The effectiveness of a modified version of Park's approach in treating strabismus in youngsters

Abstract

Objective: To study the effectiveness of a modified version of Park's approach in treating strabismus in 
youngsters. The study's methodology included recruiting 120 patients from the ophthalmology department of the 
Anhui Provincial Children's Hospital in Anhui, China, from January 2019 through December 2021. Each group 
of patients consisted of 60 individuals; the research group and the control group were similarly structured. A 
regular incision was used to modify the rectus muscles in the control group, whereas a modified version of Park's 
approach including an intermuscular membrane incision and a conjunctiva two-layer suture procedure was used 
in the experimental group. Patient satisfaction, tear film function, and perioperative signs were among the many 
characteristics that were evaluated. The results showed that there was a substantial decrease in intraoperative 
blood loss, operation time, and length of hospital stay in the study group (p < 0.01). In addition, there was a 
marked decrease in corneal staining score (p < 0.01), a substantially longer Schirmer's time, and a significantly 
longer tear film break-up time (TFBUT) time. The study group reported a considerably greater degree of 
satisfaction than the control group (p < 0.05). Also much higher than the control group was clinical effectiveness 
(91.67% vs. 83.33%). In addition, there was a statistically significant difference in the incidence of complications 
between the study group (five) and the control group (eleven; p < 0.05). Results show that Enhanced Park's 
approach has a number of positive effects, including an increase in satisfaction, a decrease in problems, and an 
improvement in perioperative indicators and tear film function. This provides hope that it could one day replace 
more traditional methods of treating exotropia in youngsters. The effectiveness of this therapeutic approach, 
however, can only be determined using data collected over an extended period of time. Topics covered include 
strabismus, the two-layer suture, conjunctiva, intermuscular membrane, and Park's method