Duspara et all htp://saliniana.com.ba 30 ACTA MEDICA SALINIANA Vol 49(2) : 2019 HALIMIĆ et all ACTA MEDICA SALINIANA ORIGINAL PAPER © 2019 by Acta Medica Saliniana ISSN 0350-364X DOI: 10.5457/505 Jasmina Alajbegović- Halimić¹, Nina Jovanović², Tarik Halimić³ Afliations: 1Private Ophthalmic Practice “Dr Halimić”, Sarajevo, Bosnia & Herzegovina, 2Eye Department Cantonal Hospital, Zenica, Bosnia & Herzegovina, 3Eye Clinic, University Clinic Center, Mostar, Bosnia & Herzegovina Received: 20.06.2019. Accepted: 01.11.2019. Corresponding author: Jasmina Alajbegović-Halimić Mob: + 387 61 10 71 07, e-mail:jasna_halimic@hotmail.com Funding: none Competing interests: none SUCCESS RATE OF STRABISMUS SURGERY IN ADULT PATIENTS Jasmina Alajbegović- Halimić¹, Nina Jovanović², Tarik Halimić³ ABSTRACT Background Purpose. Adults as well as children may have problems with strabismus, which can significantly affects on quality of social and professional life. Strabismus surgery in adults are not conditioned for years of a patient, and the main goal of this kind of surgery is to improve motoric-senzorial relationship of eyes, and to improve esthetic moment of a patient. Patients&Methods. A surgical review was performed on 35 adult patients with strabismus in period between January 2016 - May 2018 years. The type of strabismus, preoperative measurements, and indications for surgery were obtained from the patient notes, as were all final outcomes. Final measurements, on average, were 3 to 6 weeks postoperatively, and patients were asked to comment subjectively on their outcome. Results. In total number 35 of adult strabismic patients, were 12 (34,3%) male and 23 (65,7%) female, mean age 34,15±13 ( 20 to 67 years), 17 patiens (48,6%) were exotropic, esotropic 11 (31,4%) patiens, and hypertropic 7 (20%) patients. Indication for surgery in the most cases were aesthetic 28 (80%). The success rate is measured by number of orthophoric patients with less than 10 prism diopters 31 (88,6%), stereoacuity 22 (62,9%) and patient satisfaction 30 (85,7%). Conclusion. Adult strabismus surgery is very successful and provides patients with a good level of satisfaction. Many patients seek surgical correction for cosmetic and psychosocial benefits. Keywords: adult, strabismus, success, surgery INTRODUCTION Strabismus or eye misalignment is both a medical as well as psychosocial problem. Medical(functional)problems involve: asthenopia, diplopia, suppression, limitation or lack of fusion and stereopsis, torticolis and possible monocular and binocular changes of vision. Psychological and social problems are sometimes even greater than medical problems because patients with strabismus may experience a handicap in everyday life and in communication and sometimes limited capability for work, driving or sports. It is a common misconception that strabismus is a exclusively a childhood disease, but it is a common problem in adult population, approximately 4% of patients older than 15 years have strabismus (1,2,3,4). Adult patients hardly make a decision for operation because they think they are either too old or they think that operation will make their condition more difficult, especially if patients have strabismus since childhood (1,2,3). There are two forms of strabismus in adult patients. The first form is strabismus since childhood which has not been treated or the treatment was unsuccessful. Certain forms of uncompensated phorias fall into this group. Some patients have good visual function, but they also have problems with binocular vision and some patients have amblyopia since childhood, in these cases it is important to emphasize that operation will not improve vision, but