The Comparision of Outcomes Between Lateral Rectus Muscles Re-recession and Medial Rectus Muscles Resection in Recurrent Exotropia

Published on Jun 1, 2008in Korean Journal of Ophthalmology2.597
路 DOI :10.3341/KJO.2008.22.2.111
Ko-i Chun2
Estimated H-index: 2
(Yonsei University),
Sang-Hoon Rah5
Estimated H-index: 5
(Yonsei University)
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Abstract
The purpose of strabismus surgery is to realign the deviated eyeball. However, regardless of the application of the best surgical technique, strabismus always has a possibility to require resurgery.1 After surgery, in cases with recurrent exotropia with time, if diplopia were developed, for the cases whose binocular vision could not be maintained or the deviation were severe to the level that strabismus were shown in appearance, resurgery is required.2 For exotropia surgery, bilateral lateral rectus muscles recession or unilateral recession and resection has been generally used.3 Upon recurrence of exotropia, surgical procedure of resurgery is determined depending on the first surgery procedure.4 The patients who had bilateral lateral rectus muscles recession for the first surgery, primarily, medial rectus muscle resection is applied for the second surgery, and although rare, lateral rectus muscles re-recession may be performed.4 Lateral rectus muscles re-recession has the advantage that unoperated muscles could be conserved maximally. Nevertheless, reports on the re-recession amount is rare, therefore, after excessive lateral rectus muscles re-recession, abduction impairment of the rectus muscles may be induced. We compared the surgical outcome of patients who had bilateral lateral rectus muscles re-recession with patients who had bilateral medial rectus muscles resection for exotropia recurred after the first bilateral lateral rectus muscles recession surgery, and assessed the successful re-recession amount for procedure.
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References10
Newest
Purpose: To analyze the clinical course and relationships between the factors and surgical outcomes after reoperation for recurrent intermittent exotropia. Methods: Surgical results were retrospectively investigated in 38 patients who had undergone reoperation at least 3 months after surgical correction. Recurrence was defined as an exodeviation of more than 10 prism diopters at the primary position. We investigated the recurrence rate according to the follow-up duration with survival analysis, ...
#1Ziaeddin Yazdian (UT: University of Tehran)H-Index: 3
#2Guita Ghiassi (UT: University of Tehran)H-Index: 1
Purpose: We undertook a retrospective evaluation of changes in deviation and ocular motility after surgical rerecession of the lateral rectus (LR) muscles as a treatment for recurrent exotropia (XT). Methods: We describe 16 consecutive patients (age 6 to 35 years; median, 10 years; 13 children and 3 adults) with an average amount of recurrent alignment, amount of rerecession, distance from insertion to the limbus, postoperative alignment, and versions. Results: In most cases, bilateral LR muscle...
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#1Scott H. Stoller (Albany Medical College)H-Index: 3
#2John W. SimonH-Index: 27
Last. Lloyd L. LiningerH-Index: 10
view all 3 authors...
: Exotropia may progress during the childhood years, and the ideal time for surgical intervention remains uncertain. We reviewed our results following bilateral lateral rectus recession in 57 consecutive patients. In order to identify possible predictive covariates, we performed survival analysis using survival time as the time from surgery to failure. The patients' age at the time of surgery ranged from 11 months to 50 years (mean, 68 months). Follow up after surgery ranged from 1 to 105 months...
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: Adjustable suture surgery helps achieve visual axis alignment in special cases. We describe a modification of adjustable suture surgery that provides better patient comfort and easier assessment of the muscle function at the time of adjustment. These beneficial features are achieved by using the cul-de-sac approach and by delaying final adjustment up to one week postoperatively. We review our experience involving 52 cases and discuss the surgical methods and reasoning behind delayed suture adj...
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#1James M. Richard (University of Oklahoma Health Sciences Center)H-Index: 1
#2Marshall M. Parks (University of Oklahoma Health Sciences Center)H-Index: 14
Abstract The surgical results of 111 consecutive patients with intermittent exotropia treated via bilateral rectus muscle recession and having at least 2 years of follow-up are reviewed. These data are analyzed from a standpoint of three age groups at the time of surgery: younger than 3 years (41 patients), 3 years to younger than 6 years (42 patients), and 6 years to younger than 17 years (28 patients). The initial surgical results for all ages were as follows: 56% satisfactory, 38% undercorrec...
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#1Hardesty HhH-Index: 1
#2BoyntonH-Index: 1
Last. Keenan JpH-Index: 1
view all 3 authors...
鈥 To study the long-range results of surgically treated intermittent exotropia, 100 consecutive patients have been followed up for an average of 6.1 years. In all cases, the initial procedure was bilateral recession of the lateral rectus muscles. The overall functional cure rate was 78%. To accomplish this result, 27 patients were operated on a second time, 21 for undercorrection and six for overcorrection. A number of patients cooperated very poorly or were lost to follow-up while still under t...
