The Effect of Strabismus Surgery on Refractive Error and Anterior Segment Measurement

Tuğçe Türkcan Soğuksulu; Adem Türk; Ömer Özer

Makale detayları

The Effect of Strabismus Surgery on Refractive Error and Anterior Segment Measurement

Yazarlar:

Tuğçe Türkcan Soğuksulu | Adem Türk | Ömer Özer

Yayıncı:

Duzce University

Ana Başlıklar:

Clinical Sciences

Dergi:

Duzce Medical Journal Vol.25 Issue 2, pp.129-134

Belge Tipi:

Makale

Yayın Tarihi:

8/2023

Belge Dili:

İngilizce

Document ID (Org No.):

2001289180

pISSN:

1307-671X

Anahtar kelimeler:

Özet:

 Aim: This study aimed to investigate the effects of horizontal strabismus surgery on refractive error and anterior segment parameters. Material and Methods: Fifty-four eyes of 27 patients were included in this study. Patients underwent repeated refraction measurements and anterior segment evaluation preoperatively, first week, first month, third month, and sixth month postoperatively. Patients were divided into three groups, those who underwent resection group 1, recession group 2, and healthy eyes without any surgical intervention group 3. Results: The mean age of the patients was 24.411.1 years and 14 51.9 were female. There was a statistically significant difference in central corneal thickness in group 2 before and after surgery p0.037. The mean central corneal thickness was highest in the first week with 548.1440.42 µm and lowest in the first month with 541.5041.75 µm after surgery. There was a statistically significant difference in cell density p0.004 and mean cell area p0.004 between groups 1 and 2 in the first week after surgery. The cell density level was statistically significantly higher in group 1 in all postoperative measurements. In addition, the mean cell area level was statistically significantly lower in group 1. Conclusion: Strabismus surgery has an effect on anterior segment parameters in addition to correcting eye movements and visual axis. Depending on the type of intervention, the number of affected anterior segment parameters also varies. In the management of the patient in the postoperative period, the anterior segment structures should be carefully evaluated at each examination and the findings should be noted.

 Aim: This study aimed to investigate the effects of horizontal strabismus surgery on refractive error and anterior segment parameters. Material and Methods: Fifty-four eyes of 27 patients were included in this study. Patients underwent repeated refraction measurements and anterior segment evaluation preoperatively, first week, first month, third month, and sixth month postoperatively. Patients were divided into three groups, those who underwent resection group 1, recession group 2, and healthy eyes without any surgical intervention group 3. Results: The mean age of the patients was 24.411.1 years and 14 51.9 were female. There was a statistically significant difference in central corneal thickness in group 2 before and after surgery p0.037. The mean central corneal thickness was highest in the first week with 548.1440.42 µm and lowest in the first month with 541.5041.75 µm after surgery. There was a statistically significant difference in cell density p0.004 and mean cell area p0.004 between groups 1 and 2 in the first week after surgery. The cell density level was statistically significantly higher in group 1 in all postoperative measurements. In addition, the mean cell area level was statistically significantly lower in group 1. Conclusion: Strabismus surgery has an effect on anterior segment parameters in addition to correcting eye movements and visual axis. Depending on the type of intervention, the number of affected anterior segment parameters also varies. In the management of the patient in the postoperative period, the anterior segment structures should be carefully evaluated at each examination and the findings should be noted.

 Aim: This study aimed to investigate the effects of horizontal strabismus surgery on refractive error and anterior segment parameters. Material and Methods: Fifty-four eyes of 27 patients were included in this study. Patients underwent repeated refraction measurements and anterior segment evaluation preoperatively, first week, first month, third month, and sixth month postoperatively. Patients were divided into three groups, those who underwent resection group 1, recession group 2, and healthy eyes without any surgical intervention group 3. Results: The mean age of the patients was 24.411.1 years and 14 51.9 were female. There was a statistically significant difference in central corneal thickness in group 2 before and after surgery p0.037. The mean central corneal thickness was highest in the first week with 548.1440.42 µm and lowest in the first month with 541.5041.75 µm after surgery. There was a statistically significant difference in cell density p0.004 and mean cell area p0.004 between groups 1 and 2 in the first week after surgery. The cell density level was statistically significantly higher in group 1 in all postoperative measurements. In addition, the mean cell area level was statistically significantly lower in group 1. Conclusion: Strabismus surgery has an effect on anterior segment parameters in addition to correcting eye movements and visual axis. Depending on the type of intervention, the number of affected anterior segment parameters also varies. In the management of the patient in the postoperative period, the anterior segment structures should be carefully evaluated at each examination and the findings should be noted.

