Objectives:

To determine the results after decompensated DVD surgery at the Instituto de Oftalmología, Fundación de Asistencia Privada “Conde de Valenciana,” during the 2004-2014 period.

Materials and Methods:

Ambispective study, in which the long-term results of DVD-correcting surgery on 40 patients of our Institute were evaluated.

Variables of interest:

Best-corrected visual acuity, presence of amblyopia, associated strabismus, pre-surgical magnitude of the deviation, type of surgery, surgical result, need for additional surgeries, and follow-up time.

Results:

Forty patients were studied, of which 28 were female and 12 were male; average age at surgery was 9.6 years, with a mode of 4 years (range 3-35 years). The most frequent associated strabismus was congenital esotropia (60%), followed by dissociated horizontal deviation in 32.5%. Superior rectus recession was performed in 77.5% and inferior rectus tucking in 7.5%. Twelve patients had amblyopia (30%). After surgery, 82% showed DVD compensation and only 3 patients required additional surgeries. The average follow-up period was 4.8 years (range 1-10).

Conclusion:

Most patients that underwent surgery for decompensated DVD showed compensation after surgery. Superior rectus recession is the most commonly performed surgery for the treatment of DVD.

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