Title: Treatment Outcomes in Concomitant Esotropias
Authors: Dalia S, Anitha.S
DOI: https://dx.doi.org/10.18535/jmscr/v6i1.69
Abstract
Purpose: To assess the outcome of various treatment modalities of concomitant esotropias.
Design: Prospective randomized population based study.
Materials & Methodology: 100 patients who attended squint clinic of Regional institute of Ophthalmology, Thiruvananthapuram were included in the study.
Results: Of the 100 cases in our study,31% had amblyopia at presentation of which majority (61.29%) improved with occlusion therapy (improvement of 2 lines or more ).Of the patients treated by non surgical methods (19 patients), 84.21% & 73.68% attained acceptable anatomical outcome and some form of BSV respectively by treatment. Of the surgically treated group not much difference in motor alignment was noted by symmetrical bimedial recession (70.21%) or asymmetrical recession-resection (67.86%) surgery for esotropia. The refractive status after surgery showed a Myopic change in both spherical and astigmatic component, but only meridional equivalent at 180° was statistically significant (-0.21± 0.28).
Conclusion: From the study it is evident that conventional occlusion therapy is a simple and cost effective treatment for amblyopia. Ideal treatment by non-surgical or surgical methods or combination of both if advocated early will help to attain acceptable anatomical and sensory outcome thus eliminating or else decreasing the density of amblyopia.
Keywords: Concomitant Esotropia, Amblyopia, Bimedial Recession, Recession-Resection.
