This was a prospective randomised parallel arm design study for 40 patients. Group 1 consisted of conventional strabismus surgery using the limbal approach and group 2 consisted of minimally invasive strabismus surgery (MISS). Mean age was 21.1±2.73 years for MISS and 19.85±5.7 years for group 1. Group 1 included two esotropia and 18 exotropia cases with preop angle of 55.25±13.03PD reducing to 10.95±5.29PD postop. Group 2 included five esotropia and 15 exotropia cases with preop angle of 48.5±16.55PD reducing to 9.35±4.42PD postop. Postop success was 80% for group 1 and 85% for group 2. The results show no significant difference after three weeks of follow-up. There was a significant difference in postop inflammation prior to three weeks which would impact on patient comfort initially which may be a consideration for quality of life.
MISS vs. conventional surgery
Reviewed by Fiona Rowe
Comparison of minimally invasive strabismus surgery (MISS) and conventional strabismus surgery using the limbus approach.
CONTRIBUTOR
Fiona Rowe (Prof)
Institute of Population Health, University of Liverpool, UK.
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