1. Improvement in motor development following surgery for infantile esotropia Journal of AAPOS

2. Aim Does early surgery improve motor development in patients with infantile esotropia Does early surgery improve motor development in patients with infantile esotropia

3. Methods 161 patients with infantile esotropia 161 patients with infantile esotropia 25 item survey completed prior to surgery (143) and post surgery (58) 25 item survey completed prior to surgery (143) and post surgery (58) Compared to age matched with normal ocular alignment (194) Compared to age matched with normal ocular alignment (194) Subset of 40 had pre and post op surveys Subset of 40 had pre and post op surveys Survey has 10 qns on fine motor and 15 qns on gross motor Survey has 10 qns on fine motor and 15 qns on gross motor

4. Results Pre-surgery showed delayed achievement in fine motor at most ages (3-10months) and gross motor at some ages. (statistically significant) Pre-surgery showed delayed achievement in fine motor at most ages (3-10months) and gross motor at some ages. (statistically significant) Post op children had caught up with normals Post op children had caught up with normals Sub group of 40 had more rapid development than normals Sub group of 40 had more rapid development than normals

5. Conclusion Early surgery is beneficial to both visual and motor development Early surgery is beneficial to both visual and motor development “profound impairment” in fine motor apparent in pre-surgery group “profound impairment” in fine motor apparent in pre-surgery group

6. Issues No evaluation of stereopsis or fusion to correlate with motor improvement No evaluation of stereopsis or fusion to correlate with motor improvement Scores based on yes/no answer, ? Clinical significance of 1-2 questions Scores based on yes/no answer, ? Clinical significance of 1-2 questions