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January 1993

Factors Influencing Response to Strabismus Surgery

Author Affiliations

From the Pediatric Eye Clinic, University Station Clinics, the Department of Ophthalmology (Dr Kushner) and Department of Biostatistics (Dr Fisher), University of Wisconsin, and Davis-Duehr Eye Associates (Dr Lucchese and Ms Morton), Madison, Wis. The authors have no proprietary interest in Teknar Inc, St Louis, Mo, or in the development or marketing of any equipment used to determine axial length.

Arch Ophthalmol. 1993;111(1):75-79. doi:10.1001/archopht.1993.01090010079030

• Based on analyses in a series of 116 patients, we found that the response to strabismus surgery (degrees of change of ocular alignment per millimeter of rectus recession) correlated significantly with the preoperative deviation for esotropic and exotropic patients. The prediction of response to strabismus surgery was not improved significantly with the inclusion of axial length, age, and/or preoperative refractive error beyond the prediction provided with use of only the preoperative deviation, even though we have previously suggested that the response to strabismus surgery should be related to axial length. We believed that larger eyes should have a smaller response for the same number of millimeters of surgery than smaller eyes. We now believe that although the response to strabismus surgery does correlate significantly and inversely with axial length, this correlation may not be clinically important given the much stronger influence of preoperative deviation.

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