Dr.Isha Gupta

Dr.Deepti P., Dr.Krishna Prasad R.

Abstract

Purpose – To evaluate outcomes of strabismus surgery in CFEOM.
Study design – Prospective randomized, interventional study.
Methods – Nine cases of CFEOM were recruited in the study. All cases had chin-up abnormal head posture, ptosis and hypotropia. Seven had associated exotropia and one had esotropia in primary gaze. Recession procedures were performed as per needs of case in one/two stages.
Results :All of these cases had 10-15 pD of residual hypotropia with residual exotropia in three cases. All cases of CFEOM should undergo large recessions of extra ocular muscles in order to release the restriction and achieve maximal horizontal centration. Hypotropia is difficult to correct completely, but the abnormal head posture improved significantly in all the cases by use of crutch glasses.
Conclusion : Every case of CFEOM requires a bespoke approach with large recessions as the basis of all surgeries done in these cases. Overcorrection on table can give long term stable results.