparable between the two groups (P > .05).
    CONCLUSIONS: Pediatric patients discharged to their parents under sedated status could reduce the incidence of EA undergoing strabismus surgery.
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  • 文章类型: Case Reports
    斜视手术后,感染和并发症并不常见,但通过正确的无菌措施可以避免。过去很少有非感染性肌腱下脓肿的病例;这些病例需要得到适当的认识和治疗。
    方法:在本报告中,我们描述了一例内侧直肌衰退后4周的双侧肌腱下脓肿。尽管接受了7天的局部抗生素治疗,没有任何改善,多个结膜培养和敏感性无生长。两只眼睛的肌腱下脓肿被引流,用庆大霉素灌溉,脆弱的缝合线被移除。
    肌腱下脓肿与细菌感染有关,细菌感染具有更严重的表现。几个事实,包括术前和术中培养中缺乏生物体,类似于异物的大细胞的存在,以及缝线挤压后发生的改善,在这种情况下不太可能感染。
    结论:我们得出的结论是,缝合反应最有可能是迟发性肌腱下脓肿的原因,培养物呈阴性,对抗生素没有反应。缝线应该被移除。
    UNASSIGNED: After strabismus surgery, infections and complications are uncommon but avoidable with the right aseptic measures. Rarely have cases of non-infectious sub-tenon abscesses been documented in the past; these cases need to be appropriately recognized and treated.
    METHODS: In this report we describe a case of bilateral sub-tenon abscess 4 weeks after medial rectus recession. Despite receiving topical antibiotics for 7 days, there was no improvement, and multiple conjunctival cultures and sensitivity showed no growth. Both eye\'s sub-tenon abscess was drained, irrigated with gentamicin, and the fragile suture was removed.
    UNASSIGNED: Sub-tenon abscess has been associated with bacterial infection which has more sever presentation. Several facts, including the lack of organisms in the pre-operative and intraoperative cultures, the presence of big cells resembling foreign bodies, and the improvement that occurred after suture extrusion, make infection unlikely in this case.
    CONCLUSIONS: We concluded that suture reaction is most likely to be responsible for a late-onset sub-tenon abscess with a negative culture and no response to antibiotics, and the suture should be removed.
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  • 文章类型: Journal Article
    研究Duane退缩综合征(DRS)患者的斜视手术类型和再手术率。
    回顾性队列分析。
    使用保险索赔数据集来识别2007年至2021年间诊断为DRS的患者。
    我们记录了进行的斜视手术的类型以及再次手术的时机和频率。根据手术方法使用Cox回归分析估计再次手术的风险比(HR)。
    在诊断为DRS的9435例患者中,1023例(10.8%)行≥1次斜视手术。手术年龄中位数为5.0岁,患者在初次斜视手术后平均随访3.8±3.0年。大多数手术仅涉及水平肌肉(n=734[71.7%])。然而,一些患者接受了垂直肌肉手术(n=132[12.9%]),垂直肌肉(s)转位(n=102[10.0%]),和水平肌移位(n=51[5.0%])。估计的5年再手术率为18.2%(95%置信区间[CI],15.0%-22.2%)。与仅在水平肌肉上进行手术相比,垂直肌肉手术(HR,2.01;95%CI,1.30-3.11;P=0.002)和垂直肌肉手术联合转位(HR,1.79;95%CI,1.06-3.02;P=0.03)的再手术风险增加。
    在≥1个水平肌肉上进行的斜视手术是对DRS患者进行的最常见的斜视手术类型。大约7例斜视手术的DRS患者中有1例接受了再次手术。接受垂直肌肉手术的患者接受再次手术的风险更高。
    专有或商业披露可在本文末尾的脚注和披露中找到。
    UNASSIGNED: To investigate the types of strabismus surgeries performed and the reoperation rate in patients with Duane retraction syndrome (DRS).
    UNASSIGNED: Retrospective cohort analysis.
    UNASSIGNED: An insurance claims data set was used to identify patients diagnosed with DRS between 2007 and 2021.
    UNASSIGNED: We recorded the type of strabismus surgery performed and the timing and frequency of reoperations. The hazard ratios (HRs) for reoperation were estimated according to the surgical methods using Cox regression analysis.
    UNASSIGNED: Of the 9435 patients diagnosed with DRS, 1023 (10.8%) underwent ≥ 1 strabismus operation. The median age at surgery was 5.0 years, and patients were followed for an average of 3.8 ± 3.0 years after their initial strabismus surgery. Most of the surgeries only involved horizontal muscle(s) (n = 734 [71.7%]). However, some patients underwent surgeries on vertical muscle(s) (n = 132 [12.9%]), vertical muscle(s) with transposition (n = 102 [10.0%]), and horizontal muscle with transposition (n = 51 [5.0%]). The estimated 5-year rate of reoperation was 18.2% (95% confidence interval [CI], 15.0%-22.2%). Compared with surgery on horizontal muscle(s) only, vertical muscle surgery (HR, 2.01; 95% CI, 1.30-3.11; P = 0.002) and vertical muscle surgery coupled with transposition (HR, 1.79; 95% CI, 1.06-3.02; P = 0.03) had an increased risk of reoperation.
    UNASSIGNED: Strabismus surgery on ≥ 1 horizontal muscles is the most common type of strabismus surgery performed on patients with DRS. Approximately 1 in 7 patients with DRS who had strabismus surgery underwent a reoperation. Patients who underwent vertical muscle surgery had a higher risk of undergoing a reoperation.
    UNASSIGNED: Proprietary or commercial disclosure may be found in the Footnotes and Disclosures at the end of this article.
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  • 文章类型: Journal Article
    这项研究是对斜视手术的同意过程的定性分析,使用医生对双侧内侧直肌衰退进行模拟同意的记录。儿科眼科医生在同意过程中引用的手术风险和并发症几率存在很大差异。我们提出了一个参考表,其中包含在同意过程中使用的并发症发生率。
    This study is a qualitative analysis of the consent process for strabismus surgery, using recordings of physicians doing a mock consent for bilateral medial rectus recession. There is considerable variation in the risks of surgery and odds of complications that are cited by pediatric ophthalmologists during the consent process. We propose a reference table with complication rates for use during the consent process.
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