Outcomes of OCT imaging-based reoperations in strabismus
Abstract Purpose Reoperations in strabismus are reportedly needed in 20–40% of cases undergoing surgery. The present study investigated the outcomes of reoperations based on preoperative imaging of extraocular muscle insertions, and whether the Anterior Segment Optical Coherence Tomography (ASOCT) w...
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BMC
2025-01-01
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| Series: | BMC Ophthalmology |
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| Online Access: | https://doi.org/10.1186/s12886-024-03816-9 |
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| author | Savleen Kaur Jaspreet Sukhija Srishti Raj Shweta Chaurasia Shubhi Singh M. Optom |
| author_facet | Savleen Kaur Jaspreet Sukhija Srishti Raj Shweta Chaurasia Shubhi Singh M. Optom |
| author_sort | Savleen Kaur |
| collection | DOAJ |
| description | Abstract Purpose Reoperations in strabismus are reportedly needed in 20–40% of cases undergoing surgery. The present study investigated the outcomes of reoperations based on preoperative imaging of extraocular muscle insertions, and whether the Anterior Segment Optical Coherence Tomography (ASOCT) was of value. Methods Patients with strabismus requiring reoperation with/without previous surgical records at the Advanced Eye Centre, PGIMER, Chandigarh were recruited. All patients underwent a thorough clinical examination and imaging of extraocular muscle insertions on the Swept Source Anterior Segment Optical Coherence Tomography. The accuracy of measuring muscle insertions with the ASOCT was compared with intraoperative caliper readings. Results Forty-seven muscles (28 patients) were imaged on ASOCT with confirmation intraoperatively during re-operation. The mean age of the patients was 21.6 ± 5.6 years. After looking at the imaging findings, the decision of which muscle to operate on changed in eleven patients (39.2%). The accuracy of ASOCT to measure muscle insertion ± 1 mm was seen in 78.7% (38/47 muscles). The ASOCT could give additional information, such as a slipped muscle and stretched scar in three patients. Conclusions Imaging can be beneficial in achieving successful results in strabismus reoperations with high accuracy. It can be pivotal in surgical planning in reoperations (~ 40%). |
| format | Article |
| id | doaj-art-babe2ac458144a3785645b7f3d5b14b5 |
| institution | Kabale University |
| issn | 1471-2415 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Ophthalmology |
| spelling | doaj-art-babe2ac458144a3785645b7f3d5b14b52025-01-26T12:21:06ZengBMCBMC Ophthalmology1471-24152025-01-012511610.1186/s12886-024-03816-9Outcomes of OCT imaging-based reoperations in strabismusSavleen Kaur0Jaspreet Sukhija1Srishti Raj2Shweta Chaurasia3Shubhi Singh M. Optom4Post Graduate Institute of Medical Education and ResearchPost Graduate Institute of Medical Education and ResearchPost Graduate Institute of Medical Education and ResearchPost Graduate Institute of Medical Education and ResearchPost Graduate Institute of Medical Education and ResearchAbstract Purpose Reoperations in strabismus are reportedly needed in 20–40% of cases undergoing surgery. The present study investigated the outcomes of reoperations based on preoperative imaging of extraocular muscle insertions, and whether the Anterior Segment Optical Coherence Tomography (ASOCT) was of value. Methods Patients with strabismus requiring reoperation with/without previous surgical records at the Advanced Eye Centre, PGIMER, Chandigarh were recruited. All patients underwent a thorough clinical examination and imaging of extraocular muscle insertions on the Swept Source Anterior Segment Optical Coherence Tomography. The accuracy of measuring muscle insertions with the ASOCT was compared with intraoperative caliper readings. Results Forty-seven muscles (28 patients) were imaged on ASOCT with confirmation intraoperatively during re-operation. The mean age of the patients was 21.6 ± 5.6 years. After looking at the imaging findings, the decision of which muscle to operate on changed in eleven patients (39.2%). The accuracy of ASOCT to measure muscle insertion ± 1 mm was seen in 78.7% (38/47 muscles). The ASOCT could give additional information, such as a slipped muscle and stretched scar in three patients. Conclusions Imaging can be beneficial in achieving successful results in strabismus reoperations with high accuracy. It can be pivotal in surgical planning in reoperations (~ 40%).https://doi.org/10.1186/s12886-024-03816-9ASOCTStrabismus reoperationsImagingMuscle insertionsStrabismus surgery |
| spellingShingle | Savleen Kaur Jaspreet Sukhija Srishti Raj Shweta Chaurasia Shubhi Singh M. Optom Outcomes of OCT imaging-based reoperations in strabismus BMC Ophthalmology ASOCT Strabismus reoperations Imaging Muscle insertions Strabismus surgery |
| title | Outcomes of OCT imaging-based reoperations in strabismus |
| title_full | Outcomes of OCT imaging-based reoperations in strabismus |
| title_fullStr | Outcomes of OCT imaging-based reoperations in strabismus |
| title_full_unstemmed | Outcomes of OCT imaging-based reoperations in strabismus |
| title_short | Outcomes of OCT imaging-based reoperations in strabismus |
| title_sort | outcomes of oct imaging based reoperations in strabismus |
| topic | ASOCT Strabismus reoperations Imaging Muscle insertions Strabismus surgery |
| url | https://doi.org/10.1186/s12886-024-03816-9 |
| work_keys_str_mv | AT savleenkaur outcomesofoctimagingbasedreoperationsinstrabismus AT jaspreetsukhija outcomesofoctimagingbasedreoperationsinstrabismus AT srishtiraj outcomesofoctimagingbasedreoperationsinstrabismus AT shwetachaurasia outcomesofoctimagingbasedreoperationsinstrabismus AT shubhisinghmoptom outcomesofoctimagingbasedreoperationsinstrabismus |