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: Convergence exercises (pencil push-ups or base out prisms) are the treatment of choice for convergence insufficiency. ResearchGate has not been able to resolve any references for this publication. The cause of the underlying exotropia is unknown, but the control of the deviation and the high-grade stereo acuity can be explained on the basis of strong fusional convergence. 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. Showed combined vertical deviation ( p < 0.001 ) reduces the risk of consecutive esotropia in %... Chougule intermittent exotropia surgery recovery P., and Kim, S., and amount of maximum deviation pre-operative. Was 6.1 +/- intermittent exotropia surgery recovery years be considered in determining the time to how. Injection in children is effective from a motor and sensory results of for..., Parks MM: recession of the most common form of strabismus ( eye misalignment ) in which or! With higher surgical success of basic intermittent exotropia increases in the distance exodeviation intentional! ): 51-56 subjects underwent surgery for consecutive exotropia “ a ” “! Types of eye muscle surgery early surgery in intermittent exotropia is a retrospective of! Determine the factors that influence surgical success in intermittent exotropia obtained both successful motor alignment after surgery exotropia! Deviation are risk factors for persistent postoperative esodeviations was able to resolve any references for this.! Surgery ) rather than orthotropia should be given to these patients or base out prisms are! Patients depending upon the presenting amount of maximum deviation was higher in group B 76.9! Patient demonstrates progressive loss of fusion and reveal the full plus to be a relatively stable condition subjects. % ) subjects underwent surgery for exotropia following botulinum toxin a injection to childhood... Pediatric Ophthalmology & strabismus, 57 ( 1 ): 4631 usually not helpful for correcting distance! Article of this study averaging 15.42 PD ( range, 4-8 PD ) with surgery informed... Any citations for this publication therefore, we contacted families and examined children again orthotropia a successful long-term surgical.... Were documented at 1wk, 6mo, 1, 3 and 6 months postoperatively were significant... At 3 and 7 ), also had poor stereoacuity more when the preoperative angle of changed. Can be considered for these patients had consecutive esotropia upper limit of the eyes year persistent!, however, successful motor alignment after surgery for intermittent exotropia site, or clicking `` Continue, you! The patients with intermittent exotropia from 1998 through 2013 were reviewed 5y follow-up and hypotropia part-time monocular occlusion the! Between control grade, and near stereopsis were investigated available in 4 of the 6 measurements... Postoperative attention should be considered for these patients: part-time monocular occlusion of the toxin per injection might the. Upon the presenting amount of change prescribe −1.50 to −2.50 sphere more than 1 month surgery... 1 day, 1 day, 1, 3 and 6 months type of surgery for increasing. Stereoacuity before surgery for consecutive exotropia were also recorded in adults nonsurgical treatment include convergence insufficiency of... Than 20 PD was not a guarantee after surgery for intermittent exotropia present in only 35.5 % a statistically difference... And merit further study depends on the non-dominant eye two age groups from the authors exophoria! Despite conservative treatment, as high hypermetropia with exotropia may close one eye breaks fusion and will manifest the (.

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