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Cited By12
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#1Amr Elkamshoushy (Alexandria University)H-Index: 3
#2Michael Langue (Penn State Milton S. Hershey Medical Center)H-Index: 1
Purpose:To report the results of bilateral lateral rectus muscle recession for recurrent exotropia in cases where the primary surgery was a bilateral medial rectus resection.Methods:Retrospective c...
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#1Min Jae Kim (KU: Korea University)
#2Suk Gyu HaH-Index: 5
Last. Seung Hyun KimH-Index: 34
view all 3 authors...
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#1Amr Elkamshoushy (Alexandria University)H-Index: 3
Background Surgical treatments for large-angle exotropia include bilateral lateral rectus recession, recession-resection procedures, and three- and four-muscle surgery. Undercorrection and limitation of abduction are common complications of these procedures. This study reports the results of bilateral medial rectus resection as a first procedure for primary large-angle exotropia. Methods The medical records of patients who underwent bilateral medial rectus resection for angles 鈮60 螖 in the perio...
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#1Michael P. Clarke (Newcastle University)H-Index: 38
#2Vanessa Hogan (Newcastle University)H-Index: 8
Last. Nick Steen (Newcastle University)H-Index: 50
view all 16 authors...
INTRODUCTION The evidence base for the treatment of strabismus (squint) is poor. Our main aim is to improve this evidence base for the treatment of a common type of childhood squint {intermittent exotropia, [X(T)]}. We conducted an external pilot study in order to inform the design and conduct of a future full randomised controlled trial (RCT).
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#1Gregg T. Lueder (WashU: Washington University in St. Louis)H-Index: 23
#2Marlo Galli (WashU: Washington University in St. Louis)H-Index: 4
Purpose To compare the outcomes of unilateral lateral rectus muscle re-recession and medial rectus muscle resection for treatment of recurrent or persistent exotropia. Design Retrospective nonrandomized clinical trial. Methods setting: Hospital-based clinical practice. patient population: Forty patients with recurrent or persistent exotropia following bilateral lateral rectus muscle recessions. intervention: Fourteen patients were treated with unilateral medial rectus muscle resection and 26 wit...
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#1Abbie S W LukH-Index: 3
#2Jason C. S. Yam (CUHK: The Chinese University of Hong Kong)H-Index: 19
Last. Alvin L. YoungH-Index: 32
view all 5 authors...
Purpose. To evaluate the surgical outcomes of unilateral or bilateral medial rectus (MR) muscle resection for recurrent exotropia after bilateral lateral rectus (BLR) muscle recession based on a novel surgical formula. Methods. Forty-one consecutive patients with unilateral or bilateral MR muscle resection for recurrent exotropia after BLR muscle recession were included in this retrospective study. All surgeries were performed according to the formula: 1.0鈥塵m MR muscle resection for every 5 pris...
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#1Young Kwon Chung (Catholic University of Korea)H-Index: 2
#2Se Yup Lee (KMU: Keimyung University)H-Index: 2
Last. Young Chun Lee (Catholic University of Korea)H-Index: 9
view all 3 authors...
Purpose: To investigate the dose-effect relationship of unilateral medial rectus resection for recurrent exotropia after bilateral lateral rectus recession. Methods: This study comprised 39 patients who underwent unilateral medial rectus resection for recurrent exotropia under 25 PD and bilateral rectus recession for prior surgery of exotropia. The medial rectus was resected from 5.0 to 7.0 mm according to angle deviation at a distance. The postoperative deviated angle was checked at one week, 3...
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Although the surgical treatment is a relatively effective and predictable method for correcting residual or recurrent strabismus, such as posterior fixation sutures, medial rectus marginal myotomy, unilateral or bilateral rectus re-recession and resection, unilateral lateral rectus recession and adjustable suture, no standard protocol is established for the surgical style. Different surgical approaches have been recommended for correcting residual or recurrent strabismus. The choice of the surgi...
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Purpose: To find the surgical success rate and frequency of complications among patients with exotropia. Methods: This is a case series study on 102 exotropic patients who were managed surgically. They were followed up for 1 year post operation. Surgical techniques consisted one of the following bilateral rectus (BLR) recession, bimedial rectus (BMR) resection, Recession & resection (R&R), MR advancement and lateral rectus (LR) recession. Deviation measured by Alt. Prism -cover test at far and n...
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Purpose: A silicone band was sutured anteriorly to the edge of the lateral rectus muscle neotendon during recession surgery in order to reduce and delay the reoccurrence after exotropia surgery. Methods: Collected data of 12 patients (8 males and 4 females), aged 7 - 54 years with diagnosis of constant manifest exotropia and mean angle deviation in primary position of 15,04o(sd 1,18) for near and of 13,23o (sd 0,71) for distance. All patients underwent surgical treatment consisting of lateral re...
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