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oa The outcome of horizontal strabismus surgery in Anbar governorate in Iraq: an interventional study
- Source: Journal of Emergency Medicine, Trauma and Acute Care, Volume 2024, Issue 1 - The 3rd Annual International Conference on Information and Sciences, فبراير ٢٠٢٤, 2
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- ٢٩ سبتمبر ٢٠٢٣
- ٠١ ديسمبر ٢٠٢٣
- ٣٠ يناير ٢٠٢٤
ملخص
Background: Strabismus is the loss of ocular alignment, which can lead to amblyopia, defective binocularity, and defective depth perception.
Objectives: To assess the results of strabismus surgery among patients older and younger than six years and study the influencing and predictive factors.
Methods: Surgical treatment for 202 patients clinically diagnosed with horizontal strabismus aged 4-45 years was carried out in Fallujah Teaching Hospital between September 2021 and October 2022. Surgical outcome was assessed at the end of 6 months post-operatively. Chi-square and Mann-Whitney Univariate tests were performed to evaluate the statistical relationship between pre-operative factors and surgical outcomes.
Results: Overall, the success rate of horizontal strabismus surgery was 68.3% (138 patients), and the rate of success among the esotropia group (55.1%) was better than the exotropia group (44.9%). Among age groups, a higher recorded success rate was for ages above 6 (71.7%). The success rate was higher in males than females (54.3% and 45.7%, respectively). Chi-square and univariate analysis showed a significant association between gender (p < 0.068), refractive error (p < 0.033), and surgical outcome.
Conclusion: Surgical correction of strabismus improved overall ocular deviation and binocular function. Esotropia patients benefited the most compared to exotropia patients.