Journal d'ophtalmologie clinique et expérimentale
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Clinical observation of surgical outcomes of patients with Bielschowsky type acute acquired concomitant esotropi

Jiwen Yang

Purpose: To review and analyze surgical outcomes of patients with Bielschowsky type acute acquired concomitant esotropia (AACE).

Methods: Retrospective study. We enrolled 9 esotropia and diplopia patients with myopia who performed strabismus surgery in Shenyang Aier Eye Hospital between June 2018 and March 2019, including 4 males, 5 females. The mean age of the patients was 22.67±5.41 (range, 16-30) years. They underwent monocular Medial Rectus Recession and Lateral Rectus Resection (6 cases), monocular Lateral Rectus Resection (3 cases).

Results: 1.The mean time of esotropia and diplopia onset: 22±15.59 (range, 6-48) months. 2. Incentives and treatment history: Excessive near working (2 cases), acupuncture treatment (3 cases), others with no treatment.3.The mean refractive errors in the right and left eyes were -4.05±1.34 (range,-2.25~-6.50) and -3.52±0.98 (range,-2.00~-5.25) diopters (D), respectively. 4. The mean AC/A value: 2.04±1.10 (range,0.67~4).5.Esodeviations: Average preoperative esodeviations at near and distance were 22.67±12.41(range,14~48) and 29.11±9.27(range,18~46) PD, average postoperative esodeviations at near and distance were 0 and 0.44±1.33(range,0~4)PD. There were significant statistically difference between preoperative and postoperative esodeviations both at near (T=5.48