Skip to main content

Advertisement

SpringerLink
Log in

Accommodation changes after strabismus surgery due to anterior ciliary vessel disruption

  • Pediatrics
  • Published:
Graefe's Archive for Clinical and Experimental Ophthalmology Aims and scope Submit manuscript

Abstract

Purpose

To evaluate monocular accommodation changes after strabismus surgery with and without anterior ciliary vessel preservation.

Methods

Sixty patients with horizontal concomitant strabismus who were scheduled to undergo monocular strabismus surgeries were randomly divided into two groups: A (without anterior ciliary vessel preservation) and B (with anterior ciliary vessel preservation). Group A was further divided into groups A1 (surgical eyes without anterior ciliary vessel preservation) and A2 (corresponding nonsurgical eyes). Group B was further divided into groups B1 (surgical eyes with anterior ciliary vessel preservation) and B2 (corresponding nonsurgical eyes). Monocular accommodative amplitude (AA) and accommodative facility (AF) were evaluated before and 1 day after the surgery to assess accommodation.

Results

In groups A2, B1, and B2, the AA and AF values showed no significant difference preoperatively or postoperatively. However, compared with preoperative values, both the postoperative AA and AF values were significantly reduced in group A1.

Conclusion

Strabismus surgery without anterior ciliary vessel preservation reduces monocular accommodation, whereas strabismus surgery with anterior ciliary vessel preservation protects accommodation.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1

Similar content being viewed by others

References

  1. Wilcox LM, Keough EM, Connolly RJ, Hotte CE (1980) The contribution of blood flow by the anterior ciliary arteries to the anterior segment in the primate eye. Exp Eye Res 30:167–174

    Article  CAS  Google Scholar 

  2. Olver JM, Lee JP (1989) The effects of strabismus surgery on anterior segment circulation. Eye 3:318–326

    Article  Google Scholar 

  3. Wright KW, Lanier AB (1991) Effect of a modified rectus tuck on anterior segment circulation in monkeys. J Pediatr Ophthalmol Strabismus 28:77–81

    CAS  PubMed  Google Scholar 

  4. Simon JW, Grajny A (2004) Anterior segment ischemia following augmented 2-muscle transposition surgery. J AAPOS 8:586–587

    Article  Google Scholar 

  5. Simon JW, Price EC, Krohel GB, Poulin RW, Reinecke RD (1984) Anterior segment ischemia following strabismus surgery. J Pediatr Ophthalmol Strabismus 21:179–185

    CAS  PubMed  Google Scholar 

  6. Saunders RA, Phillips MS (1988) Anterior segment ischemia after three rectus muscle surgery. Ophthalmology 95:533–537

    Article  CAS  Google Scholar 

  7. Mckeown CA, Lambert HM, Shore JW (1989) Preservation of the anterior ciliary vessels during extraocular muscle surgery. Ophthalmology 96:498–507

    Article  CAS  Google Scholar 

  8. Oltra EZ, Pineles SL, Demer JL, Quan AV, Velez FG (2015) The effect of rectus muscle recession, resection and plication on anterior segment circulation in humans. Br J Ophthalmol 99:556–560

    Article  Google Scholar 

  9. Velez FG, Davila JP, Diaz A, Coradetti G, Sarraf D, Pineles SL (2018) Association of change in iris vessel density in optical coherence tomography angiography with anterior segment ischemia after strabismus surgery. JAMA Ophthalmol 136:1041–1045

    Article  Google Scholar 

  10. Pan M, Yang M, Xie R, Zhao Z, Huang X (2017) Does the disruption of horizontal anterior ciliary vessels affect the blood–aqueous barrier function? Graefes Arch Clin Exp Ophthalmol 255:2451–2457

    Article  Google Scholar 

  11. Nilsson SF, Linder J, Bill A (1985) Characteristics of uveal vasodilation produced by facial nerve stimulation in monkeys, cats and rabbits. Exp Eye Res 40:841–852

    Article  CAS  Google Scholar 

  12. Johnson MS, Christiansen SP, Rath PP, Watanabe TM, Merten G, Bothun ED, Anderson JS (2009) Anterior ciliary circulation from the horizontal rectus muscles. Strabismus 17:4

    Article  Google Scholar 

Download references

Acknowledgments

We thank Editage (www.editage.cn) for its linguistic assistance during the preparation of this manuscript.

Funding

This study was funded by National Natural Science Foundation of China (nos. 81670884 and 81873684), Medicine and Health Science and Technology Plan Projects of Xiamen City (no. 3502Z20194068), and Huaxia Translational Medicine Fund for Young Scholars (no. 2018-E-002).

Author information

Authors and Affiliations

  1. Clinical College of Ophthalmology, Tianjin Medical University, Tianjin, China

    Renyi Xie & Yan Wang

  2. Xiamen Eye Centre of Xiamen University, Xiamen, China

    Renyi Xie, Meihua Pan & Mei Yang

  3. Eye Institute of Xiamen University, Xiamen, China

    Renyi Xie, Meihua Pan & Mei Yang

  4. Tianjin Eye Institute, Tianjin Key Laboratory of Ophthalmology and Visual Science, Tianjin Eye Hospital, No 4. Gansu Road, He-ping District, Tianjin, 300020, China

    Yan Wang

Authors
  1. Renyi Xie
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Yan Wang
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Meihua Pan
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Mei Yang
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Yan Wang.

Ethics declarations

Conflict of interest

The authors declare that they have no conflict of interest.

Ethics approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the Xiamen Eye Center Ethic Board and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

Consent to participate

Informed consent was obtained from all adult participants, and parental permission and assent was obtained for all participants below 18 years.

Additional information

Publisher’s note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Xie, R., Wang, Y., Pan, M. et al. Accommodation changes after strabismus surgery due to anterior ciliary vessel disruption. Graefes Arch Clin Exp Ophthalmol 259, 527–532 (2021). https://doi.org/10.1007/s00417-020-04905-3

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00417-020-04905-3

Keywords

Search

Navigation