Plication versus Resection in Horizontal Strabismus Surgery: A Systematic Review with Meta-Analysis...46th Annual Meeting of American Association for Pediatric Ophthalmology and Strabismus (March 25–29, 2020, Austin, TX, USA).
Purpose. The purpose of this review was to compare the efficacy of rectus muscle plication versus resection on the treatment of horizontal strabismus and to evaluate the exodrift after each technique. Methods. A research was performed in Latin American and Caribbean Literature on Health Sciences (LI...
| Publicado en: | Journal of Ophthalmology pp. 1 - 11 |
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| Autores principales: | , , |
| Formato: | proceedings research systematic review tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
7/3/2020
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=144374987&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 144374987 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 2090004X 9038 jtl: Journal of Ophthalmology issn: 2090004X maglogo: N pubinfo: dt: 7/3/2020 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 144374987 144374987 144374987 10.1155/2020/5625062 144374987 ppf: 1 ppct: 10 formats: tig: atl: Plication versus Resection in Horizontal Strabismus Surgery: A Systematic Review with Meta-Analysis...46th Annual Meeting of American Association for Pediatric Ophthalmology and Strabismus (March 25–29, 2020, Austin, TX, USA). aug: au: Issaho, Dayane Cristine de Freitas, Denise Cronemberger, Monica Fialho affil: Hospital de Olhos Do Parana, Curitiba, Brazil sug: subj: Strabismus Surgery Treatment Outcomes Human Systematic Review Meta Analysis Congresses and Conferences United States United States Medline Odds Ratio Confidence Intervals ab: Purpose. The purpose of this review was to compare the efficacy of rectus muscle plication versus resection on the treatment of horizontal strabismus and to evaluate the exodrift after each technique. Methods. A research was performed in Latin American and Caribbean Literature on Health Sciences (LILACS); MEDLINE; and Cochrane Central Register of Controlled Trial (CENTRAL). The database was searched by 30 June 2019. The selection was restricted to articles published in English, Spanish, or Portuguese. There were no date restrictions in the search. A minimum mean follow-up of six months was required to access the primary outcomes. Motor alignment success was defined as postprocedure deviation within 10 prism diopters (PD) of orthotropia. Results. Seven studies were eligible for inclusion. The grouped success rate after plication was 66% (95% CI = [43%–89%]), and the grouped success rate after resection was 68% (95% CI = [43%–89%]). High heterogeneity was observed between the estimations. There was no difference between the mean amount of deviation corrected in prism diopters, when using the mixed-model approach (SMD = 0.12; 95% CI = −0.2–0.44; p = 0.45). The undercorrection rates were also analyzed. The combined odds ratio was 1.37 (95% CI = 0.59–3.16; p = 0.462), and there was no statistical significance. Conclusion. Plication of horizontal extraocular muscles reveals to be an alternative to resection in strabismus surgery, with similar results. Exodrift is observed after plication and after resection in the treatment of exotropia, but randomized clinical trials are necessary to analyze and compare the follow-up. pubtype: Academic Journal doctype: meta analysis proceedings research systematic review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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