Topical anaesthesia in strabismus surgery for Graves’ orbitopathy: a comparative study of 111 patients
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Topical anaesthesia in strabismus surgery for Graves’ orbitopathy : a comparative study of 111 patients. / Boulakh, Lena; Toft-Petersen, Anne Pernille; Severinsen, Martin; Toft, Peter Bjerre; Ellervik, Christina; Buch Hesgaard, Helena; Heegaard, Steffen.
I: Acta Ophthalmologica, Bind 100, Nr. 4, 2022, s. 447-453.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - Topical anaesthesia in strabismus surgery for Graves’ orbitopathy
T2 - a comparative study of 111 patients
AU - Boulakh, Lena
AU - Toft-Petersen, Anne Pernille
AU - Severinsen, Martin
AU - Toft, Peter Bjerre
AU - Ellervik, Christina
AU - Buch Hesgaard, Helena
AU - Heegaard, Steffen
N1 - The authors would like to thank Troels Vinding, MD, DM. Sci, who performed all the surgeries. The authors would also like to thank the Synoptik foundation, Ole Kirk's foundation, Helsefonden and Mikael Bondum for the generous financial support. The funding organizations had no role in the design or conduct of this research.
PY - 2022
Y1 - 2022
N2 - Purpose: To evaluate the tolerability and usability of topical anaesthesia in single rectus muscle recession for strabismus caused by Graves’ orbitopathy (GO). To compare the perioperative pain score and surgical outcome between GO patients and non-GO patients. Methods: A retrospective comparative study of consecutive single rectus muscle recession performed under topical anaesthesia was carried out. All patients scheduled for one-stage single rectus muscle recession under topical anaesthesia were included. Numerical visual analogue pain score scale (NVAS) points, rates of motor success (horizontal deviation < 8 prism diopters (PD) and vertical deviation ≤ 6 PD) and sensory success (no diplopia without prisms), complications and postoperative adjustment frequencies were compared between GO and non-GO patients. Results: A total of 111 patients were included. The mean perioperative pain scores were 2.3 (SD ± 1.3) in GO and 1.6 (SD ± 1.1) in non-GO patients (p = 0.06 adjusted for gender). The postoperative mean alignments in GO and non-GO patients were 2 versus 3 PD horizontally and 1 versus 1 PD vertically respectively. Both motor and sensory success rates were 98% in GO patients and 94% versus 93% in non-GO patients. Adjustments as a second procedure the day after surgery was performed in 10% of the GO patients and 15% of the non-GO patients. The oculocardiac reflex was not triggered in any of the GO patients. Conclusion: Topical anaesthesia in single muscle recession for GO is safe, well-tolerated and gives comparable surgical outcomes to those achieved in non-GO patients.
AB - Purpose: To evaluate the tolerability and usability of topical anaesthesia in single rectus muscle recession for strabismus caused by Graves’ orbitopathy (GO). To compare the perioperative pain score and surgical outcome between GO patients and non-GO patients. Methods: A retrospective comparative study of consecutive single rectus muscle recession performed under topical anaesthesia was carried out. All patients scheduled for one-stage single rectus muscle recession under topical anaesthesia were included. Numerical visual analogue pain score scale (NVAS) points, rates of motor success (horizontal deviation < 8 prism diopters (PD) and vertical deviation ≤ 6 PD) and sensory success (no diplopia without prisms), complications and postoperative adjustment frequencies were compared between GO and non-GO patients. Results: A total of 111 patients were included. The mean perioperative pain scores were 2.3 (SD ± 1.3) in GO and 1.6 (SD ± 1.1) in non-GO patients (p = 0.06 adjusted for gender). The postoperative mean alignments in GO and non-GO patients were 2 versus 3 PD horizontally and 1 versus 1 PD vertically respectively. Both motor and sensory success rates were 98% in GO patients and 94% versus 93% in non-GO patients. Adjustments as a second procedure the day after surgery was performed in 10% of the GO patients and 15% of the non-GO patients. The oculocardiac reflex was not triggered in any of the GO patients. Conclusion: Topical anaesthesia in single muscle recession for GO is safe, well-tolerated and gives comparable surgical outcomes to those achieved in non-GO patients.
KW - diplopia
KW - Graves’ eye disease
KW - Graves’ ophthalmopathy
KW - Graves’ orbitopathy
KW - outcomes
KW - strabismus surgery
KW - thyroid eye disease
KW - topical anaesthesia
U2 - 10.1111/aos.15024
DO - 10.1111/aos.15024
M3 - Journal article
C2 - 34532987
AN - SCOPUS:85115012874
VL - 100
SP - 447
EP - 453
JO - Acta Ophthalmologica
JF - Acta Ophthalmologica
SN - 1755-375X
IS - 4
ER -
ID: 280727385