[Möbius sequence: long-term strabismus surgical outcome].
OBJECTIVE
To analyze the long-term results in a consecutive series of Möbius sequence patients, who underwent surgical correction of strabismus.


METHODS
Ten patients with Möbius sequence fulfilled the inclusion criteria of this study. All patients presented esotropia at the preoperative examination, above or equal to 15 prismatic diopters (DP) varying from 15 to 85. All patients presented lateral rectus muscles severe underaction, six presented hipertropia above or equal 10 DP associated with esodeviation, and five presented anisotropia in A or in V. The patients were operated upon protocol, in a consecutive way, in July 2002. Patients were reexamined periodically, and at 2nd postoperative year as for: the visual acuity; deviation measurements; ocular rotations; cosmetic aspect and socialization.


RESULTS
The patients presented satisfactory surgical results in eight cases, considering an eso or exodeviation up to 15 DP and a hipertropia lower than 10 DP. Four (40%) patients presented correction of the preoperative anisotropia. Variation of ocular deviation in the primary position (from the 90th day to the 2nd postoperative year was observed) in 9 patients (90%), demonstrating that strabismus surgical stabilization needs time.


CONCLUSIONS
The surgical results were considered satisfactory, improving patient self-esteem and the parent satisfaction, making the social inclusion easier.
Ventura
Liana Oliveira
LO
Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brasil.
da Cruz
Cristiane Bezerra
CB
de Almeida
Henderson Celestino
HC
Millar
Marilyn
M
Lira
Alessandra Freitas Carneiro
AF
Antunes
Daniela Lyra
DL
D015858:Anisometropia / Q000601:surgery; D002648:Child; D002675:Child, Preschool; D004948:Esotropia / Q000601:surgery; D005099:Exotropia / Q000601:surgery; D005133:Eye Movements / Q000502:physiology; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D020331:Mobius Syndrome / Q000628:therapy*; D009801:Oculomotor Muscles / Q000601:surgery; D011300:Preoperative Care; D012399:Rotation; D012951:Socialization; D013285:Strabismus / Q000601:surgery*; D013997:Time Factors; D016896:Treatment Outcome; D014787:Vision Tests; D014792:Visual Acuity