XXXX : surgical outcome and non ophthalmologic associations.

@entity129 @entity1 @entity2341 @entity735
BACKGROUND: @entity2341 ( @entity2341 ) is the most common of the ocular @entity129 .This study evaluates the types of @entity2341 and its management in @entity1 presenting to the paediatric and strabismus unit of a tertiary care eye hospital. METHODS: This case series study involved 41 @entity1 diagnosed with @entity2341 between January 2007 and December 2009. History of presenting complaints, past treatment and family history were recorded. Ocular examination and orthoptic assessment was carried out RESULTS: Forty one @entity1 were included in this case series study. It involved 10 right eyes, 27 @entity735 @entity1 . There were 26 females and 15 males. @entity2341 was present in 28 (68.3%), type 2 in 8 (19.5%), Type-3 in 4 (9.8%) and type-4 with synergistic divergence was present in 1 (2.4%) @entity1 . Comorbidity was present in 6(14.6%) @entity1 . Surgery was carried out in 26 (63.4%) @entity1 either for   abnormal head posturing or significant upshoots or down shoots. Upshoots noted in 21 eyes, were completely or partially resolved in 15 cases. Among 4 @entity1 with down shoots on adduction, complete resolution was seen in 1. The pre and post-operative measurements of horizontal deviation showed statistically significant difference in Duane type-1 and 2, where as in Duane type-3 it was not significant. One @entity1 with type-4 Duane did not undergo surgery. CONCLUSIONS: Recession of the horizontal recti is more effective in treating the upshoot or down shoot associated with @entity2341 as compared to recession and y-split of the horizontal muscle.
