Immediate postop alignment differences between adult and childhood ET
Reviewed by Fiona Rowe

The purpose of this study was to investigate the immediate postoperative alignment among patients undergoing successful surgery for esotropia and to determine whether there are any differences between children and adults. This was a retrospective case review of 544 cases; 95 (17.5%) met the inclusion criteria. Seventy-three were under 11-years-old and 22 were 11 years or older (two being <18 years). Median esotropia angle was 35PD (12-70). For the children group, preoperative mean angle was 39PD (12-70) with mean age of surgery at 2.4 years and mean surgical recession of 5.5mm. Immediate mean postoperative angle was 8.8PD exotropia with a final success of 61.3%; one third were overcorrected. For the adult group, preoperative mean angle was 27.6PD (12-45) with mean age of surgery at 55 years and mean surgical recession of 4.75mm. Immediate mean postoperative angle was 1.8PD exotropia with a final success of 83.3%; 5% were overcorrected. The authors conclude that children under 11-years-old are significantly more likely to have overcorrection immediately postoperatively than older children and adults. They are also more significantly exotropic in the first postoperative week.

Immediate postoperative alignment following bimedial rectus recession for esotropia in children compared to adults.
Hassan MB, Diehl NN, Mohney BG.
JOURNAL OF PEDIATRIC OPHTHALMOLOGY AND STRABISMUS
2018;55:299-305