Our Summary

This research paper discusses the use of a new tool called integrated intraoperative ocular coherence tomography (i2OCT) in eye surgery. This tool has already proved beneficial in surgeries involving the retina and cornea. However, the authors argue that it could also be very useful in other areas of eye surgery, specifically strabismus surgery, which corrects misaligned eyes. The i2OCT can help surgeons locate the eye muscles, which can be particularly useful in repeat surgeries. It can also be used as a teaching tool for trainee surgeons, helping them understand the depth at which to operate. The paper describes various examples of how this tool can assist in training and improving surgical techniques.

FAQs

  1. What is the role of integrated intraoperative ocular coherence tomography (i2OCT) in strabismus surgery?
  2. How does i2OCT aid in training for strabismus surgery?
  3. Can i2OCT be used to identify extraocular muscles during strabismus reoperations?

Doctor’s Tip

One helpful tip a doctor might tell a patient about strabismus surgery is to follow all pre-operative instructions provided by the surgeon, such as avoiding certain medications or foods before the procedure. It is also important to discuss any concerns or questions with the surgeon before the surgery to ensure a successful outcome. Additionally, following post-operative care instructions, such as using prescribed eye drops and attending follow-up appointments, is crucial for a smooth recovery.

Suitable For

Strabismus surgery is typically recommended for patients with misaligned eyes, which can be caused by various factors such as muscle imbalance, nerve dysfunction, or other underlying eye conditions. Patients with strabismus may experience double vision, eye strain, amblyopia (lazy eye), or social stigma due to their eye misalignment.

Strabismus surgery may be recommended for patients who have not responded to other treatments such as vision therapy, prism glasses, or botulinum toxin injections. Patients with constant or intermittent strabismus, large angle deviations, or significant functional limitations due to their eye misalignment may be good candidates for strabismus surgery.

Overall, the decision to recommend strabismus surgery is based on the individual patient’s specific condition, symptoms, and goals for treatment. It is important for patients to consult with an experienced ophthalmologist or strabismus specialist to determine the best course of treatment for their particular case.

Timeline

Before strabismus surgery:

  • Patient undergoes a comprehensive eye examination to assess the severity of their strabismus and determine the appropriate surgical approach
  • Patient meets with their ophthalmologist to discuss the surgery, potential risks and benefits, and post-operative expectations
  • Patient may undergo pre-operative testing such as blood work or imaging studies
  • Patient may need to make arrangements for transportation to and from the surgical facility, as well as for post-operative care

After strabismus surgery:

  • Patient may experience some discomfort, redness, and swelling in the eye(s) following the surgery
  • Patient will need to follow post-operative instructions provided by their ophthalmologist, which may include using eye drops, wearing an eye patch, and avoiding strenuous activities
  • Patient will have follow-up appointments with their ophthalmologist to monitor their progress and adjust their treatment plan as needed
  • Patient may need to undergo vision therapy or additional surgeries to achieve the desired alignment of their eyes
  • Patient may experience improvements in their vision, depth perception, and overall quality of life as a result of the surgery

What to Ask Your Doctor

  1. What are the potential risks and complications of strabismus surgery?
  2. How successful is strabismus surgery in correcting misalignment of the eyes?
  3. What is the recovery process like after strabismus surgery?
  4. How long will it take for my eyes to fully align after surgery?
  5. Are there any alternative treatments to strabismus surgery that I should consider?
  6. How experienced are you in performing strabismus surgery?
  7. Will I need to undergo any additional tests or evaluations before the surgery?
  8. How will I be monitored during and after the surgery?
  9. What should I expect in terms of post-operative care and follow-up appointments?
  10. Can you explain how the use of i2OCT technology will benefit my strabismus surgery specifically?

Reference

Authors: Shah PR, Pihlblad MS. Journal: Dev Ophthalmol. 2021;61:27-31. doi: 10.1159/000511819. Epub 2021 Feb 16. PMID: 33592620