Effects of strabismus surgery on static and dynamic pupillometry


Sabancı Ş., Yavuz S., Kizildag Özbay E., Bozkurt Gencer M., Küçük M. F., Erol M. K.

Strabismus, cilt.34, sa.3, ss.327-333, 2026 (ESCI, Scopus)

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 34 Sayı: 3
  • Basım Tarihi: 2026
  • Doi Numarası: 10.1080/09273972.2026.2630733
  • Dergi Adı: Strabismus
  • Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI), Scopus, EMBASE, MEDLINE, Academic Search Ultimate (EBSCO), Biomedical Reference Collection: Corporate Edition (EBSCO)
  • Sayfa Sayıları: ss.327-333
  • Anahtar Kelimeler: Parasympathetic nervous system, prospective study, pupillary response, squint surgery, sympathetic nervous system
  • Sağlık Bilimleri Üniversitesi Adresli: Evet

Özet

Purpose: Many factors influence pupil diameter, including ocular surgery. The purpose of this study was to investigate the effects of strabismus surgery performed through a limbal incision on static and dynamic pupillometry. Method: Static and dynamic pupillometry measurements were made and compared in 32 eyes of 32 patients who were scheduled to undergo horizontal muscle recession and resection through a limbal incision in one eye preoperatively and postoperatively on 10 day and at months 1 and 3. Results: All postoperative scotopic pupil diameter measurements of the cases were found to be significantly higher than the preoperative scotopic pupil diameter (p =.0027). In the dynamic pupillometry analysis, a significant difference was found between preoperative and postoperative day 10 and month 1 pupil diameter values of the cases for the measurements taken at seconds 1 and 2 and (p1=0.0033, p2=0.0039, and p5=0.0238). No significant difference was found between preoperative and postoperative values for dynamic pupillometry pupil dilation velocities at any evaluation point. Conclusion: We believe that after strabismus surgery, the balance between the parasympathetic and sympathetic nervous systems, which determine the pupil diameter, is disrupted to the detriment of the parasympathetic nervous system.