Surgical Success Rates in Infantile Esotropia - Vision Therapy Vancouver

Study title: Surgical success rates in infantile esotropia.

Citation:

Scheiman M, Ciner E, Gallaway M. J Am Optom Assoc. Surgical success rates in infantile esotropia.1989 Jan;60(1):22-31.

Abstract

An extensive literature search covering the last 35 years was undertaken to retrieve all English language articles reporting results of surgical management of infantile esotropia. Only 27 of the 48 studies retrieved met the minimum criteria which we established for inclusion in our analysis. The success rate for achieving some level of binocular vision was 22% in 1286 patients, while the overall cosmetic success rate was 63% in 2113 patients. Newer surgical procedures appear to be more effective in achieving cosmetic success. Although controversy still exists about the optimal time for surgery, the most reasonable approach appears to be the concept of performing surgery as soon as an accurate determination can be made of the deviation and associated characteristics, and only after attention has been directed to any accommodative component and treatment of amblyopia. Although approximately 60% of patients referred for surgery can be expected to achieve cosmetic improvement after the first operation, the need for multiple surgery is common. There is a trend toward recurrence of the strabismus, and the need for short interval, long-term optometric follow-up is essential.

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"Today, a relatively small group of optometrists still practice and continue to perfect optometric vision therapy techniques. Yet, it is difficult for a strabismic patient to learn about, much less access, this type of clinician."

Dr. Susan Barry, 2010 Journal of the American Optometric Association

Quotable

There has been an explosion of research into the optometric treatment of the visual symptoms following concussions by using vision therapy and rehabilitation.

There have been so many studies demonstrating the effectiveness of these approaches and clinics like our's across North America are making a big difference in the lives of concussion patients. Here is a passage from a recent article by Dr.Neera Kapoor.

Quotable

In an 2008 study published in the journal, Optometry, that studied oculomotor dysfunctions in acquired brain injury, the researchers concluded that, "[n]early all patients in the current clinic sample exhibited either complete or marked reduction in their oculomotor-based symptoms and improvement in related clinical signs, with maintenance of the symptom reduction and sign improvements at the 2- to 3-month follow-up. These findings show the efficacy of optometric vision therapy for a range of oculomotor abnormalities in the primarily adult, mild brain-injured population. Furthermore, it shows considerable residual neural plasticity despite the presence of documented brain injury."