Conclusions Surgical success was equally good in constant and intermittent exotropia, but better longterm stability was observed following surgery for constant exotropiaConvergence insufficiencytype intermittent exotropia a retrospective study Meiyu Ren, Qi Wang and Lihua Wang* (range, 6 to 37months), the surgical success rate was 706% (24/34), the undercorrection rate was Intermittent exotropia, Convergence insufficiency, Surgery Recurrence rate was 653% (n = 51), and the surgical success rate calculated as the rate of stable group and clinical success group was 73% Despite a high recurrence rate, surgery for intermittent exotropia showed a high clinical success rate and good longterm efficacy and safety in both deviation angle and sensory function
Principles Of Strabismus Surgery For Common Horizontal And Vertical Strabismus Types Intechopen
Exotropia surgery success rate
Exotropia surgery success rate-Many researchers2,5have reported that surgery for intermittent exotropia is easy and attain satisfying results for surgeons and patients during the early postoperative period, but the surgical success rate decrease with time after the progress of an exotropic drift After the surgical treatment the postoperative course in intermittent exotropia In the other aforementioned clinical trial, however, I found that 23 patients with basic exotropia who underwent symmetric lateral rectus recessions for the largest deviation measured (eg, after prolonged occlusion or while looking out a window) had a 74% success rate 17 Although this is a poorer outcome than that obtained in my study with recess/resect surgery for basic
Management Of Intermittent Exotropia Of The Divergence Excess Type A Teaching Case Report The Journal Of Optometric Education
Rectus recession and medial rectus resection surgery, the success rate was 8514% while success rate in case of bilateral lateral rectus recession was 6521% (p=0001) Conclusion Unilateral lateral rectus recession and medial rectus resection for surgical correction of exotropia had better In a multicenter, randomized clinical trial comparing these 2 surgical approaches in children aged 3 to 10 years with intermittent exotropia, no difference in surgical success was identified, 63% versus 54% in the recess/resect group 25 Similar results have been reported in younger children 26 A retrospective study found that recess/resect had slightly betterChoi et al proposed that initial overcorrection after intermittent exotropia surgery might be associated with lower probability of recurrence within 2 years after surgery Astudillo et al and Mireskandari et al proposed that exotropic patients with immediate postoperative target range of 0–8 PD of esotropia had significantly higher success rate than those outside it
Their success rate was 100% in esotropia patients and slightly less in the exotropia group (84 and % at near and distance, respectively) 23 These results were different from Deacon et al who detected significant and persistent lateral incomitance in their case series study with greater effect in gaze towards the operated eye and 3 of their patients had gaze diplopia toward the operated After a single operating time, the motor success rate was of 7% with 24 orthophoric patients Three of our patients were successfully reoperated two for recurrent exotropia and one for consecutive esotropia thus, the overall success rate Success rate defined as deviation between exotropia/phoria of 8 PD to esotropia/phoria of 4 PD Secondary Outcome Measures Change in stereoacuity
Recent studies have also reported variable success rates in all types of intermittent exotropia, around 40 to 70% Kushner compared the surgical results for different degrees of intermittent exotropia, surgical procedure, amount of surgical dosage and drew the following conclusions It has been reported that the most important factor determining surgical outcomes based on alignment is the duration of followup, with half the surgeries failing after 5 years which increases to 76% at 10 years and 86% failing after 15 years A total of %–60% patients require a second surgery at mean followup of 10 years, most of them for a recurrence of Success rate, defined as deviation of ≤ 10 PD, was achieved in 862% There were 2 (34%) cases of overcorrection (consecutive esotropia) There were no intra or postoperative complications The mean followup duration after surgery was 23 ± 17 years In children with moderate angle exotropia, good postoperative success rate was achieved
Management Of Intermittent Exotropia Of The Divergence Excess Type A Teaching Case Report The Journal Of Optometric Education
Improvement In Health Related Quality Of Life Following Strabismus Surgery For Children With Intermittent Exotropia Journal Of American Association For Pediatric Ophthalmology And Strabismus Jaapos
