PMID- 34620482
OWN - NLM
STAT- MEDLINE
DCOM- 20211015
LR  - 20211015
IS  - 2173-5794 (Electronic)
IS  - 2173-5794 (Linking)
VI  - 96
IP  - 10
DP  - 2021 Oct
TI  - Evaluation of the insertion distance of the medial rectus in consecutive 
      exotropia by means of intraoperative measure and optical coherence tomography.
PG  - 521-526
LID - S2173-5794(21)00109-2 [pii]
LID - 10.1016/j.oftale.2020.10.012 [doi]
AB  - PURPOSE: To assess the agreement between the measurements of the distance from 
      the medial rectus muscles insertion to the limbus measured by intra-operative 
      spectral-domain optical coherence tomography (SD-OCT) in consecutive exotropia 
      (cXT). METHODS: An analysis was performed on total of 14 medial rectus (MR) 
      muscles of 14 patients who underwent surgery for the treatment of cXT. The 
      limbus-insertion distance of the MR muscles was measured using preoperative 
      SD-OCT and intraoperatively using a calliper. The intraclass correlation 
      coefficient (ICC) and Bland Altman plots were calculated to determine the 
      agreement between the two methods, as well as the correlation. RESULTS: Mean age 
      was 36.3 +/- 16.0 years (range 13-60), with 60% being women. Mean preoperative 
      deviation was 38.7 +/- 16.9 prismatic dioptres (PD) (range 16-65), being +1.3 +/- 6.3 
      PD (range -12 to +10 PD) after surgery. Intraoperatively the MR insertion was 
      found at 8.7 +/- 2.1 mm (range 5.5-12.0) and by OCT at 7.7 +/- 1.2 mm (range 
      5.3-10.0). The ICC showed a moderate to good agreement (0.659; 95% confidence 
      interval: 0.157-0.885; p < 0.001), with a correlation of R = 0.792 (p = 0.011). A 
      better agreement was observed in those MR that were less retro-inserted. 
      CONCLUSIONS: SD-OCT is able to measure the insertion to the limbus distance of 
      the medial rectus muscles that have been previously operated on, showing moderate 
      to good agreement with intraoperative measurements. However, the agreement was 
      poor in muscles with a large retro-insertion.
CI  - Copyright (c) 2020 Sociedad Espanola de Oftalmologia. Published by Elsevier Espana, 
      S.L.U. All rights reserved.
FAU - de-Pablo-Gomez-de-Liano, L
AU  - de-Pablo-Gomez-de-Liano L
AD  - Servicio de Oftalmologia, Hospital Universitario 12 de Octubre, Madrid, Spain. 
      Electronic address: depablo.lucia@gmail.com.
FAU - Reche-Sainz, J A
AU  - Reche-Sainz JA
AD  - Servicio de Oftalmologia, Hospital Universitario 12 de Octubre, Madrid, Spain.
FAU - Fernandez-Vigo, J I
AU  - Fernandez-Vigo JI
AD  - Servicio de Oftalmologia, Hospital Universitario Clinico San Carlos, Instituto de 
      Investigacion Sanitaria (IdISSC), Madrid, Spain.
FAU - Ferro-Osuna, M
AU  - Ferro-Osuna M
AD  - Servicio de Oftalmologia, Hospital Universitario 12 de Octubre, Madrid, Spain.
LA  - eng
PT  - Journal Article
DEP - 20210727
PL  - Spain
TA  - Arch Soc Esp Oftalmol (Engl Ed)
JT  - Archivos de la Sociedad Espanola de Oftalmologia
JID - 101715860
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - *Exotropia/diagnostic imaging
MH  - External Fixators
MH  - Female
MH  - Humans
MH  - Middle Aged
MH  - Oculomotor Muscles/diagnostic imaging
MH  - *Strabismus
MH  - Tomography, Optical Coherence
MH  - Young Adult
OTO - NOTNLM
OT  - Consecutive exotropia
OT  - Distancia insercion-limbo
OT  - Exotropia consecutiva
OT  - Extraocular muscles
OT  - Insercion recto medio
OT  - Limbus-insertion distance
OT  - Medial rectus insertion
OT  - Musculos extraoculares
OT  - Optical coherence tomography
OT  - Tomografia de coherencia optica
EDAT- 2021/10/09 06:00
MHDA- 2021/10/16 06:00
CRDT- 2021/10/08 05:49
PHST- 2020/10/13 00:00 [received]
PHST- 2020/10/26 00:00 [accepted]
PHST- 2021/10/08 05:49 [entrez]
PHST- 2021/10/09 06:00 [pubmed]
PHST- 2021/10/16 06:00 [medline]
AID - S2173-5794(21)00109-2 [pii]
AID - 10.1016/j.oftale.2020.10.012 [doi]
PST - ppublish
SO  - Arch Soc Esp Oftalmol (Engl Ed). 2021 Oct;96(10):521-526. doi: 
      10.1016/j.oftale.2020.10.012. Epub 2021 Jul 27.