The effectiveness of modifying Park's approach in treating strabismus in youngsters

Abstract

Goal: Examine if modified Park's approach works well for strabismus patients' kids.
Methods: From January 2019 to December 2021, a total of 120 patients were recruited at the Anhui Provincial
Children's Hospital in Anhui, China, in the Department of Ophthalmology. Each of the two groups—the study and
the control—contained sixty patients. The research group underwent a modified Park's approach, which featured
an intermuscular membrane incision and a conjunctiva two-layer suture method, whereas the control group got
rectus muscle adjustment suture using a normal incision. Numerous factors were evaluated, including patient
satisfaction, tear film performance, and perioperative indications.
Findings: There was a substantial reduction in intraoperative blood loss, surgical time, and hospital stay for the
study group (p < 0.01). Additionally, it had a substantially lower corneal staining score (p < 0.01), a significantly
greater Schirmer's time, and a tear film break-up time (TFBUT) time. The study group's satisfaction level was
much greater than the control group's (p < 0.05). Clinical effectiveness was also higher (91.67%) than in the control
group (83.33%). Furthermore, compared to the control group (11; p < 0.05), the study group showed a considerably
decreased incidence of complications (5).
In conclusion, enhanced Park's approach results in excellent effectiveness and a decreased incidence of problems
while also improving perioperative indicators, tear film function, and satisfaction level. This implies that it might
be a good alternative to the standard care given to kids with exotropia. However, in order to prove that this treatment
approach is better, long-term follow-up data will be needed.