Saratov JOURNAL of Medical and Scientific Research

Tactics and timing of surgical treatment in a child with congenital essential esotropia: clinical case

Year: 2020, volume 16 Issue: №1 Pages: 242-244
Heading: Ophtalmology Article type: Case report
Authors: Mamulat D.R., Plisov I.L., Antsiferova N.G., Sharokhin M.A.
Organization: S. Fyodorov Eye Microsurgery Federal State Institution
Summary:

The article presents a clinical case of successful treatment of a premature baby with congenital essential esotropia. The diagnosis was made in the sixth month of life. The patient was recommended spectacle correction taking into account the parameters of ametropia and constant alternating occlusion. In connection with the subsequent increase in horizontal esodeviation and the appearance of a paretic component, a bilateral recession of the internal rectus muscle by 5 mm was carried out in combination with an injection of Botox in a volume of 2.0 IU. After the first stage of surgical treatment, a stable decrease of horizontal esodeviation and an increase of the amount of abduction were achieved. Bilateral combined weakening of medial rectus muscles (classical recession and chemorecession) allows to achieve predicted good results in cases of large strabismus angles, combined with limitation of abduction.

Bibliography:
1. Donahue SP. Clinical practice: Pediatric strabismus. N Engl JMed 2007; 356: 1040.
2. Guthrie ME, Wright KW. Congenital esotropia. Ophthalmol Clin North Am 2001; 14:49.
3. Greenberg AE, Mohney BG, Diehl NN, Burke JP Incidence and types of childhood esotropia: a population-based study. Ophthalmology 2007; 114: 170-4.
4. Buckley EG, Plager DA, Repka MX, Wilson ME/Plager DA, ed.; contributions by Parks MM, von Noorden GK. Strabismus Surgery. Oxford: Oxford University Press, 2004.
5. Holman RE, Merritt JC. Infantile esotropia: results in the neurologic impaired and "normal" child at NCMN (six years). J Pediatr Ophthalmol Strabismus 1986; 23 (1): 41-5.
6. Gulati S, Andrews CA, Apkarian АО, et al. Effect of gestational age and birth weight on the risk of strabismus among premature infants. JAMA Pediatr 2014; 168 (9): 850-6.
7. Tychsen L. Improvements in smooth pursuit and fixational eye movements after strabismus surgery in infants. Ophthalmology 1991; 98 (Suppl): 94.
8. Norcia AM, Hamer RD, Jampolsky A, Orel-Bixler D. Plasticity of human motion processing mechanisms following surgery for infantile esotropia. Vision Res 1995; 35: 3279-96.
9. Birch ЕЕ, Stager DR, Berry P, Everett ME. Prospective assessment of acuity and stereopsis in amblyopic infantile esotropes following early surgery. Invest Ophthalmol Vis Sci 1990;31:758-65.
10. Hubel DH, Wesel TN. Binocular interaction in striate cortex of kittens reared with artificial squint. J Neurophysiol 1956; 28: 1041-59.
11. Crawford ML, von Noorden GK. The effects of short-term experimental strabismus on the visual system in Macana mulatta. Invest Ophthalmol Vis Sci 1979; 18: 496-505.
12. Birch E, Stager D, Wight K, Beck R. The natural history of infantile esotropia during the first six months of life. J AAPOS 1998; 2 (6): 325-8.

AttachmentSize
2020_01-2_242-244.pdf483.73 KB

No votes yet