ABSTRACT
Introduction: The difficulty in obtaining predictable results is a great challenge on the strabismus surgery field. Procedures can lead to an undesirable development in about 51% of patients, and this difficulty may be due to surgery being perfomed on soft periocular tissues in which anatomical structure can be tricky to locate. Objective: Identify and analyse the main causes of reoperation on strabismus surgery patients treated at Centro Oftamológico do HUUFMA, in São Luís-MA. Methods: A retrospective documental research based on institutional registries, through data collection from physical and eletronic patient records of HUUFMA’s ambulatorial internal system. Results: The analysed reoperation rates were in about 7,31%. 89 patients under 15-year-old (72,35%), 23 patients aged between 15 to 30 (18,69%), and 11 patients over the age of 30 (8,94%) were submitted to surgery, with total number of 123 patients and mean age of 10,32 years. Female patients have prevailed in the population (58,53%). Conclusion: Esotropic deviation was the most common deviation in the reoperated group. The unexpected results and greatest deviations occurred on patients with reported comorbidities and/or syndromes associated with strabismus, such as dissociated horizontal deviation (DHD), which was prevalent among the presented complaints. General anesthesia was most reported in lower age patients. The average time elapsed between the first and the second procedure was 10,54 months, and a relative prevalence of the undercorrections occurred on reoperations procedures.
Keywords:
Reoperations; Strabismus; Child
