Aqueous drainage device surgery in refractory pediatric XXXX : II. Ocular motility consequences.

@entity1 @entity10064 @entity726 @entity1319
PURPOSE: To determine the prevalence of complications relating to @entity1319 and alignment in @entity1 with refractory congenital and @entity726 treated with aqueous drainage device surgery. METHODS: Chart review of consecutive @entity1 treated with aqueous drainage devices at Duke University Eye Center from 1995 to 2006 for @entity1319 and strabismus as well as sensorimotor testing results before and after aqueous drainage device placement. RESULTS: Thirty-eight eyes of 30 @entity1 with @entity10064 and 41 eyes of 32 @entity1 with @entity726 were included. Optotype visual acuity testing could be performed in a minority of @entity1 preoperatively. After aqueous drainage device surgery, 14 and 20 eyes, respectively, were >20/100 in the @entity10064 and @entity726 groups. Only a few @entity1 had stereopsis or demonstrated binocular function on Worth 4-Dot testing in both groups before and after aqueous drainage device surgery. Horizontal and vertical strabismus was common, especially after aqueous drainage device surgery and occurred in 57% of @entity10064 @entity1 and 47% of @entity726 @entity1 . Motility limitation (both vertical and horizontal) was also common and occurred in 37% overall. DISCUSSION: @entity1319 and strabismus were common in @entity1 after aqueous drainage device surgery. These potential problems should be considered when aqueous drainage device surgery is planned, especially in @entity1 with binocularity.
