@article {959386, title = {Strabismus surgery outcomes in the Infant Aphakia Treatment Study (IATS) at age 5 years.}, journal = {J AAPOS}, volume = {20}, number = {6}, year = {2016}, month = {2016 Dec}, pages = {501-505}, abstract = {PURPOSE: To report strabismus surgery frequency and outcomes after monocular infantile cataract surgery with or without IOL implantation. METHODS: The Infant Aphakia Treatment Study (IATS) is a randomized, multicenter clinical trial comparing treatment of aphakia with a primary IOL or contact lens in 114 infants with a unilateral congenital cataract. This report is a secondary outcome analysis of ocular motor data from IATS patients who underwent strabismus surgery prior to age 5\ years. RESULTS: Strabismus surgery was performed in 45 (39\%) patients (contact lens group [CL], 37\%; IOL group, 42\% [P\ =\ 0.70]). The indications for strabismus surgery were esotropia (62\%), exotropia (33\%), and hypertropia (4\%). Infants who underwent cataract surgery at a younger age were less likely to undergo strabismus surgery (28-48\ days, 12/50 [24\%]; 49-210\ days, 33/64 [52\%]; P\ =\ 0.0037). Of the 42 patients who underwent strabismus surgery, 14 (33\%) had a postoperative distance alignment within 8(Δ) of orthotropia at age 5\ years. The 5-year visual acuity of children with strabismus was the same whether or not strabismus surgery had been performed (1.10 logMAR with surgery vs 1.00 without [P\ =\ 0.71]). CONCLUSIONS: In this study cohort, cataract surgery performed in the first 6\ weeks of life was associated with a reduced frequency of strabismus surgery. Strabismus surgery outcomes in this population are guarded. Surgical improvement of strabismus does not appear to influence long-term visual acuity.}, issn = {1528-3933}, doi = {10.1016/j.jaapos.2016.09.014}, author = {Bothun, Erick D and Lynn, Michael J and Christiansen, Stephen P and Kruger, Stacey J and VanderVeen, Deborah K and Neely, Dan E and Lambert, Scott R and Infant Aphakic Treatment Study} }