Relationship between motor alignment at postoperative day 1 and at year 1 after symmetric and asymmetric surgery in intermittent exotropia

Japanese Journal of Ophthalmology
S Lee, Y C Lee

Abstract

To evaluate the relationship between the motor alignment at postoperative day 1 and at year 1 following bilateral lateral rectus recession (BLR, symmetric surgery) and unilateral lateral rectus recession-medial rectus resection (R&R, asymmetric surgery) for the treatment of intermittent exotropia, X(T). Forty-six patients with basic or pseudo-divergence excess type of X(T) underwent BLR and 57 patients underwent R&R. The motor alignment at postoperative day 1 was classified as overcorrected by 11-20 prism diopters (PD), overcorrected by 1-10 PD, orthotropic, or undercorrected by 1-10 PD of exotropia. There was a statistically significant relationship between the alignment at postoperative day 1 and at year 1 following both R&R and BLR surgery (r = 0.74, r = 0.51, respectively, P <.05). Patients overcorrected by 1-20 PD had a significantly higher success rate than those undercorrected by 1-10 PD on postoperative day 1 (P <.05). For R&R, a postoperative day 1 alignment of 1-10 PD resulted in the highest success rate of 73.7%. For BLR, a postoperative day 1 alignment of 11-20 PD showed the highest success rate of 76.9%. There were no significant differences in the success, undercorrection and overcorrection rates between the two s...Continue Reading

Citations

Jun 28, 2014·Journal of Pediatric Ophthalmology and Strabismus·Zhale RajaviKourosh Sheibani
Aug 10, 2005·Ophthalmologica. Journal international d'ophtalmologie. International journal of ophthalmology. Zeitschrift für Augenheilkunde·Tae Woo KimJeong-Min Hwang
Aug 23, 2011·The American Orthoptic Journal·Kenneth G Romanchuk
Jul 9, 2014·The British Journal of Ophthalmology·Kerry E JoyceMichael P Clarke
Jul 6, 2017·Journal of Pediatric Ophthalmology and Strabismus·Suk-Gyu HaSeung-Hyun Kim
Jan 26, 2018·Graefe's Archive for Clinical and Experimental Ophthalmology = Albrecht Von Graefes Archiv Für Klinische Und Experimentelle Ophthalmologie·Yuan SunJingchang Chen
Sep 12, 2008·Korean Journal of Ophthalmology : KJO·Hye Jin ParkSeung Hee Baek
Apr 19, 2019·BMJ Open Ophthalmology·Pratik Chougule, Ramesh Kekunnaya
Jul 4, 2006·Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus·Audrey ChiaQuah Boon Long
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Jun 23, 2009·American Journal of Ophthalmology·Hee Kyung Yang, Jeong-Min Hwang
Aug 26, 2010·Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus·Stacy L PinelesArthur L Rosenbaum

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