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Authors
Chun, Bo-Young; Kim, Hong-Kyun; Kwon, Jung-Yoon

Comparison of Magnitude of Astigmatism Induced by Lateral Rectus Recession

publication date
September 16, 2009
Category
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Abstract/Introduction

Purpose. 

To study the relationship between the amount of surgical recession with magnitude and axis of induced astigmatism.

 

Methods

From March 2003 to April 2007, 62 patients with intermittent exotropia who had undergone unilateral or bilateral lateral rectus recession were identified retrospectively. The subjects were divided into two groups: group 1 (34 eyes, 34 patients) with a lateral rectus recession ≤9.5 mm and group 2 (56 eyes, 28 patients) with a recession ≤8 mm. Induced astigmatism was defined as the difference between preoperative and postoperative astigmatism, which was calculated using double-angle vector analysis. Cylinder power and axis of induced astigmatism were analyzed at 1 week, 1 month, and 3 months after surgery.


Conclusion/Results

Results

Larger changes in induced astigmatism were found in group 1 than in group 2 at 1 week after recession (0.8 D cylinder, axis 91° vs. 0.3 D cylinder, axis 88°, Student's t-test, p < 0.01). There was a statistically meaningful correlation between the amount of recession and the cylinder power of induced astigmatism at 1 week after recession (Pearson correlation coefficient r = 0.27, p < 0.01). However, this significant difference between the two groups was not maintained thereafter. Relaxation of astigmatism was observed toward the preoperative value over time in both groups; however, there was a statistically significant difference in the cylinder power of induced astigmatism compared with that of preoperative astigmatism in both groups until the 3-month follow-up (p < 0.01).

 

Conclusions

The larger recessions had more induced astigmatism during the first week after surgery. However, there was no statistically significant difference in the magnitude of induced astigmatism thereafter between the two groups. Large lateral rectus recession does not seem to produce a sustained astigmatic change compared with moderate recession.


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Also, he was better at listening. As a parent, we wanted learning to be fun for our Son, and vision therapy made this possible.


Amanda T.

Vision Therapy is well worth the expense, time and effort. Our son had a hard time focusing handwriting neatly. After vision therapy Seth could complete a task in half the time it previously took his abilities to focus and improved greatly and so did his handwriting.

Also, he was better at listening. As a parent you wanted learning to be fun for our son and vision therapy made this possible.


Alexa H.

Vision Therapy has given or son the tools he needs to be able to scan and read the written word more effectively and efficiently.

He love working with John and these working sessions give him the motivation to gladly work on his homework assignments.

It amazed us to see the difference in the tracking of his eyes and along a line of it's from the beginning to the end of the treatment.

Dr. McBryar , Kristen and John  are all marvelous and we would recommend them to anyone I only wish that we would have found them sooner!


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Prior to coming to the institute for vision development my son complained of daily headaches. Therapy has eliminated his headaches completely. I love knowing my son is able to learn pain-free for the rest of his life because of the work that has been done over just a few weeks in this office. He he absolutely loved coming that didn't even feel like going to a doctor or therapy. We are grateful for the relief he was able to find by coming here.

Thank you!


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Seems much less frustrated with life

Reads non-stop and fast

Spelling abilities have been hugely improved

Seems much more confident

Thank You!!!


Kelly O.

When we first came to the practice, my son did not have huge issues, but lots of small ones- trouble with reading, sports (hitting the baseball consistently), coordination, etc- that were not easily detectable,but when put together presented issues. The staff here were all very professional and loving towards him. While I was concerned in the reading, my son was concerned with the athletic side. Seeing improvement night off the bat gave him confidence that i have nor seen in him and made him want to not only Come to therapy, but also made him want to work hard. He has surpassed his grade level and above in reading and hit his first home run this year! Thank you!!!


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