Early Surgery for Intermittent Exotropia in Children less than 4 Years of Age

Hae Jung Paik1
Estimated H-index: 1
Hee Jin Sohn1
Estimated H-index: 1
Purpose: To determine the result of early surgery for intermittent exotropia for children under 4 year old and the factors which affect it. Methods: The study subjects consisted of 25 children younger than 4 years who had received surgery for intermittent Exotropia. They were followed up for more than 1 year after surgery by the Department of Ophthalmology of the Gachon Medical School, between July 1998 and December 2003. The interval from onset to initial surgery, preoperative deviation angle, dissociated vertical deviation, stereopsis, preoperative patching, type of surgery, and initial postoperative deviation angle were compared and analyzed in a retrospective manner. Results: The average age of the subjects and the preoperative deviation angle were 3.2 years and respectively. The average deviation angle at postoperative year 1 was . Out of the 25 patients, 19 (76%) showed a deviation angle less than 10PD were and 4 (16%) had recurrence of exotropia. Consecutive esotropia occurred in 2 (8%). The clinical factor statistically related to results was the initial postoperative deviation angle. The group who had esophoria of more than 10 PD ( PD) showed 93% orthophoria at postoperative year 1, which was statistically significant. Conclusions: Though a patient be under 4 years old, if their deviation angle is in progress or if non-surgical treatment is ineffective in the case when surgery is delayed, it is presumed that performing surgery at postoperative day 1 with an overcorrection of about 10 PD is preferred.
📖 Papers frequently viewed together
10 Citations
2 Citations
2 Citations
Cited By4
#1Suji Hong (KU: Korea University)
#2Suk-Gyu Ha (KU: Korea University)H-Index: 2
Last. Sung Hyun Kim (KU: Korea University)H-Index: 44
view all 4 authors...
Purpose The correlation between the existence of the preoperative condition of ≥ 10 prism diopter (PD) in patients with basic type of intermittent exotropia (IXT) and postoperative outcomes was analyzed. Method The medical records of patients that underwent surgery for IXT were analyzed retrospectively. The analysis was conducted by dividing the patients into a group with change of < 10 PD (Group 1) and ≥ 10 PD (Group 2) before the time of the surgery. Patients who received at least 6 months of ...
#1Soo Chang Cho (SNU: Seoul National University)H-Index: 1
#2Hee Kyung Yang (New Generation University College)H-Index: 18
Last. Jeong Min Hwang (SNU: Seoul National University)H-Index: 20
view all 3 authors...
5 CitationsSource
#1Byoung Woo Ko (Hanyang University)H-Index: 2
#2Sun Young Shin (Catholic University of Korea)H-Index: 2
Purpose: To analyze the clinical features of patients with exodeviation of more than 15 prism diopters (PDs) within one month and with orthophoria over three years after surgical correction of intermittent exotropia. Methods: The early recurrence group consisted of patients with a final distance and near exodeviation more than 15PDs within one month after surgical correction of intermittent exotropia. The surgical success group was defined as patients with orthophoria over three years after surg...
7 CitationsSource
#1Jeong Hun Seo (CBNU: Chungbuk National University)H-Index: 2
#2Mi Young Choi (CBNU: Chungbuk National University)H-Index: 3
Purpose: We performed this study to evaluate the surgical outcome of exotropia in children younger than 10 years with a short, preoperative work-up. Methods: The study subjects included 18 children who had received surgery for exotropia with preoperative work-ups less than 3 months. They were followed for more than 3 months after surgery. The age, symptoms, visual acuity, refractive errors, binocularity at surgery, and surgical results were analyzed. Results: The average age of the subjects was ...