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6/2003
vol. 105 abstract:
Case report
Advancements in diagnosis and surgical treatment of strabismus in adolescents and adults
Anna Broniarczyk-Loba
1
,
Olimpia Nowakowska
1
,
Iwona Laudańska-Olszewska
1
,
Wojciech Omulecki
1
Online publish date: 2003/12/21
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Purpose: To present complete process of pre-operative strabismus diagnosis, which can be used for prediction of post-operative diplopia in adolescents and adults.
Material and methods: The study involved three patients, who were qualified for the surgical treatment of strabismus. Complete pre-operative diagnosis predicting potential post-operative diplopia was performed in all patients. The prismatic test for diplopia, hyperfunctional muscle botuline toxin injection, and prism correction were performed. Results: Regarding the results of tests, two patients were qualified for surgical treatment. None of them suffered from diplopia after this treatment. The third patient in pre-operative tests showed unacceptably high risk of intolerable diplopia. Conclusions: Post-operative diplopia in adolescents and adults represents a serious problem, especially in susceptible patients. Accurate and complete pre-operative diagnosis allows for risk reduction in post-operative diplopia. The predictive test for post-operative diplopia, botuline toxin injection and prism correction in isolation are not always able, to give a reliable indication, as to the sensory status following strabismus surgery. A combination of the three above mentioned techniques give more reliable diagnosis. For patients, who can possibly suffer from post-operative diplopia, the adjustable suture technique should be applied. keywords:
diplopia, botuline toxin injection, strabismus surgery in adolescent and adults |
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