Short-term motor and sensory outcomes in acquired nonaccommodative esotropia of childhood

Anna S. Kitzmann, Brian G. Mohney, Nancy N. Diehl

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Information on the management of acquired nonaccommodative esotropia (ANAET) of childhood is incomplete. Most prior reports combine the results of patients with both accommodative and nonaccommodative esodeviations. The primary objective of this study was to describe the early postoperative motor and sensory results of children with acquired nonaccommodative esotropia. The medical records of 72 consecutive children with ANAET who underwent surgical correction at East Tennessee State University College of Medicine from August 1, 1995 through October 1, 2001 were retrospectively reviewed. The median age at surgery for the 72 study patients was 43.8 months with a median angle of deviation of 30 prism diopters (PD) at both distance and near. Ten patients (13.9%) required a second surgical procedure while one patient (1.4%) required a third. The cumulative probability of a second surgery within two years of the first procedure was 24% (95% CI 4-43%). During a median postoperative follow-up period of 7.1 months, 64 (88.9%) patients were within 8 PD of orthotropia on the last postoperative examination. Normal postoperative stereoacuity was achieved in several children whose deviation began after 30 months of age, as well as in one child who was misaligned for at least two years prior to surgery. Although the postoperative follow-up on these patients with acquired nonaccommodative esotropia managed without prism adaptation is short, the motor results are similar to other studies on patients with acquired esotropia, with sensory outcomes superior to those obtained in children with congenital esotropia.

Original languageEnglish (US)
Pages (from-to)109-114
Number of pages6
JournalStrabismus
Volume13
Issue number3
DOIs
StatePublished - Sep 1 2005

Fingerprint

Esotropia
Information Management
Medical Records
Medicine

Keywords

  • Acquired esotropia
  • Nonaccommodative esotropia
  • Normosensorial esotropia
  • Pediatric ophthalmology
  • Stereoacuity
  • Surgical outcome

ASJC Scopus subject areas

  • Ophthalmology

Cite this

Short-term motor and sensory outcomes in acquired nonaccommodative esotropia of childhood. / Kitzmann, Anna S.; Mohney, Brian G.; Diehl, Nancy N.

In: Strabismus, Vol. 13, No. 3, 01.09.2005, p. 109-114.

Research output: Contribution to journalArticle

Kitzmann, Anna S. ; Mohney, Brian G. ; Diehl, Nancy N. / Short-term motor and sensory outcomes in acquired nonaccommodative esotropia of childhood. In: Strabismus. 2005 ; Vol. 13, No. 3. pp. 109-114.
@article{928265bc13cb4e08a05b1d024e9db018,
title = "Short-term motor and sensory outcomes in acquired nonaccommodative esotropia of childhood",
abstract = "Information on the management of acquired nonaccommodative esotropia (ANAET) of childhood is incomplete. Most prior reports combine the results of patients with both accommodative and nonaccommodative esodeviations. The primary objective of this study was to describe the early postoperative motor and sensory results of children with acquired nonaccommodative esotropia. The medical records of 72 consecutive children with ANAET who underwent surgical correction at East Tennessee State University College of Medicine from August 1, 1995 through October 1, 2001 were retrospectively reviewed. The median age at surgery for the 72 study patients was 43.8 months with a median angle of deviation of 30 prism diopters (PD) at both distance and near. Ten patients (13.9{\%}) required a second surgical procedure while one patient (1.4{\%}) required a third. The cumulative probability of a second surgery within two years of the first procedure was 24{\%} (95{\%} CI 4-43{\%}). During a median postoperative follow-up period of 7.1 months, 64 (88.9{\%}) patients were within 8 PD of orthotropia on the last postoperative examination. Normal postoperative stereoacuity was achieved in several children whose deviation began after 30 months of age, as well as in one child who was misaligned for at least two years prior to surgery. Although the postoperative follow-up on these patients with acquired nonaccommodative esotropia managed without prism adaptation is short, the motor results are similar to other studies on patients with acquired esotropia, with sensory outcomes superior to those obtained in children with congenital esotropia.",
keywords = "Acquired esotropia, Nonaccommodative esotropia, Normosensorial esotropia, Pediatric ophthalmology, Stereoacuity, Surgical outcome",
author = "Kitzmann, {Anna S.} and Mohney, {Brian G.} and Diehl, {Nancy N.}",
year = "2005",
month = "9",
day = "1",
doi = "10.1080/09273970500216317",
language = "English (US)",
volume = "13",
pages = "109--114",
journal = "Strabismus",
issn = "0927-3972",
publisher = "Informa Healthcare",
number = "3",

