Risk Factors for Reoperation after Strabismus Surgery among Patients with Thyroid Eye Disease.
American journal of ophthalmology
PURPOSE: To examine risk factors for strabismus surgery reoperation in patients with thyroid eye disease (TED).DESIGN: Retrospective cohort study METHODS: An insurance claims database was used to identify patients with TED who underwent at least one strabismus operation between 2003 and 2019. We recorded specific muscles operated on, as well as the timing and frequency of reoperations. Cox regressions were used to estimate associations between time to reoperation and patient and primary surgery characteristics.RESULTS: Of the 448 patients who met inclusion criteria, 111 (24.8%) underwent a reoperation. Patients were followed for an average of 5.4 ± 3.0 years after their initial strabismus surgery. The rates of reoperation among patients whose initial surgery involved horizontal muscles only, vertical muscles only, and horizontal and vertical muscles were 29/120 (24.2%), 33/169 (19.5%), and 49/159 (30.8%) respectively (p = .05). The number of muscles operated on initially was the only independent predictor for undergoing a strabismus surgery reoperation (Odds Ratio [OR] 1.27; 95% CI 1.03-1.57; p = 0.03). The number of muscles operated on initially was also associated with shorter time to first reoperation (Hazard Ratio [HR] 1.22; 95% CI 1.02-1.46; p = 0.03). Age at first surgery, time between diagnosis of TED and first strabismus surgery, gender, race, and use of adjustable sutures were not associated with time to reoperation.CONCLUSIONS: Approximately 1 in 4 patients with TED require reoperation after strabismus surgery. The number of muscles operated on was the only independent predictor for both undergoing a reoperation and time to first reoperation.
View details for DOI 10.1016/j.ajo.2021.11.022
View details for PubMedID 34843685
A comparison of utilization and costs of fluocinolone acetonide and dexamethasone intravitreal implants for the treatment of non-infectious uveitis: A cross sectional study
ASSOC RESEARCH VISION OPHTHALMOLOGY INC. 2021
View details for Web of Science ID 000690761100500