Long-term surgical outcomes and factors for recurrence after unilateral lateral rectus muscle recession

The British Journal of Ophthalmology
In Jeong LyuSei Yeul Oh

Abstract

To evaluate long-term surgical outcomes and risk factors for recurrence after unilateral lateral rectus muscle recession (ULR) in children with small to moderate angle intermittent exotropia (IXT). 214 patients with basic type IXT of 15-24 prism dioptres (PD) who underwent ULR were included. The main outcome measure was success rate at 2 years after surgery and at final follow-up. The risk factors related to recurrence were evaluated using univariable and multivariable logistic regression analyses. Success rate at postoperative 2 years was 92.5% and at final examination after a mean follow-up of 3.9 years was 83.2%. No overcorrection was observed. Preoperative exodeviation of 20-24 PD was the significant risk factor for recurrence according to both univariable (OR=3.577, p=0.022) and multivariable analysis (OR=3.265, p=0.034). The overall long-term successful alignment rate of ULR for 15-24 PD of IXT was good. However, patients with 20-24 PD of IXT showed worse prognosis compared with 15-19 PD of IXT.

References

May 9, 2002·Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus·Gerasimos Livir-RallatosJoseph H Calhoun
Apr 1, 1965·American Journal of Ophthalmology·H M BURIAN, B E SPIVEY
Oct 31, 2009·Journal of Pediatric Ophthalmology and Strabismus·Lihua Wang, Leonard B Nelson
Nov 26, 2009·Journal of Pediatric Ophthalmology and Strabismus·Vimla MenonSwati Phulijele
May 29, 2010·Ophthalmic Surgery, Lasers & Imaging : the Official Journal of the International Society for Imaging in the Eye·Oriel SpiererGuy J Ben-Simon
May 24, 2013·Ophthalmology·Roberta McKean-CowdinUNKNOWN Multi-Ethnic Pediatric Eye Disease Study Group

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Citations

Apr 19, 2019·BMJ Open Ophthalmology·Pratik Chougule, Ramesh Kekunnaya

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