Relationship Between Binocular Summation and Stereoacuity After Strabismus Surgery

PURPOSE: To describe the relationship between binocular summation and stereoacuity after strabismus surgery. DESIGN: Prospective case series. METHODS: SETTING: Stein Eye Institute, University of California Los Angeles. PATIENT POPULATION: Pediatric strabismic patients who underwent strabismus surgery between 2010 and 2015. OBSERVATION PROCEDURES: Early Treatment Diabetic Retinopathy Study visual acuity, Sloan low-contrast acuity (LCA, 2.5% and 1.25%), and Randot stereoacuity 2 months following surgical correction of strabismus. MAIN OUTCOME MEASURES: The relationship between binocular summation (BiS), calculated as the difference between the binocular visual acuity score and that of the better eye, and stereoacuity. RESULTS: A total of 130 postoperative strabismic patients were studied. The relationship between binocular summation and stereoacuity was studied by Spearman correlation. There were significant correlations between BiS for 2.5% LCA with near and distance stereoacuity (P = .006 and P = .009). BiS for 1.25% LCA was also significantly correlated with near stereoacuity (P = .04). Near stereoacuity and BiS for 2.5% and 1.25% LCA were significantly dependent (Pearson chi(2), P = .006 and P = .026). Patients with stereoacuity demonstrated significantly more BiS in 2.5% LCA of 2.7 (P = .022) and 3.1 (P = .014) letters than did those without near or distance stereoacuity, respectively. CONCLUSIONS: These findings demonstrate that stereopsis and binocular summation are significantly correlated in patients who have undergone surgical correction of strabismus. (C) 2016 Elsevier Inc. All rights reserved.