One-Year Outcome Predictors of Strabismus Surgery from Anterior Segment Optical Coherence Tomography with Multiple B-Scan Averaging

Strabismologists are eager to identify preoperative or intraoperative strabismus surgery outcome predictors because of the variable effects in each patient. Conjunctival closure position recession after rectus muscle recession is effective for correcting large angle strabismus. The elasticity of the...

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Autores principales: Miyata, Manabu, Suda, Kenji, Uji, Akihito, Hata, Masayuki, Oishi, Akio, Nakano, Eri, Yamamoto, Akinari, Nakao, Shinya, Ohtsuki, Hiroshi, Tsujikawa, Akitaka
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Nature Publishing Group UK 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6385243/
https://www.ncbi.nlm.nih.gov/pubmed/30792463
http://dx.doi.org/10.1038/s41598-019-39361-5
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author Miyata, Manabu
Suda, Kenji
Uji, Akihito
Hata, Masayuki
Oishi, Akio
Nakano, Eri
Yamamoto, Akinari
Nakao, Shinya
Ohtsuki, Hiroshi
Tsujikawa, Akitaka
author_facet Miyata, Manabu
Suda, Kenji
Uji, Akihito
Hata, Masayuki
Oishi, Akio
Nakano, Eri
Yamamoto, Akinari
Nakao, Shinya
Ohtsuki, Hiroshi
Tsujikawa, Akitaka
author_sort Miyata, Manabu
collection PubMed
description Strabismologists are eager to identify preoperative or intraoperative strabismus surgery outcome predictors because of the variable effects in each patient. Conjunctival closure position recession after rectus muscle recession is effective for correcting large angle strabismus. The elasticity of the conjunctiva and Tenon’s capsule is important for strabismus surgery management. In this longitudinal study, we evaluated the prognosis of conjunctiva and Tenon’s capsule thickness (CTT) near the limbus 1 year after strabismus surgery with a limbal conjunctival incision using swept-source anterior segment optical coherence tomography with multiple B-scan averaging. Also, we identified preoperative and/or intraoperative parameters associated with corrective effects 1 year after surgery in 15 consecutive treatment-naïve patients with exotropia or esotropia who underwent recession and resection. The 1-year CTT was greater than the preoperative CTT on the resection side (269 ± 111 vs 183 ± 53 μm, P < 0.001) but was smaller on the recession side (137 ± 54 vs 183 ± 71 μm, P = 0.02). The corrective effect of surgery (1.6 ± 0.3°/mm) was most strongly correlated with preoperative CTT on the recession side (P = 0.005, β = −0.73). Hence, CTT on the recession side may provide adjunctive information for strabismus treatment.
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spelling pubmed-63852432019-02-26 One-Year Outcome Predictors of Strabismus Surgery from Anterior Segment Optical Coherence Tomography with Multiple B-Scan Averaging Miyata, Manabu Suda, Kenji Uji, Akihito Hata, Masayuki Oishi, Akio Nakano, Eri Yamamoto, Akinari Nakao, Shinya Ohtsuki, Hiroshi Tsujikawa, Akitaka Sci Rep Article Strabismologists are eager to identify preoperative or intraoperative strabismus surgery outcome predictors because of the variable effects in each patient. Conjunctival closure position recession after rectus muscle recession is effective for correcting large angle strabismus. The elasticity of the conjunctiva and Tenon’s capsule is important for strabismus surgery management. In this longitudinal study, we evaluated the prognosis of conjunctiva and Tenon’s capsule thickness (CTT) near the limbus 1 year after strabismus surgery with a limbal conjunctival incision using swept-source anterior segment optical coherence tomography with multiple B-scan averaging. Also, we identified preoperative and/or intraoperative parameters associated with corrective effects 1 year after surgery in 15 consecutive treatment-naïve patients with exotropia or esotropia who underwent recession and resection. The 1-year CTT was greater than the preoperative CTT on the resection side (269 ± 111 vs 183 ± 53 μm, P < 0.001) but was smaller on the recession side (137 ± 54 vs 183 ± 71 μm, P = 0.02). The corrective effect of surgery (1.6 ± 0.3°/mm) was most strongly correlated with preoperative CTT on the recession side (P = 0.005, β = −0.73). Hence, CTT on the recession side may provide adjunctive information for strabismus treatment. Nature Publishing Group UK 2019-02-21 /pmc/articles/PMC6385243/ /pubmed/30792463 http://dx.doi.org/10.1038/s41598-019-39361-5 Text en © The Author(s) 2019 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/.
spellingShingle Article
Miyata, Manabu
Suda, Kenji
Uji, Akihito
Hata, Masayuki
Oishi, Akio
Nakano, Eri
Yamamoto, Akinari
Nakao, Shinya
Ohtsuki, Hiroshi
Tsujikawa, Akitaka
One-Year Outcome Predictors of Strabismus Surgery from Anterior Segment Optical Coherence Tomography with Multiple B-Scan Averaging
title One-Year Outcome Predictors of Strabismus Surgery from Anterior Segment Optical Coherence Tomography with Multiple B-Scan Averaging
title_full One-Year Outcome Predictors of Strabismus Surgery from Anterior Segment Optical Coherence Tomography with Multiple B-Scan Averaging
title_fullStr One-Year Outcome Predictors of Strabismus Surgery from Anterior Segment Optical Coherence Tomography with Multiple B-Scan Averaging
title_full_unstemmed One-Year Outcome Predictors of Strabismus Surgery from Anterior Segment Optical Coherence Tomography with Multiple B-Scan Averaging
title_short One-Year Outcome Predictors of Strabismus Surgery from Anterior Segment Optical Coherence Tomography with Multiple B-Scan Averaging
title_sort one-year outcome predictors of strabismus surgery from anterior segment optical coherence tomography with multiple b-scan averaging
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6385243/
https://www.ncbi.nlm.nih.gov/pubmed/30792463
http://dx.doi.org/10.1038/s41598-019-39361-5
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