Bilateral Lateral Rectus Recession Versus Unilateral Recess-Resect Procedure for Exotropia With a Dominant Eye

Jeoung, Jin Wook; Lee, Min Joung; Hwang, Jeong‐Min

doi:10.1016/j.ajo.2005.11.021

Cited by 102 publications

(65 citation statements)

References 13 publications

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“…21 In a prospective randomized trial, Jeoung and co-authors reported that alignment of <10 PD of orthotropia was achieved in 48.3% of BLRR versus 83.3% of R&R in 113 patients after a mean follow-up of 15.8 months. 22 In our study, <10 PD of orthotropia was achieved in 76.2% and 66.7% of patients with bilateral and unilateral surgery respectively. Postoperative motor success rates of previous studies were listed in Table 4. 12,20,22-26 Stoller et al and Richard and Parks reported that the patient's age at exotropia onset as well as age at surgery did not adversely affect long-term alignment.…”

Section: Discussionsupporting

confidence: 44%

Long-Term Results of Surgery for Intermittent Exotropia

Keskinbora¹,

Horozoğlu²,

Gönen³

et al. 2012

Turkiye Klinikleri J Med Sci

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A AB BS ST TR RA AC CT T O Ob bj je ec ct ti iv ve e: : To evaluate the long-term surgical outcomes in a population with intermittent exotropia X(T) who were operated by the same surgeon. M Ma at te er ri ia al l a an nd d M Me et th ho od ds s: : The medical records from January 1991 to December 2008 were retrospectively reviewed. Patients were examined on postoperative day 1, in week 1 and week 6, at 6 months and 1 year, and then every year. Twenty four of 43 patients underwent bilateral lateral rectus recession and 19 patients underwent unilateral recession-resection for X(T). R Re es su ul lt ts s: : Forty-three patients underwent surgery at a mean age of 11.2±4.6 years (range, 6 to 25 years). Eleven of the 43 children (25.6%) underwent a second surgical intervention (9 for recurrent exotropia and 2 for consecutive esotropia), and no patient received more than 2 interventions. Four patients were lost to follow-up after 2 years. Mean follow-up time was 9±5.2 years for 39 patients. Consecutive esotropia (ET) developed in 9 (21%) patients with immediate overcorrection of at least 20 prism diopters (PD). Only two cases of consecutive ET required second surgery. Postoperative esodeviation developed in almost all cases and it showed a tendency to progress to exodeviation with longer follow-up time. Nine cases required surgery for residual or recurrent exotropia. Finally, 28 of the 39 (71.8 %) were within 10 PD of orthotropia at distance and 18 of 39 (46.2%) had a stereopsis better than 60 seconds of arc. C Co on nc cl lu u--s si io on n: : In this population with intermittent exotropia, although 11 cases underwent a second surgical intervention, after a mean follow-up of 9.8 years, approximately 3 out of 4 cases were successfully aligned and 46.2% had high-grade stereopsis.K Ke ey y W Wo or rd ds s: : Exotropia; surgery; strabismus Ö ÖZ ZE ET T A Am ma aç ç: : Aynı cerrah tarafından ameliyat edilen intermitan ekzotropyalı [X(T)] hastaların uzun vadeli sonuçlarını değerlendirmek. G Ge er re eç ç v ve e Y Yö ön nt te em ml le er r: : Ocak 1991 ile Aralık 2008 arasındaki tıbbi kayıtlar, geriye dönük olarak gözden geçirildi. Ameliyat sonrası değerlendirmeler sırasıyla ilk gün, 1 hafta, 6 hafta, 6 ay, 1 yıl sonra ve 1. yılın ardından her yıl yapıldı. Kırk üç hastanın 24'üne [X(T)] için iki taraflı lateral rektus geriletme ameliyatı ve 19 hastaya tek taraflı geriletme-kısaltma ameliyatı yapıldı. B Bu ul lg gu ul la ar r: : Kırk üç hasta ortalama 11,2±4,6 yaşında (6-25 yaş) ameliyat edildi. Kırk üç çocuğun 11'ine (%25,6) ikinci bir ameliyat yapıldı (Dokuzu rekürren ekzotropya için, ikisi ardıl ezotropya için). Hiçbir hastaya 2'den fazla ameliyat yapılmadı. Dört hasta ikinci yıldan sonra takip edilemedi. Otuz dokuz hastada ortalama takip süresi 9,8±4,9 yıldı. Ameliyattan hemen sonraki günlerde dokuz (%21) hastada aşırı miktarda [en az 20 prizma dioptrisi (PD)] ardıl ezotropya (ET) gelişti. Altı ay takipten sonra, ardıl ET gelişen hastalardan sadece ikisine ikinci bir ameliyat gerekti. Olguların hemen hepsinde postoperatif...

