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Characteristics and Trends of Strabismus Surgeries at a Tertiary Hospital Over 2 Decades - What Can Be Learned for Years to Come?
Israeli, Asaf; Bar-Asher, Tom; Mezer, Eedy.
Afiliación
  • Israeli A; Bruce and Ruth Rappaport Faculty of Medicine, Technion - Israel Institute of Technology, Haifa, Israel.
  • Bar-Asher T; Tel Aviv Medical Center, Tel Aviv, Israel.
  • Mezer E; Bruce and Ruth Rappaport Faculty of Medicine, Technion - Israel Institute of Technology, Haifa, Israel.
J Binocul Vis Ocul Motil ; 74(2): 84-90, 2024.
Article en En | MEDLINE | ID: mdl-38924773
ABSTRACT

PURPOSE:

To analyze characteristics and trends of strabismus surgeries in an Israeli hospital over 2 decades.

METHODS:

A descriptive, retrospective study including all strabismus surgeries (666) performed during 2000-2019 at an Israeli tertiary hospital. Electronic medical records (EMRs) were directly retrieved to produce an anonymized database.

RESULTS:

No trends were evident for age, sex, or ethnicity (p = .294, 0.914 and p = .167, respectively). The mean number of horizontal muscles remained stable, while an increase was noted in the mean number of muscles operated on to repair vertical strabismus (p < .0001). Among acquired cases, a 2.67-fold increase was noted in the proportion of spontaneous strabismus and a decrease of traumatic causes to a third (p < .001). An increase was noted in the proportion of exotropia among horizontal strabismus corrections (p = .022), and esotropia correction techniques distribution changed (p = .004). Reoperations comprised a third of all cases during both decades (p = .198). Reoperations were more prevalent among younger and Jewish patients (p < .001 and p = .024, respectively). Techniques to correct esotropia and exotropia differed significantly between primary surgeries and reoperations (p < .00001 each).

CONCLUSIONS:

The complexity of surgical techniques increased over time. Ethnic minorities were less prone to reoperations.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Procedimientos Quirúrgicos Oftalmológicos / Estrabismo / Centros de Atención Terciaria / Músculos Oculomotores Límite: Adolescent / Adult / Aged / Aged80 / Child / Child, preschool / Female / Humans / Infant / Male País/Región como asunto: Asia Idioma: En Revista: J Binocul Vis Ocul Motil Año: 2024 Tipo del documento: Article País de afiliación: Israel Pais de publicación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Procedimientos Quirúrgicos Oftalmológicos / Estrabismo / Centros de Atención Terciaria / Músculos Oculomotores Límite: Adolescent / Adult / Aged / Aged80 / Child / Child, preschool / Female / Humans / Infant / Male País/Región como asunto: Asia Idioma: En Revista: J Binocul Vis Ocul Motil Año: 2024 Tipo del documento: Article País de afiliación: Israel Pais de publicación: Estados Unidos