{"title":"Characteristics and Trends of Strabismus Surgeries at a Tertiary Hospital Over 2 Decades - What Can Be Learned for Years to Come?","authors":"Asaf Israeli, Tom Bar-Asher, Eedy Mezer","doi":"10.1080/2576117X.2024.2364946","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>To analyze characteristics and trends of strabismus surgeries in an Israeli hospital over 2 decades.</p><p><strong>Methods: </strong>A descriptive, retrospective study including all strabismus surgeries (666) performed during 2000-2019 at an Israeli tertiary hospital. Electronic medical records (EMRs) were directly retrieved to produce an anonymized database.</p><p><strong>Results: </strong>No trends were evident for age, sex, or ethnicity (<i>p</i> = .294, 0.914 and <i>p</i> = .167, respectively). The mean number of horizontal muscles remained stable, while an increase was noted in the mean number of muscles operated on to repair vertical strabismus (<i>p</i> < .0001). Among acquired cases, a 2.67-fold increase was noted in the proportion of spontaneous strabismus and a decrease of traumatic causes to a third (<i>p</i> < .001). An increase was noted in the proportion of exotropia among horizontal strabismus corrections (<i>p</i> = .022), and esotropia correction techniques distribution changed (<i>p</i> = .004). Reoperations comprised a third of all cases during both decades (<i>p</i> = .198). Reoperations were more prevalent among younger and Jewish patients (<i>p</i> < .001 and <i>p</i> = .024, respectively). Techniques to correct esotropia and exotropia differed significantly between primary surgeries and reoperations (<i>p</i> < .00001 each).</p><p><strong>Conclusions: </strong>The complexity of surgical techniques increased over time. Ethnic minorities were less prone to reoperations.</p>","PeriodicalId":37288,"journal":{"name":"Journal of Binocular Vision and Ocular Motility","volume":" ","pages":"84-90"},"PeriodicalIF":0.0000,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Binocular Vision and Ocular Motility","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1080/2576117X.2024.2364946","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/6/26 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 0
Abstract
Purpose: To analyze characteristics and trends of strabismus surgeries in an Israeli hospital over 2 decades.
Methods: A descriptive, retrospective study including all strabismus surgeries (666) performed during 2000-2019 at an Israeli tertiary hospital. Electronic medical records (EMRs) were directly retrieved to produce an anonymized database.
Results: No trends were evident for age, sex, or ethnicity (p = .294, 0.914 and p = .167, respectively). The mean number of horizontal muscles remained stable, while an increase was noted in the mean number of muscles operated on to repair vertical strabismus (p < .0001). Among acquired cases, a 2.67-fold increase was noted in the proportion of spontaneous strabismus and a decrease of traumatic causes to a third (p < .001). An increase was noted in the proportion of exotropia among horizontal strabismus corrections (p = .022), and esotropia correction techniques distribution changed (p = .004). Reoperations comprised a third of all cases during both decades (p = .198). Reoperations were more prevalent among younger and Jewish patients (p < .001 and p = .024, respectively). Techniques to correct esotropia and exotropia differed significantly between primary surgeries and reoperations (p < .00001 each).
Conclusions: The complexity of surgical techniques increased over time. Ethnic minorities were less prone to reoperations.
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