Intermittent exotropia turns on the type of exotropia exodeviation angle The success rates of surgical interventions, as reported in a number of different studies, vary widely 42%–63% after bilateral lateral rectus recession (BLR) and 27%–% 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 Until postoperative 1 year, the surgical success rates did not differ by exotropia type At the final examination though, the surgical success rates were 463, 702, and 286% in basic, pseudoDE, and true DE, respectively, which results served to highlight the better outcome for the pseudoDE type relative to the others (P = 0003, 001, Table 5)
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Long Term Outcomes Following Resection Recession Versus Plication Recession In Children With Intermittent Exotropia British Journal Of Ophthalmology
Methods We performed a retrospective review of patients with intermittent exotropia who underwent uniocular recessionresection surgery Success was defined as ocular deviation ≤10 Δ exotropia and ≤5 Δ esotropia at distance at last followup (at least 3 months' postoperatively) Preoperative factors such as age at surgery, sex, visual acuity, sphericalSuccessful outcome at 2 years after surgery for intermittent exotropia Methods A retrospective study was performed in 216 patients who had undergone intermittent exotropia surgery and had had at least 2 years of followup Surgical outcomes were grouped, according to To evaluate the longterm surgical success rate (>3 years) and contributing success factors considering motor and sensory criteria for patients with intermittent exotropia Methods Fiftyfour patients who received surgery for intermittent exotropia and were followedup for a minimum of 3 years, including reoperation, were retrospectively evaluated
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Intermittent Right Exotropia surgery What is the success rate?Surgical success at early ocular alignment and at 6 months 733% and 766% respectively At 6 months success outcome in BLR was 818% & that in R/R was 736% Conclusion Early postoperative ocular alignment of intermittent exotropia at day 1 can be a determinant of orthophoria at 6 months Orthophoric or slight overcorrection gives betterThe success rate of IXT is dependent on the length of postoperative followup Longer the followup higher the incidence of recurrence In recent studies, the reported success rate in all types of IXT has been about 60–70%44 45 46 47
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However, the success rate of ULR has been shown to vary widely, from 56 to 92% 4, 5, 7, 9 Previously, we reported an overall rate of longterm successful alignment of ULR for intermittent exotropia of 15–24 PD; In a comparative study using both Optometric and Ophthalmological journals, vision therapy had an overall success rate of 78 percent, when compared to surgery that held a success rate of 48 percent Vision therapy is also effective in improving the developments of the neural pathways and the eyebrain connection, both before and after surgery Hardesty et al 28 in a review of the longterm results of 100 surgicallytreated intermittent exotropia cases (mean followup 61 years), reported a 50% success in patients treated with surgery and orthoptic treatments and a 32% success with surgery alone Higher success rates of surgery with vision/occlusion therapy over surgery alone were
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The angle of exotropia (PD) before and after surgery and the success rate were documented Results Mean age at surgery was 64 ± 19 (range ) years Exotropia improved from a preoperative angle of 214 ± 40 PD to 35 ± 59 PD postoperatively (p < 0001) Success rate, defined as deviation of ≤ 10 PD, was achieved in 862%Intermittent exotropia in children toward a more successful surgical outcome on long term followup April 16 Conference American association of pediatric ophtahlmology andCompared the results of twomuscle surgery on 25 patients with intermittent exotropia of 60–70 PD with the results of threemuscle surgery done on 15 patients with intermittent exotropia of >70 PD The overall success rate was reported as 775%, and there were no statistically significant differences in success rates between the two and
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This study was conducted to identify the relationship between control grade, stereoacuity and surgical success in basic intermittent exotropia Methods This retrospective study involved 44 basic intermittent exotropia patients who underwent strabismus surgery and completed at least 6 months of followupHowever, intermittent exotropia of –24 PD revealed a worse prognosis than that of 15–19 PD In the current trial, the success rate of IRR after 1 year was 434%, 50%, and 5909% at distant, near, and in collapse of NDD, respectively, with very low rate of postoperative overcorrection