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Section: Discussionsupporting

confidence: 44%

Long-Term Results of Surgery for Intermittent Exotropia

Keskinbora¹,

Horozoğlu²,

Gönen³

et al. 2012

Turkiye Klinikleri J Med Sci

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“…Other studies 8,[10][11][12] have reported a success rate of 12 define esotropia and exotropia of less than 10 PD within 6 months of follow-up as a successful surgery.…”

Section: Discussionmentioning

confidence: 98%

“….3%), the exact prediction of the surgical outcome is difficult. 8,[10][11][12] There have been a number of reports of possible prognostic factors affecting surgical outcomes, such as preoperative degree of exodeviation, 13 duration of postoperative follow-up, 7 surgical procedures, 12,14 types of exotropia, 10,11,15 and stereopsis. 16 However, controversies still abound.…”

Section: Introductionmentioning

confidence: 99%

Prognostic factors for recurrence with unilateral recess-resect procedure in patients with intermittent exotropia

Lim

Hong

Kim

2011

Eye

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Purpose To evaluate the prognostic factors, particularly age at the time of surgery, for recurrence after unilateral medial rectus resection and lateral rectus recession (R&R) procedures in patients with intermittent exotropia, or X(T). Methods Medical records of 489 subjects who received unilateral R&R procedures with more than 12 months of follow-up were reviewed. The patients' surgical outcomes with a deviation of less than 10 prism diopters (PD) of exotropia and less than 5 PD of esotropia were defined as a success. Outcomes with more than 11 PD of exotropia were designated as recurrences, and those with esotropia of more than 5 PD after 3 months of operation were noted as overcorrection. The prognostic factors for recurrence were analyzed by the multivariate logistic regression test. Results Of the 489 subjects, 209 had successful surgical outcomes and 280 had recurrences, whereas overcorrection was not found. Mean age at operation was 8.9 ± 6.5 years, mean preoperative distant X(T) size was 32.9 ± 6.0 PD, and mean follow-up period was 27.5 ± 17.9 months. On the basis of the survival analysis in which survival represented time of recurrence, the mean duration was 31.2±1.7months. Age at onset, age at surgery, and immediate postoperative alignment proved to be significant factors influencing a favorable outcome by multivariate logistic regression analysis (Po0.05). However, gender, family history, and preoperative deviation size were not significantly predictive of success (P40.05). ConclusionIn unilateral R&R procedures, increasing patient age at the time of surgery was associated with lower recurrence rates. Recurrence rates also increased with the immediate postoperative angle and with the postoperative angle of deviation at 1, 3, 6, and 12 months.

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“…Para este estudo, foi adotado o critério de sucesso cirúrgico como ortotropia ± 10 Δ , assim como a maioria dos autores (1,(11)(12)(13)(14) . O sucesso desses procedimentos depende de avaliação pré-operatória completa, considerando-se os possíveis fatores desestabilizadores (15) .…”

Section: Comentáriosunclassified

Resultados da correção cirúrgica da exotropia permanente em pacientes amblíopes e não-amblíopes

Portes¹,

Franco²,

Tavares³

et al. 2011

Arq. Bras. Oftalmol.

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RESUMOA exotropia permanente (XT) acomete cerca de 1 a 2% da população. Seu tratamento é clínico: antiambliogênico e correção dos erros refrativos, e cirúrgico. O objetivo do tratamento cirúrgico é alinhar os olhos na posição primária do olhar, proporcionando melhor resultado estético. Há muito tempo diversos autores estudam os fatores pré, per e pós-operatórios relacionados ao resultado cirúrgico, uma vez que a taxa de sucesso varia de 60 a 80%. Ainda são poucos os estudos que comparam a presença de ambliopia como fator de influência no resultado final. Objetivo: Comparar o resultado cirúrgico dos pacientes amblíopes e não-amblíopes submetidos à cirurgia de correção de XT. Métodos: Análise retrospectiva de 37 prontuários de pacientes amblíopes (Grupo A) e não-amblíopes (Grupo B) submetidos à correção cirúrgica de XT por retrocessoressecção monocular, sendo avaliados os registros pós-operatórios imediatos e tardios. Idade: grupo A 24,7 ± 14,2 anos, grupo B 22,6 ±18,6 anos; Desvio pré-operatório: grupo A 29,1± 7,2 Δ , grupo B 28,4 ± 6,8 Δ . Resultados: A taxa de sucesso foi de 60% e 100% (p<0,05), no pós-operatório imediato e 50% e 82,3% (p=0,082), no pós-operatório final, nos grupos A e B, respectivamente. Não houve diferença significante quanto aos desvios pós-operatórios imediatos, tardios e variação do desvio. Conclusão: Pode-se concluir que o grupo B mostrou melhor resultado no pós-operatório imediato; porém não houve diferença no resultado cirúrgico de correção de exotropia permanente entre pacientes amblíopes e não-amblíopes no período pós-operatório de seis meses. Descritores

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Bilateral Lateral Rectus Recession Versus Unilateral Recess-Resect Procedure for Exotropia With a Dominant Eye

Cited by 102 publications

References 13 publications

Long-Term Results of Surgery for Intermittent Exotropia

Long-Term Results of Surgery for Intermittent Exotropia

Prognostic factors for recurrence with unilateral recess-resect procedure in patients with intermittent exotropia

Resultados da correção cirúrgica da exotropia permanente em pacientes amblíopes e não-amblíopes

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