The Postoperative Results and Stability of Exodeviations

Published on Oct 1, 1981in Archives of Ophthalmology
· DOI :10.1001/ARCHOPHT.1981.03930020688013
William E. Scott35
Estimated H-index: 35
,
Ronald V. Keech18
Estimated H-index: 18
,
A. Jane Mash4
Estimated H-index: 4
Sources
Abstract
• The postoperative changes in motor alignment are documented during a twoyear follow-up period. A moderate overcorrection at the initial postoperative examination resulted in the best alignment one to two years after surgery, regardless of the intermittency of the exodeviation or the presence of amblyopia.
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References5
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• Persistent pupillary membranes usually undergo considerable atrophy during the first year of life. A minimum pupillary diameter of 1.5 mm is necessary for normal retinal image formation. Mydriatics, fixation pattern determination, and occlusion therapy as indicated can obviate the need for coreoplasty in patients with an extensive persistence of the pupillary membrane. We successfully treated a patient who had an almost total persistence of the pupillary membrane.
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#1J A Pratt-Johnson (UBC: University of British Columbia)H-Index: 15
#2J.M. Barow (UBC: University of British Columbia)H-Index: 1
Last. Geraldine Tillson (UBC: University of British Columbia)H-Index: 5
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: The effect of numerous preoperative variables on the amount of surgical correction attained was assessed in a population of intermittent exotropic patients; 54 had bilateral recession surgery, 48 had recess resect surgery. By appropriate multivariate statistical analyses, about 95 per cent of the variance in results of surgery (expressed as change in deviation from preoperative to the postoperative time in prism diopters per millimeter of surgical correction) could be accounted for. A workable...
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Cited By163
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#1Jinju Choi (Hallym University)H-Index: 1
#2Dong Gyu Choi (Hallym University)H-Index: 4
Purpose While initial overcorrection after exotropia-correcting surgery is widely accepted for a favorable long-term outcome, some have not advocated such overcorrection in younger children owing to concerns regarding rapid deterioration of bifixation ability. This study aimed to evaluate the relationship between initial overcorrection after intermittent exotropia surgery and the surgical outcome in patients aged <4 years. null null Methods In this retrospective study, 391 patients who had under...
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#1Rupal Verma (AIIMS: All India Institute of Medical Sciences)H-Index: 3
#2Anupam Singh (AIIMS: All India Institute of Medical Sciences)H-Index: 3
Last. Barun Kumar (AIIMS: All India Institute of Medical Sciences)H-Index: 2
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Purpose To evaluate the surgical outcome of augmented BLR recession with conjunctival recession in cases of IXT. Method A total of 15 patients of the basic type of IXT were included in this prospective study. The patients underwent augmented BLR recession with conjunctival recession and on the basis of postoperative deviation, the outcome was assessed in terms OF orthophoria/success ( 10 PD exotropia), and overcorrection (>5 PD esotropia). Results Preoperative primary horizontal deviation was 30...
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#1Parnchat Pukrushpan (Chula: Chulalongkorn University)H-Index: 4
#2Rerkchai Tharwaranan (Chula: Chulalongkorn University)
Last. Worawalun Honglertnapakul (Chula: Chulalongkorn University)H-Index: 2
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We included adult patients (age ≥18 years) with sensory exotropia who underwent unilateral lateral rectus recession with adjustable suture and medial rectus resection with at least 2-year follow-up. Preoperative and postoperative data was collected. Either Krimsky or alternate and prism cover testing was used to measure the angle of deviation depending on patients' fixation ability. Glasses with full refractive correction were worn if they can provide better visual acuity. Exodeviation at near f...
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#1Yidong Wu (WMU: Wenzhou Medical College)H-Index: 43
#2Meiping Xu (WMU: Wenzhou Medical College)H-Index: 5
Last. Xinping Yu (WMU: Wenzhou Medical College)H-Index: 2
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Purpose. To evaluate whether clinical measures of postoperative binocular functions could predict the long-term stability of postoperative ocular alignment in children with intermittent exotropia. Methods. A retrospective study was performed in thirty-nine children (median: 7 years) who have been surgically treated from intermittent exotropia without overcorrection (less than 10 prism diopters [pd] of exodeviation at 1 month postoperatively). Angles of deviation and binocular functions were meas...
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#1Shin Morisawa (Okayama University)H-Index: 2
#2Ichiro Hamasaki (Okayama University)H-Index: 9
Last. Fumio Shiraga (Okayama University)H-Index: 7
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To detect significant factors associated with excessive postoperative exo-drift in young patients with intermittent exotropia who had undergone unilateral lateral rectus muscle recession and medial rectus muscle resection. We retrospectively examined the records of 64 consecutive patients 20 prism diopters). Univariate analysis revealed significant associations between excessive postoperative exo-drift and age at surgery (P = 0.004), preoperative exo-deviation at distance (P = 0.017) and postope...
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#3Jeong-Min Hwang (Seoul National University Bundang Hospital)H-Index: 26
In young children with small angle exotropia, making decisions for the individual patient whether to perform surgery or not, and choosing the optimal time for surgical intervention are quite difficult. We aimed to compare the long-term outcomes of small angle intermittent exotropia of 20 prism diopters (PD) or less after observation versus strabismus surgery. A retrospective study was performed on 164 patients aged 3 to 13 who underwent surgical intervention or observation with or without conser...
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#1Haeng Jin Lee (Seoul National University Hospital)H-Index: 6
#2Seong Joon Kim (SNU: Seoul National University)H-Index: 17
Background/Aims To compare the long-term surgical outcomes between unilateral lateral rectus recession-medial rectus resection (RR) and lateral rectus recession-medial rectus plication (RP) in children with intermittent exotropia. Methods Children who underwent RR or RP for intermittent exotropia between January 2008 and July 2016, with a minimum follow-up period of 2 years were retrospectively reviewed. Postoperative angle of deviations and clinical factors including sex, age, refractive errors...
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#1Jihei Sara Lee (Yonsei University)H-Index: 1
#2Jinu Han (Yonsei University)H-Index: 10
Last. Sueng-Han Han (Yonsei University)H-Index: 14
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Purpose To describe characteristics of recurrent intermittent exotropia after bilateral lateral rectus (BLR) recession, and identify factors associated with poor outcome after unilateral medial rectus (MR) resection for recurrent intermittent exotropia.
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PURPOSE: To investigate recovery from suppression when the target motor alignment is achieved following surgery for intermittent exotropia. METHODS: The medical records of 237 patients who underwent surgery for exotropia were retrospectively reviewed. The age at surgery, sex, preoperative angle of deviation, suppression status, and near stereopsis were investigated. Suppression status was classified as no, alternate, or constant suppression. Target motor alignment was defined as 10 prism diopter...
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