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Differences, similarities found in adults with early and late strabismus onset
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Regardless of the age of onset of strabismus, adults with strabismus showed similar surgical success rates, according to the first in a series of studies on the topic.
George Beauchamp, MD, and colleagues with the University of Texas Southwestern Medical Center analyzed the type and amount of ocular misalignment before and after surgery in adult patients with strabismus. Of the 299 patients analyzed, 90 had onset of strabismus before the age of visual maturation (9 years of age) and 145 developed strabismus after the age of visual maturation. Successful alignment was achieved in 63% of those who developed strabismus before visual maturation and in 81% of those who developed strabismus after visual maturation. Subjective complaints resolved at similar rates in both groups. Successful alignment was not correlated with complexity of surgery. Motility and sensory success rates were correlated to the complexity of surgery, however.
The study is published in the August issue of Journal of AAPOS.