Session: Poster session B

Think of surgery in age-related distance esotropia patients

INTRODUCTION

Age-related distance esotropia (ARDE) is the commonest cause of diplopia in elderly patients, an acquired, small and disabling distance esotropia that occurs in people over 70 years old. The purpose of this study is to report the results of a series of patients with ARDE who underwent lateral rectus surgery.

 

METHODS

We retrospectively reviewed the medical records of 44 patients diagnosed with ARDE between 2013 and 2023. Clinical characteristics and results of surgery during follow up were analyzed.

 

RESULTS

A total of 44 patients met the inclusion criteria for ARDE. The median age at diagnosis was 80 years. The amount of distance deviation was 7,70 ± 3,07Δ. Strabismus surgery under local anesthesia was performed in 23 patients. Mean distance pre-operative esotropia in this group was 8,78 ± 1,97Δ. Lateral rectus resection in 21 and lateral rectus plication in 2 patients were performed. Mean post-operative distance deviation immediate and after 1,65 ± 0,98Δ years of follow up was 0,57 ± 1,5Δ with elimination of diplopia in all the patients. No overcorrections were found.

 

CONCLUSIONS

The surgery in this group improves the quality of life by the elimination of diplopia  with a simple, safe and long-lasting strategy.