 Amaç: Bu çalışmada horizontal şaşılık cerrahisinin, refraksiyon kusuru ve ön segment parametrelerine olan etkilerinin araştırılması amaçlanmıştır. Gereç ve Yöntemler: Bu çalışmaya 27 hastanın toplam 54 gözü dahil edildi. Hastalara cerrahi öncesi, cerrahi sonrası birinci hafta, birinci ay, üçüncü ay ve altıncı ayda tekrarlayan refraksiyon ölçümü ve ön segment değerlendirilmesi yapıldı. Hastalar, rezeksiyon kısaltma yapılanlar grup 1, resesyon geriletme yapılanlar grup 2 ve herhangi bir cerrahi müdahale geçirmemiş sağlıklı gözler grup 3 olmak üzere üç gruba ayrıldı. Bulgular: Hastaların yaş ortalaması 24,411,1 yıl ve 14ü 51,9 kadındı. Grup 2de cerrahi öncesi ve sonrası dönemde merkezi kornea kalınlığında istatistiksel olarak anlamlı bir farklılık saptandı p0,037. Ortalama merkezi kornea kalınlığı ameliyat sonrası 548,1440,42 µm ile birinci haftada en yüksek, 541,5041,75 µm ile birinci ayda en düşüktü. Cerrahi sonrası birinci haftada, grup 1 ve 2 arasında, hücre yoğunluğu p0,004 ve ortalama hücre alanı p0,004 değerlerinde istatistiksel olarak anlamlı bir farklılık vardı. Cerrahi sonrası tüm ölçümlerde hücre yoğunluğu düzeyi grup 1de istatistiksel olarak anlamlı derecede yüksekti. Ayrıca, ortalama hücre alanı düzeyi grup 1de istatistiksel olarak anlamlı derecede düşüktü. Sonuç: Şaşılık cerrahisi, göz hareketlerini ve görme eksenini düzeltmenin yanı sıra ön segment parametreleri üzerine de etkilidir. Müdahalenin tipine bağlı olmak üzere, etkilenen ön segment parametrelerin sayısı da değişmektedir. Cerrahi sonrası dönemdeki hastanın yönetiminde her muayenede ön segment yapıları dikkatli değerlendirilmeli ve bulgular not edilmelidir.

Makale detayları

The Effect of Strabismus Surgery on Refractive Error and Anterior Segment Measurement

Yazarlar:

Tuğçe Türkcan Soğuksulu | Adem Türk | Ömer Özer

Yayıncı:

Duzce University

Ana Başlıklar:

Clinical Sciences

Dergi:

Duzce Medical Journal Vol.25 Issue 2, pp.129-134

Belge Tipi:

Makale

Yayın Tarihi:

8/2023

Belge Dili:

İngilizce

Document ID (Org No.):

2001289180

pISSN:

1307-671X

Anterior segment

refraction changes

strabismus surgeryÖn segment

refraksiyon değişiklikleri

şaşılık cerrahisi

Sayı

Makale detayları

The Effect of Strabismus Surgery on Refractive Error and Anterior Segment Measurement

Yazarlar: Tuğçe Türkcan Soğuksulu | Adem Türk | Ömer Özer

Yayıncı: Duzce University

Ana Başlıklar: Clinical Sciences

Dergi: Duzce Medical Journal Vol.25 Issue 2, pp.129-134

Belge Tipi: Makale

Yayın Tarihi: 8/2023

Belge Dili: İngilizce

Document ID (Org No.): 2001289180

pISSN: 1307-671X

Anterior segment

refraction changes

strabismus surgeryÖn segment

refraksiyon değişiklikleri

şaşılık cerrahisi

Sayı

Yazarlar:

Tuğçe Türkcan Soğuksulu | Adem Türk | Ömer Özer

Yayıncı:

Duzce University

Ana Başlıklar:

Clinical Sciences

Dergi:

Duzce Medical Journal Vol.25 Issue 2, pp.129-134

Belge Tipi:

Makale

Yayın Tarihi:

8/2023

Belge Dili:

İngilizce

Document ID (Org No.):

2001289180

pISSN:

1307-671X