Universität zu Köln

Wabbels, Bettina ORCID: 0000-0002-7767-114X, Fricke, Julia, Schittkowski, Michael, Graf, Michael, Lorenz, Birgit, Bau, Viktoria, Nentwich, Martin M., Atili, Abed, Eckstein, Anja, Sturm, Veit, Beisse, Christina, Sterker, Ina, Neppert, Birte and Mauschitz, Matthias M. (2021). Yokoyama procedure for esotropia associated with high myopia: real-world data from a large-scale multicentre analysis. Acta Ophthalmol., 99 (8). S. E1340 - 8. HOBOKEN: WILEY. ISSN 1755-3768

Full text not available from this repository.

Abstract

Purpose High myopic patients may develop strabismus due to globe dislocation out of the normal extraocular muscle cone. Surgical correction of this strabismus type is possible by joining the superior and lateral rectus muscles without the need for a scleral suture called the Yokoyama procedure. Data from large patient samples and the evaluation of a potential effect of an additional medial rectus recession (MRR) have been lacking so far. Methods We pooled retrospective patient data of 14 departments of ophthalmology in Germany and Switzerland and analysed determinants of postoperative results using multivariable regression models. Results We included 133 patients (mean age: 59.7 +/- 13.4 years, surgery between 2008 and 2017) with a mean preoperative esotropia (both Yokoyama with and without MRR) of 23.8 degrees +/- 4.6 degrees. The angle of preoperative esotropia increased with age. The postoperative esotropia was 8.7 degrees +/- 9.9 degrees, and six patients were overcorrected. While preoperative esotropia was highly associated with postoperative results, we found no association of additional MRR with any of our postoperative outcome measures. The Yokoyama procedure had a higher absolute effect in patients with higher preoperative esotropia. Conclusion Our study confirms the positive effect of the Yokoyama procedure on strabismus due to high myopia in large-scale real-world data. In some cases, MRR may be needed because of muscle contracture, although additional MRR statistically did not affect the postoperative outcome. In patients with bilateral high myopic strabismus, correction of both eyes seems beneficial. The effect size of the Yokoyama procedure appears to be mainly driven by preoperative esotropia.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Wabbels, Bettina UNSPECIFIED orcid.org/0000-0002-7767-114X UNSPECIFIED Fricke, Julia UNSPECIFIED UNSPECIFIED UNSPECIFIED Schittkowski, Michael UNSPECIFIED UNSPECIFIED UNSPECIFIED Graf, Michael UNSPECIFIED UNSPECIFIED UNSPECIFIED Lorenz, Birgit UNSPECIFIED UNSPECIFIED UNSPECIFIED Bau, Viktoria UNSPECIFIED UNSPECIFIED UNSPECIFIED Nentwich, Martin M. UNSPECIFIED UNSPECIFIED UNSPECIFIED Atili, Abed UNSPECIFIED UNSPECIFIED UNSPECIFIED Eckstein, Anja UNSPECIFIED UNSPECIFIED UNSPECIFIED Sturm, Veit UNSPECIFIED UNSPECIFIED UNSPECIFIED Beisse, Christina UNSPECIFIED UNSPECIFIED UNSPECIFIED Sterker, Ina UNSPECIFIED UNSPECIFIED UNSPECIFIED Neppert, Birte UNSPECIFIED UNSPECIFIED UNSPECIFIED Mauschitz, Matthias M. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-602138
DOI:	10.1111/aos.14808
Journal or Publication Title:	Acta Ophthalmol.
Volume:	99
Number:	8
Page Range:	S. E1340 - 8
Date:	2021
Publisher:	WILEY
Place of Publication:	HOBOKEN
ISSN:	1755-3768
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language Ophthalmology Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/60213