Our Summary

This study compared two different surgical methods for treating a condition called monocular horizontal strabismus, in which one eye does not align properly with the other. The two methods were the standard para limbal (SPL) approach, and a newer technique called the single para-muscular (SPM) approach.

36 patients were split into two groups, with half receiving the SPL surgery, and the other half receiving the SPM surgery. The researchers then compared the two groups in terms of how much redness, swelling and discomfort they experienced after the operation, as well as how visible the surgical scar was, and how successful the operation was in treating the condition.

The results showed no significant difference between the two groups in terms of post-operation discomfort and appearance. However, the SPL surgery was on average 21.5 minutes quicker than the SPM surgery.

In simple terms, the study found that the newer SPM surgical technique is just as effective and comfortable for patients as the traditional SPL technique, but it takes a bit longer to perform.

FAQs

  1. What is monocular horizontal strabismus and how is it treated surgically?
  2. What were the main differences and similarities found between the SPL and SPM surgical methods in this study?
  3. How did the duration of the SPL and SPM surgeries compare in the study?

Doctor’s Tip

A doctor might tell a patient considering strabismus surgery that both the standard para limbal (SPL) approach and the single para-muscular (SPM) approach are effective options for treating their condition. They may also explain that while the SPM approach may take a bit longer to perform, it offers similar post-operative comfort and appearance outcomes as the SPL approach. Ultimately, the choice between the two techniques may depend on individual patient preferences and needs.

Suitable For

Patients who are recommended for strabismus surgery typically have a misalignment of the eyes that cannot be corrected with other treatments such as glasses, patching, or vision therapy. Strabismus surgery may be recommended for patients with conditions such as monocular horizontal strabismus, where one eye turns inward or outward, causing double vision or difficulty focusing. The decision to undergo surgery is based on factors such as the severity of the misalignment, the patient’s age, and their overall eye health.

Timeline

Before strabismus surgery, a patient typically undergoes a consultation with an ophthalmologist to discuss the procedure and potential risks and benefits. They may also undergo pre-operative testing to assess their eye alignment and overall eye health.

On the day of the surgery, the patient will arrive at the surgical center and receive anesthesia to numb the eye area. The surgeon will then perform the necessary adjustments to the eye muscles to correct the misalignment.

After the surgery, the patient may experience some redness, swelling, and discomfort in the eye area. They will be given instructions on how to care for their eyes post-surgery, including using eye drops and avoiding strenuous activities.

Over the next few weeks, the patient will have follow-up appointments with their ophthalmologist to monitor their progress and ensure that the surgery was successful in correcting the strabismus. In some cases, additional surgeries or treatments may be necessary.

Overall, strabismus surgery can greatly improve the alignment of the eyes and help improve visual function and quality of life for patients with this condition.

What to Ask Your Doctor

Some questions a patient should ask their doctor about strabismus surgery include:

  1. What is the success rate of the surgery for treating my specific type of strabismus?
  2. What are the potential risks and complications associated with the surgery?
  3. How long will the recovery period be and what can I expect in terms of discomfort or pain?
  4. Will I need to wear an eye patch or have any restrictions on activities after the surgery?
  5. How visible will the surgical scar be and what can be done to minimize its appearance?
  6. Are there any alternative treatment options to consider before undergoing surgery?
  7. How experienced are you in performing this specific type of strabismus surgery?
  8. Will I need follow-up appointments or additional treatments after the surgery?
  9. What are the expected outcomes in terms of improved eye alignment and visual function?
  10. How will the surgery impact my daily life and activities in the long term?

Reference

Authors: Parveen A, Kauser F, Amitava AK, Akhtar N. Journal: Indian J Ophthalmol. 2022 Feb;70(2):613-618. doi: 10.4103/ijo.IJO_2059_21. PMID: 35086247