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eISSN: 2719-3209
ISSN: 0023-2157
Klinika Oczna / Acta Ophthalmologica Polonica
Bieżący numer Archiwum Filmy Artykuły w druku O czasopiśmie Suplementy Rada naukowa Recenzenci Bazy indeksacyjne Prenumerata Kontakt Zasady publikacji prac Opłaty publikacyjne Standardy etyczne i procedury
Panel Redakcyjny
Zgłaszanie i recenzowanie prac online
SCImago Journal & Country Rank
3/2009
vol. 111
 
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Artykuł oryginalny

Jaki wiek powinny osiągnąć dzieci z pierwotnym zezem rozbieżnym, aby można było efektywnie je operować? Wskazania na podstawie własnych wyników leczenia

Olimpia Nowakowska
1
,
Magdalena Bęben
1
,
Piotr Loba
1
,
Anna Broniarczyk-Loba
2

  1. Klinika Chorób Oczu I Katedry Chorób Oczu Uniwersytetu Medycznego w Łodzi
  2. Zakład Patofizjologii Widzenia Obuocznego i Leczenia Zeza I Katedry Chorób Oczu Uniwersytetu Medycznego w Łodzi
Klinika Oczna 2009, 111 (3): 224-228
Data publikacji online: 2009/10/14
Pełna treść artykułu Pobierz cytowanie
 
Wstęp
The aim of the study was to evaluate the results of surgical treatment of children with primary exotropia, operated on before 14 years of age.

Materiał i metody
The study included 62 children with primary, constant and intermittent exotropia operated on before 14 years of age. The patients were divided into two age groups. The first one consisted of children 2 to 6 years old (mean 4.75 ± 1.12) – 12 girls and 8 boys, the second group consisted of children 7 to 14 years old (mean 9.3 ± 2.1) – 30 girls and 12 boys. Follow-up period was 3.5 years in group I and 4.5 years in group II. History, visual acuity and refraction were obtained in all cases. Horizontal and vertical angles for distance and near, before and after the surgery was measured as well. The postoperative horizontal angle drift was estimated in both groups and function of binocular vision assessed, before and after the surgery.

Wyniki
In both age groups we found no statistical difference between mean angle values before and few weeks after the surgery. However in long-term results, angle for distance was lower in younger children, especially in those with intermittent strabismus. The postoperative angle drift was lower in younger group with intermittent strabismus comparing to the older group, so they achieved a better final surgical outcome. The functional results in both age groups did not differ significantly.

Wnioski
Early surgery on divergent strabismus makes the prognosis better, especially in intermittent strabismus. Children that are operated on early, seem to have smaller postoperative angle drift.



Introduction
The aim of the study was to evaluate the results of surgical treatment of children with primary exotropia, operated on before 14 years of age.

Material and methods
The study included 62 children with primary, constant and intermittent exotropia operated on before 14 years of age. The patients were divided into two age groups. The first one consisted of children 2 to 6 years old (mean 4.75 ± 1.12) – 12 girls and 8 boys, the second group consisted of children 7 to 14 years old (mean 9.3 ± 2.1) – 30 girls and 12 boys. Follow-up period was 3.5 years in group I and 4.5 years in group II. History, visual acuity and refraction were obtained in all cases. Horizontal and vertical angles for distance and near, before and after the surgery was measured as well. The postoperative horizontal angle drift was estimated in both groups and function of binocular vision assessed, before and after the surgery.

Results
In both age groups we found no statistical difference between mean angle values before and few weeks after the surgery. However in long-term results, angle for distance was lower in younger children, especially in those with intermittent strabismus. The postoperative angle drift was lower in younger group with intermittent strabismus comparing to the older group, so they achieved a better final surgical outcome. The functional results in both age groups did not differ significantly.

Conclusions
Early surgery on divergent strabismus makes the prognosis better, especially in intermittent strabismus. Children that are operated on early, seem to have smaller postoperative angle drift.

słowa kluczowe:

leczenie operacyjne zeza, zez rozbieżny

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