√70以上 intermittent exotropia surgery outcome 310467-Intermittent exotropia surgery success rate
Surgery for intermittent exotropia can help preserve binocular vision Unilateral recession/resection has better outcome compared to bilateral surgery and can help preserve binocular vision, a prospective comparative study conducted at a teaching hospital in In a prospective observational study of 1 children between 3 and 10 years old who had intermittent exotropia, but for whom surgery was not considered necessary, the probability of deterioration at 3 years (constant exotropia or decline in stereopsis) was 15% 19 Similarly, a retrospective study of patients aged 5 to 25 years found that without surgery, the angle Until the final followup, 174 patients (509%) showed recurrence;
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Intermittent exotropia surgery success rate
Intermittent exotropia surgery success rate- Of all types of exotropia, intermittent exotropia has the best prognosis, as it was demonstrated by many studies , Several factors may influence the postoperative results Like many authors, we found a positive correlation between the preoperative and the postoperative deviation angle This was explained by the fact that the surgical dosage is often insufficient for wideangle exotropia For extralargeangle exotropia, for example, some studies have suggested simultaneous threemuscle or fourmuscle surgery6–9 However, other studies have demonstrated that largeangle exodeviations can be successfully managed by twomuscle surgery, with comparable surgical outcomes between BLR and unilateral RR10–12 In most of those studies though, the subjects were mainly adults with various types of exotropia
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divergence excess intermittent exotropia received symmetric lateral rectus recessions Outcome was observed 1 year after surgery Results Of 19 patients with basic exotropia receiving lateral rectus recessions, 10 patients (52%) had a satisfactory outcome compared with 14 (%) of the 17 patientswhohadrecess/resectprocedures(P,05)OftheDespite lack of evidence regarding the natural history of intermittent exotropia and poor validation of measures of severity, most studies showed that motor and sensory success could be both reached with strabismus surgery, indicated in case of an increase in the frequency or duration of tropia episodes, poor control of the deviation, or a deterioration of the stereoscopic statusPurposeTo determine the outcomes of three different techniques of strabismus surgery in patients with convergence insufficiency intermittent exotropia (CIX(T))Patients and methodsSixtyseven patients with CIX(T) with neardistance disparity (NDD) ≥10 prism diopter (PD) were included in this 1year followup prospective study and were randomly divided into three groups slanted
Surgery for intermittent Exotropia A Comparison of Outcomes Following Two Different Surgical Techniques Methods Patients have intermittent exotropia who need surgical intervention and have been referred to the eye clinic by ophthalmologist or orthoptist will be randomised to treatment and allocation is concealed via computer3) Maximum patients were having 30 PD exotropia in both groups (Table 4) Table 5 shows outcome of squint surgery at the end of 12 weeks In group A 879% were orthophoric at end of 12 weeks while 6% had The exotropia being intermittent, allows for development of binocular fusion and stereopsis58 59 Therefore, delaying the surgery should not influence the sensory and visual outcomes to a great extent,60 61 and many studies have advocated for a delayed approach as it may also allow for more accurate measurements and better results,58 62 63 However, multiple reports have suggested that best results
The mean time from the first surgery to recurrence was 326±329 months According to the types of intermittent exotropia, 153 basic (544%), 12 pseudoDE (255%), and 9 true DE patients (643%) suffered recurrence after the first surgeryReoperation for recurrent exotropia was performed in 27% of the basic, 17% of the pseudoDE, and 357% of the true DE cases According to a survival analysis for recurrence, patients with pseudoDE showed lower incidence of recurrence than did patients with basic and true DE (p = 0003, 002) In conclusion, the patients with intermittent exotropia of the pseudoDE type showed better surgical outcomes The longterm results of surgical treatment of intermittent exotropia (X(T)) according to the type of surgery are controversial We conducted a retrospective cohort study to compare the longterm
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24 Maruo T, Kubota N, Sakaue T, Usui C Intermittent exotropia surgery in children Long term outcome regarding changes in binocular alignment A study of INTRODUCTION Intermittent exotropia (IXT) is a common form of childhood exotropia, which accounts for ∼50%90% of all exotropia cases and affects ∼1% of the general population –It is characterized by the intermittent outward deviation of either eye that, if untreated, can gradually become constant in about onethird of the casesThe age of onset for Surgical success was similar regardless of type of surgery The probability of reoperation was lower in younger children (1% vs 11%) Limitations This was a secondary analysis of the PEDIG intermittent exotropia study The baseline characteristics between the older and younger children were reasonably similar
Surgery For Intermittent Exotropia
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