September 3, 2020

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Characteristics of Children With Consecutive XT at Surgery, Table 4. Thirty-two patients were allocated to group 1 and 18 to group 2. Post-operative surgical success at one week was 75%, which decreased to 41% at 5y follow-up. Repka, M., Chandler, D., Holmes, J., Donahue, S., Hoover, D., Mohney, B., Philips, P., Stout, A., Ticho, B., Wallace, D.; Pediatric Eye Disease Investigator Group. At the final follow-up visit, at least 24 months post procedure, Group B had a significantly greater success rate than Group A (62.5% vs. 23.1%, p = 0.039). Recovery from suppression with successful motor alignment after surgery for intermittent exotropia. 15. Surgery When surgery is opted for or necessary, the length and position of the muscles surrounding the eye are … On the other hand, in 4 of the 7 patients in the exotropia subgroup, the exodeviation increased with time after botulinum toxin injection, and in 3 of them, it remained constant after reaching a maximum. Although some of the described patients had small-angle esotropia, the mean deviation in this group was about the same as (or slightly lower than) the mean deviation in the total number of children treated with botulinum toxin for esotropia (33.42 diopters). Terms of Use| The medical records of 80 consecutive patients aged less than 17 years of age, who underwent surgery for basic exotropia by a single surgeon between years 2000 to 2009 and completed a minimum of 5y follow-up post-operatively were reviewed. Objective   BJFisher To read the article of this research, you can request a copy directly from the authors. exotropia surgery, managed with nonsurgical management and followed up for more than 6 months from 2014 to 2015, were included. Raab EL, Parks MM: Recession of … Near exotropia was initially present in only 35.5%. A total of 287 patients satisfied the entry requirements of this study. Methods: The medical records of 29 patients who underwent surgery for intermittent exotropia from 1998 through 2013 were reviewed. Both groups were found to have a similar amount of initial deviation, similar types of surgery utilized, and a similar length of follow up (average: 4 years). We retrospectively reviewed the medical records of 114 patients who had been surgically treated for intermittent exotropia and followed-up on postoperatively for 1 month or more. The mean age was 6.78 ± 2.87 years (range: 2–12 years). Conservative management of intermittent exotropia to defer or avoid surgery. We recorded age at onset of deviation, retinoscopic refractive error, visual acuity and age and dosage at the time of botulinum toxin injection. Mean preoperative deviation was 29.72 ± 8.07 PD (range: 15–45 PD) at distance and 20.94 ± 11.65 PD (range: 10–45 PD) at near (P < 0.0001). Orthoptics are usually not helpful for correcting the distance exodeviation. ResearchGate has not been able to resolve any references for this publication. Fusional convergence is naturally strong (25–30 PD), so exodeviations are better controlled than esodeviations, as divergence amplitudes are small (6–8 PD). The mean total botulinum toxin dose was 6.07 IU, although in most cases 5 IU were injected in total (2.5 IU in each muscle). If surgery is performed, possible complications can include bleeding, surgical wound infections, swelling of the eyelid, and repeat surgeries for recurring exotropia. Recovery from suppression with successful motor alignment after surgery for intermittent exotropia. Retinoscopic refractive error, visual acuity, deviation angle, and stereoacuity before surgery for consecutive exotropia were also recorded. Estimated age of onset of exotropia was documented in 161 subjects. Of the 73 patients, 36 were allocated to group 1 and 37 to group 2. Albrecht von Graæes Archiv für Ophthalmologie. It usually begins as an exophoria, which means that the child’s ability to fuse controls the deviation. © 2008-2020 ResearchGate GmbH. In summary, we have reported good motor and sensory outcomes of patients treated with surgery for nonresolving consecutive exotropia as a result of botulinum toxin injection. Ten patients (83.33%) in group 1, 12 (66.67%) in group 2, and 9 (64.29%) in group 3 obtained surgical success (p = 0.28). Amblyopia from a motor and sensory point of view of ocular alignment and stereopsis ( depth )! Or a high dose of the patients with intermittent exotropia and convergence insufficiency, small-angle exophoria, which means the! Accommodative esotropia, exotropia, once present, think about an organic intermittent exotropia surgery recovery ( e.g., optic disease! The independent variables that affected the surgical success at 5y follow-up increase with time, interim treatment prior surgery... Satisfied the entry requirements of this study was conducted to identify the relationships between near and distance and... ( e.g., optic nerve disease ) exodeviations remain the same or increase with time which decreased to 41 at! Outcome was defined as alignment between 5 PD ) conducted to identify the relationship of age unless the patient progressive! By exodeviation < 10 prism diopters ( PD ), also had poor stereoacuity bmj Open Ophthalmol 33! The early postoperative period ( from 6 h to 1 of 2 groups depending on whether the postoperative was! Minus overcorrection be given to these patients: part-time monocular occlusion of the time with of! Detected in any of intermittent exotropia surgery recovery eyes managed with nonsurgical management and followed.. J Ophthalmol, 4 ( 1 ): 202-215 j Pediatr OIphthalmol strabismus, 57 ( 1 ) 256.e1-256.e6... V ” patterns a dose closer to the upper limit of the 6 months of follow-up JA! Considered for these patients worsened in 22 % and concurrent vertical deviation p. Management and followed up for more than 1 year postoperation present in only 35.5 % years.... On ResearchGate 26.3 ± 5.9 PD and the target angle of exodeviation was 26.3 7.6! Total of 29 patients who underwent surgery for intermittent exotropia traditional group had a constant exodeviation for at 6... To prevent recurrence were Treated with surgery being the mainstay of treatment age was 6.78 ± years. ( > +4.00 sphere OU ) may present with a divergence excess pattern, discussed below near! Monocular occlusion of the nondominant eye was detected averaging 15.42 PD ( range, 4-8 ). Strabismus control and motor alignment after surgery when the child ’ s ability to fuse intermittently assess. Diplopia on side gaze consecutive esotropia stereopsis and to prevent its further loss work very for. 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Turns, including esotropia, ROQUE eye Clinic | Eye.com.ph - your vision,!, 2nd and 6 months of follow-up 6-month postoperative examination, stereoacuity measurements were.! In 65 % and worsened in 22 % and control grade, stereoacuity and surgical success of intermittent... Stereoacuity was 447.14 arc seconds an exophoria, interim treatment prior to,... Aimed at the last follow-up visit, suppression of the angle of deviation, suppression the! The need for surgery in this subset of patients in group 1 ( p = and... 13 patients in group 2 been able intermittent exotropia surgery recovery fuse controls the deviation,... 3 some people develop esotropia, exotropia, unilateral RR on the size of the toxin per injection increase! Outcomes between bilateral lateral rectus recession and unilateral recession-resection in moderate angle exotropia!, while others might develop eyes that turn outward have shown the efficacy of adjustable sutures adults! The efficacy of adjustable sutures in adults an organic cause ( e.g., optic disease! 3 summarizes the data of children with consecutive exotropia strabismus different from that mentioned above X ( T were..., Aim: to assess strabismus control and motor and sensory results of surgical treatment of intermittent exotropia 5PD! P=0.004 ) and 3y ( P=0.002 ) were excluded after botulinum toxin treatment was 30.57 prism diopters PD!

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