Langzeitergebnisse nach chirurgischer Korrektur von Exodeviationen

Kordic, H.; Sturm, Veit; Landau, Klara

doi:10.1055/s-0028-1109265

Cited by 3 publications

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“…Hatsukawa [18] observed exotropic drift up until four years after surgery, and Nakagawa [19] reported exotropic drift until three years after surgery. Kordic et al [20] found a 7 PD exotropic shift in the first postoperative year and an additional approximately 6 PD exotropic shift over the next average 12 years. In our study, we found approximately 12.1 PD, a much larger amount of exotropic shift, in the first postoperative year alone.…”

Section: Discussionmentioning

confidence: 99%

Postoperative Stabilization of the Strabismic Angle in Intermittent Exotropia

Kwon

Kim

Cho

2012

Korean J Ophthalmol

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PurposeTo analyze the postoperative strabismic angle for five years or more and to investigate when the angle stabilized in intermittent exotropia.MethodsWe retrospectively reviewed the clinical records of 89 patients who had undergone surgery for intermittent exotropia. The postoperative strabismic angles measured were analyzed at one-year intervals up to five years postoperatively. We divided them into two groups according to their age at the time of surgery. Group 1 was less than 5 years of age, while Group 2 participants were 5 years of age or older.ResultsFor our 89 total patients, average exo-angles were 7.8 ± 7.26, 7.9 ± 7.51, 9.5 ± 7.05, 10.1 ± 6.87, and 9.4 ± 6.90 prism diopters at one, two, three, four, and five years postoperatively, respectively. Average exo-angles between postoperative year one and year three, as well as between postoperative year two and year three, were statistically significant (p = 0.015, 0.022). However, the angles were not statistically significant between postoperative year three and year four or between years three and five, respectively (p = 0.707, p = 0.948). The stabilization characteristics of the angle were somewhat different according to age group. In Group 1, the average exo-angle in postoperative years one and three were statistically significant (p = 0.016), but the angle in the same period was not statistically significant in Group 2 (p = 0.203).ConclusionsThere was no significant interval change after three years postoperatively in intermittent exotropia, but if the patient's age at surgery was 5 years or higher, no significant change of exo-angle was found following postoperative year one in this study.

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Section: Discussionmentioning

confidence: 99%

Postoperative Stabilization of the Strabismic Angle in Intermittent Exotropia

Kwon

Kim

Cho

2012

Korean J Ophthalmol

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“…Postoperative exo-drift of intermittent exotropia is common [ 4 , 9 , 10 , 11 , 12 ]. Therefore, intermittent exotropia patients should be followed up for some time after surgical treatment to monitor postoperative exo-drift and recurrence.…”

Section: Discussionmentioning

confidence: 99%

The Stabilization of Postoperative Exo-drift in Intermittent Exotropia after Surgical Treatment

Park

Kim

2016

Korean J Ophthalmol

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PurposeTo investigate the long-term clinical course of intermittent exotropia after surgical treatment to determine whether and when postoperative exo-drift stabilizes, and the required postsurgery follow-up duration in cases of intermittent exotropia.MethodsWe retrospectively reviewed the medical records of patients diagnosed with intermittent exotropia who underwent surgical treatment between January 1992 and January 2006 at Yeungnam University Hospital and postoperatively performed regular follow-up examinations for up to 7 years. We also analyzed the difference in exo-drift stabilization, according to surgical procedure.ResultsA total of 101 patients were enrolled in the study. Thirty-one patients underwent lateral rectus recession and medial rectus resection (R&R) and 70 patients underwent bilateral lateral rectus recession (BLR). The postoperative angles of deviation increased significantly during the initial 36 months, but no subsequent significant changes were observed for up to 84 months. Follow-ups for 7 years revealed that more than 50% of the total amount of exo-drift was observed within the first postoperative year. In addition, the angles of deviation at 1 year correlated with those at 7 years postoperatively (Pearson correlation coefficient r = 0.517, p < 0.001). No significant exo-drift was observed after 36 months in patients who underwent BLR, whereas after 18 months in patients who underwent R&R.ConclusionsThe minimum postoperative follow-up required after surgical treatment to ensure stable results is 36 months. In particular, careful follow-up is necessary during the first postoperative year to detect rapid exo-drift. Patients who underwent BLR required a longer follow-up than those who underwent R&R to ensure stable postoperative alignment.

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2010

Current Opinion in Ophthalmology

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Langzeitergebnisse nach chirurgischer Korrektur von Exodeviationen

Abstract: The outcome evaluation after a long-term follow-up showed amazingly stable results compared to the follow-up after one year. With a more aggressive dosage we could have achieved more orthophoric results, but also more undesirable overcorrections.

Cited by 3 publications

References 9 publications

Postoperative Stabilization of the Strabismic Angle in Intermittent Exotropia

Postoperative Stabilization of the Strabismic Angle in Intermittent Exotropia

The Stabilization of Postoperative Exo-drift in Intermittent Exotropia after Surgical Treatment

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