Dr. SAVLEEN KAUR

Dr. JASPREET SUKHIJA, Dr. SURISHTI RAJ

Abstract

The present study investigated the outcomes of reoperations based on preoperative imaging of extraocular muscle insertions. Patients with horizontal and vertical strabismus needing a reoperation with missing previous surgical records over one year at a single center were recruited. All patients underwent a thorough clinical examination and imaging of extraocular muscle insertions on the Swept Source Anterior Segment Optical Coherence Tomography. Twenty-eight muscles(18 patients) underwent imaging on ASOCT with confirmation during re-surgery. After looking at the imaging findings, the decision of which muscle to operate on changed in seven patients (38.8%). The overall success (defined as primary position deviation 10 PD ) was seen in 17/18 patients. The accuracy of ASOCT to measure muscle insertion ±1mm was seen in 92.8% (26/28 muscles). Imaging can be beneficial in achieving successful results in strabismus reoperations with high accuracy.

Full Text