ASOPRSFall Scientific SymposiumSyllabus
145
DetailedProgram
—Friday,October 17, 2014
Patterns of Strabismus FollowingOrbital Decompression inThyroidEyeDisease, continued
Comitant Strabismus
Incomitant Strabismus
Table3.Univariable andMultivariableLogisticModelEvaluating theRelationshipBetween
Ocular andNon-OcularFactors andRiskofDevelopment ofComitant versus Incomitant
StrabismusPostDecompressionSurgery
RiskFactors
OddsRatios (95%CI)
Univariable
Multivariable
Demographic
AfricanDescent&Other
0.84 (0.20-3.54)
-
OlderAgeperyear
0.98 (0.95-1.02)
0.97 (0.93-1.01)
MaleGender
2.04 (0.69-6.07)
2.35 (0.71-7.84)
Ocular
Pre-DecompressionMedialRectus
muscle
increasewidth
permm
0.99 (0 .97-1.02)
-
Pre-Decompression LateralRectus
muscle increasewidth
permm
0.98 (0 .95-1.02)
-
Pre-DecompressionSuperiorRectus
muscle increasewidth
permm
1.01 (0 .98-1.04)
-
Pre-Decompression InferiorRectus
muscle increasewidth
permm
1.00 (0 .98-1.03)
-
Pre-DecompressionMargin ToReflex
Distance 1 increase
permm
0.93 (0.73-1.19)
-
Pre-DecompressionMargin ToReflex
Distance2 increase permm
0.90 (0.66-1.25)
-
Pre-Decompression Lag
1.25 (0.74-2.08)
-
Pre-Decompression Naugle
0.99 (0.86-1.15)
-
Post-DecompressionABDUCTION
0.76 (0.49-1.19)
-
Post-DecompressionADDUCTION
0.79 (0 .21-2.98)
-
Post-Decompression SUPRADUCTION
1.25 (0.82-1.89)
-
Post-Decompression INFRADUCTION
1.68 (0.58-4.92)
-
Post-DecompressionMargin To
ReflexDistance 1
0.77 (0 .60-1.01)
0.80 (0.59-1.09)
Post-DecompressionMargin To
ReflexDistance 2
0.93 (0 .65-1.32)
-
Post-Decompression Lag
1.21 (0.95-1.53)
-
Post-Decompression Naugle
1.06 (0.88-1.27)
-
LessWallsDecompressed
(1 or 2 vs3 or 4)
3.21 (0.99-10.42)
3.54 (1.11-11.26)
ClinicalActivityScore
(<4 vs≥4)
0.97 (0.75-1.24)
-
Longer Time toDecompression
0.63 (0 .17-2.41)
-
Pre-DecompressionDiplopia
1.97 (0.69—5.58)
-
Pre-DecompressionRadiation
0.39 (0 .12-4.78)
-
Botox atDecompression
1.74 (0.43-7.05)
-
Straight Post Strabismus Surgery
2.47 (0.80-7.63)
-
Comitant Pre-Decompression
0.64 (0.095-4.25)
-
Table4.UnivariableandMultivariableLogisticModelEvaluating theRelationshipBetween
OcularandNon-OcularFactors andRiskofDevelopmentofStrabismusPostDecompression
Surgery.
RiskFactors
OddsRatios (95%CI)
Univariable
Multivariable
Demographic
AfricanDescent&Other
0.26 (0.095-0.702)
0.067 (0.008-0.57)
OlderAgeperyear
1.04 (1.01-1.07)
1.04 (0.99-1.10)
MaleGender
2.64 (0.88-7.88)
3.28 (0.23-46.39)
Ocular
Pre-DecompressionMedialRectus
muscle
increasewidth
permm
1.05 (1.00-1.09)
0.96 (0.92-1.009)
Pre-Decompression LateralRectus
muscle increasewidth
permm
1.05 (1.01-1.09)
1.09(1.02-1.17)
Pre-DecompressionSuperiorRectus
muscle increasewidth
permm
1.04 (1.01-1.07)
1.05 (1.01-1.11)
Pre-Decompression InferiorRectus
muscle increasewidth
permm
1.03 (0 .99-1.06)
Pre-DecompressionMargin ToReflex
Distance1 increase
permm
1.11 (0.91-1.36)
Pre-DecompressionMargin ToReflex
Distance2 increasepermm
0.92 (0.70-1.22)
Pre-Decompression Lag
1.08 (0.74-1.58)
Pre-Decompression Naugle
0.93 (0.82-1.05)
Post-DecompressionABDUCTION
0.02 (0.002-0.13)
0.02 (0.003-0.17)
Post-DecompressionADDUCTION
0.02 (0 .0005-0.55)
0.002 (0.00002-0.16)
Post-DecompressionSUPRADUCTION
0.05 (0.002-1.15)
Post-Decompression INFRADUCTION
0.18 (0.035-0.89)
0.12(0.02-0.66)
Post-DecompressionMargin ToReflex
Distance1
1.35 (1.05-1.73)
1.37 (0.87-2.15)
Post-DecompressionMargin ToReflex
Distance2
1.13 (0 .86-1.48)
Post-Decompression Lag
0.93 (0.76-1.13)
Post-Decompression Naugle
0.96 (0.83-1.12)
LessWallsDecompressed
(1 or2 vs3 or4)
0.28 (0.12-0.66)
0.34 (0.07-1.62)
LessClinicalActivityScore
(<4 vs≥4)
1.12 (0.92-1.35)
Longer Time toDecompression
0.95 (0 .88-1.03)
Pre-DecompressionDiplopia
1.97 (0.69—5.58)
Pre-DecompressionRadiation
0.95 (0 .34-2.73)
Critique
•
Not randomized
•
Tertiaryeye care center
–
Refractory,moreextreme cases?
–
Differences in surgical technique
•
Is 6months longenough? 3months after
strabismus surgery?
