Literature review of aspects relating to topical anaesthesia for strabismus surgery

This review was undertaken to consider the benefits and limitations, the nuances in surgical techniques and the preoperative testing and counselling in patients considered suitable for topical anaesthesia strabismus surgery. Preoperative considerations were reported as age, tolerance of forced duction...

Prism fusional vergence measures for Risley vs prism bar measurements

This study sought to investigate the agreement between the phoropter Risley and the prism bar prism fusional vergence amplitudes among a normal sample of Ghanaian children aged 8–17 years. This was a school-based study of 2300 children. Of 2300, 116...

Inferior oblique botulinum toxin as a postoperative test

The authors aimed to evaluate the role of inferior oblique (IO) botulinum toxin (BT) injection as a surgical simulator prior to IO myectomy, i.e. preoperative diplopia test using BT. This was a retrospective review in a single centre over a...

Science maps to outline emerging topics in strabismus

Science maps show the current status of research in a specific field – a form of scientometrics. Co-word analysis is an example of graphic modelling in which keywords are used to study the conceptual structure of a research field. In...

Surgical outcomes of primary recess/resection vs readvancement/recession surgery for exotropia

This study compared the surgical yield of primary lateral rectus and medial rectus recession/resection (RR) surgery for basic exotropia, convergence insufficiency type exotropia (CIXT) and divergence excess (DXS) vs. patients undergoing medial rectus readvancement (MRR) +/- lateral rectus recession for...

BT vs. conservative treatment only for sixth nerve palsies

This German retrospective review evaluation compared rates of improvement and outcome criteria in a large cohort with 2 treatment branches for sixth nerve palsy. Recovery was defined as no diplopia in primary gaze, angle ≤10 prism dioptres and improved abduction...

Outcomes of office and home-based training vs part-time occlusion for intermittent exotropia management

This study aimed to compare patch therapy with non-surgical treatment options for intermittent exotropia (IXT) using a synoptophore with/without simultaneous active orthoptic treatment and a maintenance treatment using computer-based gaming software. This 3-group trial recruited 72 patients. Intervention 1 (N=24)...

Prism adaptation responses for variable distance-near deviation in intermittent exotropia

The purpose of this study was to evaluate the effect of the prism adaptation test (PAT) on angle and distance-near-deviation (DND) in intermittent exotropia (IXT), and determine the frequency of responders and non-responders to PAT. This was a single-centre study...

Results of bilateral medial rectus recession combined with either BT or bridge Faden when treating large angle strabismus

In a series of 26 patients (11 female, 15 male) with large angle esotropia >35PD, the authors compared results of botulinum toxin A (BTA) and bridge Faden operation combined with bilateral medial rectus (BMR) recession. Overall age of surgery was...

Does delayed strabismus surgery have an association with psychiatric diagnoses in children?

The authors present a retrospective cohort study with the aim of assessing the association between strabismus surgery in early childhood and psychiatric diagnosis incidence. An international healthcare records platform was utilised to access electronic medical records from 92 healthcare organisation....

High prevalence of strabismus and variable surgical success in children with developmental delay

On the basis of lack of consensus for the treatment of strabismus in children with developmental delay, the authors reviewed the literature to provide information on the topic and present results from their clinical experience. From the review, they include...

RCT of surgery to correct asymmetrical DVD

This study compared the efficacy of two procedures: (1) bilateral symmetrical anteriorisation of the inferior oblique (AIO) and (2) combined resection and AIO, in cases of asymmetrical dissociated vertical deviation (DVD). This was a prospective randomised controlled trial including 54...