}

TY - JOUR

T1 - Short-term motor and sensory outcomes in acquired nonaccommodative esotropia of childhood

AU - Kitzmann, Anna S.

AU - Mohney, Brian G.

AU - Diehl, Nancy N.

PY - 2005/9/1

Y1 - 2005/9/1

N2 - Information on the management of acquired nonaccommodative esotropia (ANAET) of childhood is incomplete. Most prior reports combine the results of patients with both accommodative and nonaccommodative esodeviations. The primary objective of this study was to describe the early postoperative motor and sensory results of children with acquired nonaccommodative esotropia. The medical records of 72 consecutive children with ANAET who underwent surgical correction at East Tennessee State University College of Medicine from August 1, 1995 through October 1, 2001 were retrospectively reviewed. The median age at surgery for the 72 study patients was 43.8 months with a median angle of deviation of 30 prism diopters (PD) at both distance and near. Ten patients (13.9%) required a second surgical procedure while one patient (1.4%) required a third. The cumulative probability of a second surgery within two years of the first procedure was 24% (95% CI 4-43%). During a median postoperative follow-up period of 7.1 months, 64 (88.9%) patients were within 8 PD of orthotropia on the last postoperative examination. Normal postoperative stereoacuity was achieved in several children whose deviation began after 30 months of age, as well as in one child who was misaligned for at least two years prior to surgery. Although the postoperative follow-up on these patients with acquired nonaccommodative esotropia managed without prism adaptation is short, the motor results are similar to other studies on patients with acquired esotropia, with sensory outcomes superior to those obtained in children with congenital esotropia.

AB - Information on the management of acquired nonaccommodative esotropia (ANAET) of childhood is incomplete. Most prior reports combine the results of patients with both accommodative and nonaccommodative esodeviations. The primary objective of this study was to describe the early postoperative motor and sensory results of children with acquired nonaccommodative esotropia. The medical records of 72 consecutive children with ANAET who underwent surgical correction at East Tennessee State University College of Medicine from August 1, 1995 through October 1, 2001 were retrospectively reviewed. The median age at surgery for the 72 study patients was 43.8 months with a median angle of deviation of 30 prism diopters (PD) at both distance and near. Ten patients (13.9%) required a second surgical procedure while one patient (1.4%) required a third. The cumulative probability of a second surgery within two years of the first procedure was 24% (95% CI 4-43%). During a median postoperative follow-up period of 7.1 months, 64 (88.9%) patients were within 8 PD of orthotropia on the last postoperative examination. Normal postoperative stereoacuity was achieved in several children whose deviation began after 30 months of age, as well as in one child who was misaligned for at least two years prior to surgery. Although the postoperative follow-up on these patients with acquired nonaccommodative esotropia managed without prism adaptation is short, the motor results are similar to other studies on patients with acquired esotropia, with sensory outcomes superior to those obtained in children with congenital esotropia.

KW - Acquired esotropia

KW - Nonaccommodative esotropia

KW - Normosensorial esotropia

KW - Pediatric ophthalmology

KW - Stereoacuity

KW - Surgical outcome

UR - http://www.scopus.com/inward/record.url?scp=31544447739&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=31544447739&partnerID=8YFLogxK

U2 - 10.1080/09273970500216317

DO - 10.1080/09273970500216317

M3 - Article

C2 - 16251139

AN - SCOPUS:31544447739

VL - 13

SP - 109

EP - 114

JO - Strabismus

JF - Strabismus

SN - 0927-3972

IS - 3

ER -