Health Condition 1: O- Medical and Surgical
Conditions
Interventions
Intervention1: Forniceal approach: Eyeball will be rotated away from the field of surgery using fixation forceps at the limbus. The conjunctival incision will be given inferotemporal for lateral rectu
with the incision following the contour of the limbus. Small bit of tenons capsule will be cut and excised. Muscle will be hooked by sweeping the muscle hook on bare sclera
the conjunctiva will be reflected over muscle and tenons and surrounding connective tissue including the check ligaments cleared from the muscles by blunt and sharp dissection. After exposing muscles,
it may also be left un-sutured if so felt. This is one time proceedure.
Control Intervention1: Single snip paralimbal approach: Using surgical skin marker, conjunctiva in the quadrant of interest will
Sponsors
Umme Summaiyya
Eligibility
Inclusion criteria
Inclusion criteria: 1. Consenting adults patients with informed consent; and adolescents and children, with their assent, while parents would provide consent. 2. Patients with horizontal (esotropia (ET) or exotropia (XT)) strabismus, qualifying for bilateral symmetrical surgery.
Exclusion criteria
Exclusion criteria: 1. Patients requiring vertical rectus or oblique surgery. 2. Patients with an active ocular inflammatory condition. 3. Patients unable to cooperate due to neurological illness. 4. Patients with recent ocular surgery within 3 months or less.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Post-operative inflammation( redness, congestion, chemosis, foreign body sensation and drop intolerance) scored as nil,mild, moderate, severe. Total inflammatory score:an aggregate of the 5 individual clinical inflammatory markers. Surgical success:success being defined as less than 10 PD or orthotropia. Scar visibility from one meter.Timepoint: Post-operative inflammation( redness, congestion, chemosis, foreign body sensation and drop intolerance) on post-operative day 1, at 2weeks and at 4-6weeks. Total inflammatory score on post-operative day 1, at 2weeks and at 4-6weeks. Surgical success at post-operative 4-6 weeks. Scar visibility at post-operative 4-6 weeks. | — |
Secondary
| Measure | Time frame |
|---|---|
| Duration of surgery in minutes. Lax length of conjunctival incision at the end of suturing. Number of sutures used to close the conjunctival incision. Eye opening Timepoint: On the OT table. eye opening on day1 and at 2 weeks. | — |
Countries
India
Contacts
Public ContactProf Abadan Khan Amitava
Institute of Ophthalmology,Jawaharlal Nehru Medical College,AMU
Outcome results
None listed