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Although overcorrection for intermittent exotropia is widely accepted as the optimal postoperative day 1 outcome, there is some evidence to suggest initial postoperative alignment is not a good indicator of longterm success7, 11 In this study, the success rate ranged from 431% to 60% in the longterm follow up period and there was no statistically significant difference in success rates 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 cases 4Of intermittent exotropia Asadi et al evaluated the effect of a cocktail of orthoptic interventions including prism exercises, pencil pushups, 3D tests and dominant eye occlusion on intermittent exotropia in 74 patients and reported a success rate of 8% of patients in basic type, all patients in Convergence insufficiency type and 8% in
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In a comparative study using both optometric and ophthalmological journals, vision therapy had an overall success rate of 78 percent, as compared to surgery which held a success rate of 48 percent Surgery should be used as a last resort, only when the eye turn is significant, as in cases of large angle intermittent exotropia, and only after inoffice vision therapy not been In particular, the success rate for surgical intervention in X (T) is highly variable, ranging from 33 to % 5, 6, 7, 8, 9, 10 Furthermore, aI'm currently 19 and Have / vision in both eyes 0 comments share save hide report 100% Upvoted Log in or sign up to leave a comment Log In Sign Up Sort by best
Prognostic Factors For Recurrence With Unilateral Recess Resect Procedure In Patients With Intermittent Exotropia Eye
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Age at surgery The postoperative evaluation was approx ≥1 year postsurgery in patients agedSurgery for intermittent exotropia at younger ages may develop better postoperative binocular vision 10 However, in more than 50% of patients who experience exotropia, deviation increases 10 or more diopters within few years from diagnosis, which means that half of patients with intermittent exotropia, shall undergo surgical treatment 11 The success rate of intermittent exotropia is dependent on the length of followup Longer the follow up higher the incidence of undercorrections Shortterm studies with 6 months to 1year followup reports a success rates of approximately 80%, whereas studies with 25 year followup have shown a 5060% success rate with one surgery
Management Of Intermittent Exotropia Of The Divergence Excess Type A Teaching Case Report The Journal Of Optometric Education
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New Research Sheds Light on Intermittent Exotropia Surgical correction of intermittent exotropia is a breadandbutter procedure for many pediatric ophthalmologists But a recent study in the British Journal of Ophthalmology ( BJO) 1 and an accompanying editorial 2 call into question the notion that intermittent exotropia is straightforward or The exophoria may deteriorate over time into intermittent exotropia then constant exotropia, as the brain learns to suppress the image from the deviated eye Suppression is the reason why affected children do not complain of seeing double Its presence, however, lowers the success rate of surgeryThe average success rate was 585% Univariate binomial regression revealed that patients with smaller angle of deviation at near (OR = 096, P = 0013) or distance (OR = 096, P = 0005), larger myopic refractive errors in terms of mean spherical equivalent (OR = 071, P = 0022) and spherical equivalent in the more myopic eye (OR = 075, P = 0029) contributed to success
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430 Intermittent exotropia comparative surgical results of lateral rectirecession and monocular recessresect procedures Valenzuelaperformed the monocular recessresect procedure in 47 patients obtaining a 55% success rate and recession of the lateral recti in 78 patients, obtaining 54% success rate, after a 2 year follow up (8) Of the 216 children who had undergone surgery for intermittent exotropia, 128 (59%) were assigned to the success group at postoperative 2 years, and 84 (39%) were assigned to the recurrence group Four patients (2%) who were overcorrected were excluded from this study to compare the success and recurrence group and analyse factors with surgical outcome at At a mean followup of 150 months (range, 6 to 37 months), the surgical success rate was 706% (24/34), the undercorrection rate was 176% (6/34), and the overcorrection rate was 118% (4/34) The mean neardistance deviation difference was significantly reduced from 1112 ± 6 PD (range, 10 to 15 PD) preoperatively to 247 ± 304 PD (range, 0 to 10 PD)
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