Surgical outcomes following strabismus surgery in children

• Research type

  Research Study

• Full title

  Clinical effectiveness and safety of strabismus surgery and comparison of different surgical techniques

• IRAS ID

  161539

• Contact name

  Darius Hildebrand

• Contact email

  dariushildebrand@yahoo.co.uk

• Sponsor organisation

  Royal Berkshire Hospital

• Duration of Study in the UK

  1 years, 0 months, 1 days

• Research summary

  Strabismus, or squint, surgery is one of the most common ophthalmic operations in children. The goal is to improve the alignment of the eyes by moving the muscles attached to the outside of the eye (called extra-ocular muscles) to a new position, thus strengthening or weakening them as appropriate. Extra-ocular muscle strengthening can be performed either through a resection (excising portion of the muscle) or plication (folding the muscle) techniques. Both procedures are considered effective for the muscle strengthening and are routinely performed, although resection is the more common approach used in the UK.

  There are several advantages to using the plication technique as it leads to less surgical trauma, bleeding, potential reversibility and reported shorter operating time. There is currently little data available comparing the clinical results of resection and plication surgery in larger patient groups.
  
  At our ophthalmology department, at Royal Berkshire Hospital, both plication and resection surgical techniques are performed. We aim to retrospectively analyse the results of squint surgery performed by a single surgeon between February 2011-January 2014 on all patients under the age of 18 years. This will enable us to compare the outcomes and clinical effectiveness of resection and plication surgery and lead to development of a formula to enable increased precision in squint surgery in the future. Additionally, we will assess the safety of squint surgery by examining complication rates and patients’ satisfaction.

• REC name

  London - Surrey Research Ethics Committee

• REC reference

  15/LO/0063

• Date of REC Opinion

  14 Jan 2015

• REC opinion

  Favourable Opinion