April 20, 2010
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Certain adult strabismus cases have good outlook for regaining stereopsis

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ORLANDO, Fla. — Adult strabismus subjects with binocular vision or a predisposition for stereopsis in childhood had binocular function improvement after adult strabismus surgery, a retrospective chart review found.

"Adults who present to the strabismus surgeon with varying complaints of diplopia, abnormal head tilts, loss of binocularity or disruption to binocular visual fields have a positive outlook to regain stereopsis following surgical correction of strabismus, as seen in 59.6% of patients in our study," Marilyn B. Mets, MD, and colleagues said in a poster study at the American Association for Pediatric Ophthalmology and Strabismus meeting.

The researchers reviewed 119 consecutive adult strabismus subjects who underwent surgical correction by one surgeon. Surgery occurred between 1990 and 2009. The Titmus stereo test was used to assess stereo acuity. Mean follow-up was 16.7 months.

Patients were divided into three groups based on their preoperative and postoperative stereo acuity measurements: Group A had 59 patients whose stereo acuity improved after strabismus surgery; Group B had 59 patients who had the same results; and Group C had one patient with decreased stereo acuity.

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