Exercise interventions of eye muscles post strabismus surgery / Amany Refaat Mohamed Abdelwahid ; Supervised Adel Abdelhamid Nossier , Mohamed Yasser Sayed Saif , Walid Ahmed Ibrahim Abouelnaga

Thesis (Ph.D.) - Cairo University - Faculty of Physical Therapy - Department of Physical Therapy for Surgery

Purpose: The current study was conducted to examine the effect of exercise interventions of eye muscles on ocular deviation and visual acuity in patients who underwent strabismus surgery. Subjects and Methods: Forty patients who have done strabismus surgery and had remaining ocular deviation and amblyopia were participated in this study. Their ages ranged from 5-15 years. They were divided randomly into two equal groups and they were selected randomly from Research Institute of Ophthalmology. Group (A) was composed of 20 patients who were received exercises training at office and at home. Office exercises involved palming exercise, eye exercises in all directions, pencil push-ups, brock string exercise, thumb exercise (Near-distance jump), balance board exercise, Proprioceptors Neuromuscular Facilitating (PNF) exercise, and computer therapy for 1 hour, 2 times/week for 12 months; and home exercises involved eye exercises in all directions, pencil push-ups, thumb exercise (Near-distance jump), and dominant eye occlusion for 1 hour daily. They were received the usual care and medication after strabismus surgery like eye glasses and eye drops. Group (B) was composed of 20 patients who were received the usual care and medication after strabismus surgery like eye glasses and eye drops. Method of evaluation was using the cover tests to determine and measure the ocular deviation for distance as well as near fixation; and using Snellen chart test to measure visual acuity. Results: There were significant differences in improvement in patients treated with eye exercises than those who were received usual care and medication after strabismus surgery. Conclusion: Exercise interventions of eye muscles can be considered as an effective method to correct ocular deviation and improve visual acuity patients who have done strabismus surgery and had remaining ocular deviation

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