Strabismus surgery outcomes in pediatric patients with developmental delay: a meta-analysis and systematic review.
Edward Tran, Monali Malvankar-Mehta, Nirmit Shah et al.
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In 30 seconds
This meta-analysis evaluated strabismus surgery outcomes in pediatric patients with developmental delays, comparing them to children without such delays. The analysis included 31 studies with 3687 subjects. While developmentally delayed children showed a significant improvement in angle of deviation (SMD 2.79), they had a higher rate of overcorrection (12% vs 4.35%) and a notable need for repeat surgeries.
Key findings
- Developmentally delayed children had a significant improvement in angle of deviation (SMD 2.79).
- The median rate of overcorrection was higher in developmentally delayed children at 12%, compared to 4.35% in others.
- The median incidence for needing one surgery was 71.45% in developmentally delayed children.
Why it matters
Understanding the surgical outcomes in children with developmental delays is crucial for clinicians, as it informs expectations regarding ocular alignment improvements and the likelihood of repeat surgeries, aiding in preoperative counseling and management strategies.