The surgical management of consecutive exotropia

Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus
Mark J DonaldsonGlen A Gole

Abstract

To review the results and techniques of surgical treatment of consecutive exotropia. We performed a retrospective chart review of all patients who underwent surgery for consecutive exotropia in a pediatric ophthalmology practice between 1992 and 2001. Patients were excluded if follow-up lasted < 6 weeks or if exotropia was caused by other ocular disorders such as previous trauma or congenital cataracts. Fifty-nine patients were identified. The procedure performed in the majority of cases was unilateral lateral rectus recession and medial rectus advancement to the original insertion. Seven patients underwent bilateral lateral rectus recession, and 6 underwent lateral rectus recession combined with medial rectus resection. The mean interval between original surgery and surgery for consecutive exotropia was 14.1 years (range 4 months to 47.5 years). The mean preoperative distance exodeviation was 31.7 prism diopters (PD). Satisfactory alignment (ie, within 10 PD of orthophoria) was achieved in 36 patients (61%) at week 1 and 42 patients (71%) at final follow-up. Mean follow up was 16.0 months. Thirty-nine patients (66%) demonstrated an exodrift after surgery (mean 7.6 PD). Consecutive exotropia may occur many years, even decades, ...Continue Reading

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Citations

Aug 14, 2013·Journal of Pediatric Ophthalmology and Strabismus·Zhale RajaviKourosh Sheibani
Aug 6, 2015·Japanese Journal of Ophthalmology·Mayu SawadaMiho Sato
Nov 14, 2017·Journal of Pediatric Ophthalmology and Strabismus·Kun-Hoo NaSeung-Hyun Kim
Nov 21, 2009·Acta Ophthalmologica·Anuradha GaneshJoan Lithander
May 7, 2013·Journal of Pediatric Ophthalmology and Strabismus·Nazife Sefi Yurdakul, Seyda Ugurlu
Apr 19, 2018·European Journal of Ophthalmology·Sophie BryselboutSolange Milazzo
Mar 15, 2019·Graefe's Archive for Clinical and Experimental Ophthalmology = Albrecht Von Graefes Archiv Für Klinische Und Experimentelle Ophthalmologie·Haeng-Jin LeeSeong-Joon Kim
Aug 7, 2013·European Journal of Ophthalmology·Osman Melih CeylanHalil Ibrahim Altinsoy
Apr 15, 2008·Journal of Pediatric Ophthalmology and Strabismus·Rehab R Kassem
Mar 2, 2018·Strabismus·Mohammad Reza AkbariArash Mirmohammadsadeghi
Jun 29, 2018·European Journal of Ophthalmology·Rehab Rashad KassemHala Mostafa Elhilali
Jan 12, 2021·European Journal of Ophthalmology·Osman Melih CeylanFatih Mehmet Mutlu
Mar 31, 2021·Journal of Binocular Vision and Ocular Motility·Pratik ChouguleRamesh Kekunnaya
Aug 24, 2020·American Journal of Ophthalmology·Allison C UmfressSean P Donahue
Jul 27, 2021·European Journal of Ophthalmology·Nazife Sefi-YurdakulAysel Pelit
Jan 23, 2009·Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus·Stacy L PinelesJoseph L Demer
Dec 30, 2020·Archivos de la Sociedad Española de Oftalmología·L de-Pablo-Gómez-de-LiañoM Ferro-Osuna
Jul 7, 2010·Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus·Michael C StruckScott Hetzel
Dec 14, 2011·Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus·Giovanni Battista Marcon, Raffaele Pittino

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