Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2020 Feb 13:14:449-454.
doi: 10.2147/OPTH.S241861. eCollection 2020.

Outcome of Esotropia Surgery in 2 Tertiary Hospitals in Cameroon

Viola Andin Dohvoma  1   2 , Stève Robert Ebana Mvogo  1 , Jean Audrey Ndongo  1 , Caroline Tsimi Mvilongo  2 , Côme Ebana Mvogo  1   2
Affiliations

Outcome of Esotropia Surgery in 2 Tertiary Hospitals in Cameroon

Viola Andin Dohvoma et al. Clin Ophthalmol. .

Abstract

Purpose: To evaluate the ocular alignment following esotropia surgery in our setting.

Patients and methods: We conducted a cross sectional descriptive study which spanned 19 years, from October 1999 to September 2018 at the Douala General Hospital and the Yaoundé Central Hospital. Complete medical records of patients who underwent surgery for esotropia during the study period were included. Data collected included age at diagnosis, sex, age of onset of esotropia, age at surgery, refractive error, type of surgery performed, pre and post-operative angle of deviation. The outcome was considered good when the postoperative angle was ≤10 prism diopters (PD).

Results: Four hundred and ninety patients with primary esotropia were seen during the study period. Only 155 returned for follow-up after wearing the full cycloplegic correction for a minimum period of 3 months. Accommodative esotropia was found in 32 cases (20.6%). Among the 123 cases requiring surgery, 63 cases underwent surgery (51.2%). Fifty-nine complete records were included (59.3% females and 40.7% males). The mean age at the time of diagnosis was 6.5 ± 6.1 years and the mean age at the time of surgery was 8.7 ± 6.1 years. The mean preoperative angle at distance was 42.8 ±10.8 PD. The outcome was good in 91.5% of cases. No factor influenced the outcome of surgery.

Conclusion: The outcome of esotropia surgery was good in this study. This could serve to increase patient motivation to accept surgery in our setting.

Keywords: esotropia; esotropia surgery; infantile esotropia.

PubMed Disclaimer

Conflict of interest statement

The authors report no conflict of interest in this work.

References

    1. Hunter DG, Ellis FJ. Prevalence of systemic and ocular disease in infantile exotropia: comparison with infantile esotropia. Ophthalmology. 1999;106(10):1951–1956. doi:10.1016/S0161-6420(99)90407-4 - DOI - PubMed
    1. Bayramlar H, Gurturk AY, Sari U, Karadag R. Overcorrecting minus lens therapy in patients with intermittent exotropia: should it be the first therapeutic choice? Int Ophthalmol. 2017;37(2):385–390. doi:10.1007/s10792-016-0273-9 - DOI - PubMed
    1. Chatzistefanou KI, Ladas ID, Droutsas KD, Koutsandrea C, Chimonidou E. Three horizontal muscle surgery for large-angle infantile or presumed infantile esotropia: long-term motor outcomes. JAMA Ophthalmol. 2013;131(8):1041–1048. doi:10.1001/jamaophthalmol.2013.704 - DOI - PubMed
    1. Tolun H, Dikici K, Ozkiris A. Long-term results of bimedial rectus recessions in infantile Esotropia. J Pediatr Ophthalmol Strabismus. 1999;36(4):201–205. - PubMed
    1. Weakley DR, Parks MM. Results from 7-mm bilateral recessions of the medial rectus muscles for congenital esotropia. Ophthalmic Surg. 1990;21(12):827–830. - PubMed

LinkOut - more resources