Objective: To investigate the surgical outcome according to the angle of deviation at postoperative day 1 in patients with recurrent exotropia DESIGN: Retrospective case series METHODS: Surgical outcome in patients with recurrent exotropia for at least 1 year was analyzed retrospectively. Patients were divided into 3 subgroups according to the angle of deviation at postoperative day 1: overcorrection group (≥2 prism diopter [PD] of esodeviation), orthotropic group (orthotropia or <5 PD of exodeviation), and undercorrection group (≥5 PD of exodeviation). Success was defined as ≤5 PD of esodeviation or ≤10 PD of exodeviation at the final visit.
Results: One hundred and six patients were included in this study. Age at surgery was 11.8 ± 6.9 years, and preoperative angle of deviation was 22.9 ± 6.3 PD at distant. Patients were followed-up for 24.4 ± 12.8 months. There were 20 (18.9%), 82 (77.4%), and 4 (3.8%) patients in overcorrection, orthotropic, and undercorrection groups at postoperative day 1 (p = 0.001). The surgical success rate at the final visit in the overcorrection group (95%) was higher than that in orthotropic and undercorrection groups (76.8% and 25%, respectively, p = 0.004). In univariate regression analysis, overcorrection at postoperative day 1 was the only reliable factor for long-term success (odds ratio [OR] = 24.101, p = 0.01).
Conclusion: Overcorrection at postoperative day 1 is a good surgical predictor of successful outcome in surgery for recurrent exotropia.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1016/j.jcjo.2017.05.015 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Clinical significance of medial rectus tendon width in unilateral medial rectus resection for patients with previously recessed lateral rectus muscle for exotropia.
J AAPOS
December 2024
Department of Ophthalmology, Korea University College of Medicine, Seoul, Korea. Electronic address:
In cases of recurrent exotropia, medial rectus resection after bilateral lateral rectus recession is often considered for reoperations. The surgical amount of medial rectus resection is typically determined according to the standard surgical dose table; however, postoperative variability has been noted in the surgical outcomes. In the current study, medial rectus tendon width (MRTW) was measured intraoperatively, and surgical dose-response was calculated as the ratio between amount of correction and resected medial rectus.
View Article and Find Full Text PDFThe role of diagnostic monocular occlusion test in basic type intermittent exotropia.
Sci Rep
October 2024
Department of Ophthalmology, Chungnam National University College of Medicine, Chungnam National University Hospital, Daejeon, Republic of Korea.
To assess the response to monocular occlusion test in basic type intermittent exotropia (IXT) and to evaluate the surgical outcomes of titrated surgery based on the test's result. Medical records were retrospectively reviewed for patients who underwent bilateral lateral rectus recession for basic type IXT. Patients were categorized into two groups: those who underwent a preoperative diagnostic monocular occlusion test (occlusion group) and those who did not (no occlusion group).
View Article and Find Full Text PDFComprehensive analysis of strabismus reoperations: clinical insights and progression factors.
BMC Ophthalmol
October 2024
Clinical College of Ophthalmology, Tianjin Medical University, Tianjin, China.
Article Synopsis
- The study aimed to compare the clinical characteristics and outcomes of patients undergoing two versus multiple strabismus surgeries, providing a foundation for better clinical predictions.
- A total of 910 patients were analyzed, with 840 in Group A (two surgeries) and 70 in Group B (more than two surgeries), noting significant differences in age, onset time, and reoperation rates linked to various factors.
- Regression analyses revealed that interval time between surgeries significantly influenced reoperation rates, while different secondary strabismus factors were associated with patient outcomes in both groups.
Characteristic differences between full-term and premature infants with intermittent exotropia.
Sci Rep
September 2024
Department of Ophthalmology, Keimyung University School of Medicine, Dalgubeol-Daero, Dalseo-Gu, Daegu, 103542601, Korea.
Article Synopsis
- * Researchers studied differences between full-term and premature babies with IXT and looked at factors like family history and previous treatments.
- * The study found that premature and low birth weight babies were more likely to have issues with eye alignment, making it important to check their vision early for possible surgery.
A Case of Conjunctival Cyst Required Removal Six Months After Strabismus Surgery.
Cureus
August 2024
Department of Ophthalmology, Kitasato University School of Medicine, Kanagawa, JPN.
A conjunctival cyst is a rare yet significant complication following strabismus surgery. This report describes a nine-year-old girl who developed a conjunctival cyst after undergoing bilateral lateral rectus recession surgery for intermittent exotropia. Despite an uneventful surgery and standard postoperative care, she presented with a gradually enlarging subconjunctival mass in the left eye three months later.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!