AI Article Synopsis
- The study compares two surgical methods for treating divergence excess intermittent exotropia: bilateral lateral rectus recession (BLR) and unilateral recession and resection (RR).
- A total of 66 patients were analyzed, and both procedures showed similar success rates and decreased eye deviation post-surgery.
- Conclusion: Both BLR and RR are equally effective treatments for this condition, yielding comparable results in eye alignment.
Article Abstract
Purpose: To compare bilateral lateral rectus recession (BLR) with unilateral recession and resection (RR) for divergence excess intermittent exotropia (IXT).
Methods: Retrospective analysis of 66 patients with divergence excess IXT who underwent either BLR or RR from January 2013 to December 2020 was conducted. Data on demographics, pre- and postoperative deviations, fusion, stereopsis, control, and accommodative convergence/accommodation ratio were collected. Success was defined as esodeviation ≤5 PD (prism diopter) to exodeviation ≤10 PD with a follow-up time of at least 8.0 ± 2.0 weeks.
Results: BLR (42 cases) and RR (24 cases) groups had the same success rate (83.3%, P = 0.688) and similar reduced postoperative deviations both in distance and at near (P > 0.05). Near-distance disparity decreased significantly in both groups (P = 0.000) with no intergroup difference (P = 0.193).
Conclusion: BLR and RR were equally effective for divergence excess IXT with comparable outcomes of both distance and near deviations.
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|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10752302 | PMC |
| http://dx.doi.org/10.4103/IJO.IJO_2977_22 | DOI Listing |
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