Long-Term Results of Surgery for Intermittent Exotropia

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dc.authorscopusid55913025800
dc.authorscopusid9733109900
dc.authorscopusid34869701000
dc.authorscopusid50263136900
dc.authorwosidHorozoglu, Fatih/AAM-4273-2021
dc.authorwosidKeskinbora, Kadircan/AAM-6453-2020
dc.contributor.authorKeskinbora, Kadircan Hıdır
dc.contributor.authorHorozoğlu, Fatih
dc.contributor.authorGönen, Tansu
dc.contributor.authorSever, Özkan
dc.date.accessioned2022-05-11T14:35:46Z
dc.date.available2022-05-11T14:35:46Z
dc.date.issued2012
dc.departmentFakülteler, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Göz Hastalıkları Ana Bilim Dalı
dc.description.abstractObjective: To evaluate the long-term surgical outcomes in a population with intermittent exotropia X(T) who were operated by the same surgeon. Material and Methods: The medical records from January 1991 to December 2008 were retrospectively reviewed. Patients were examined on postoperative day 1, in week 1 and week 6, at 6 months and 1 year, and then every year. Twenty four of 43 patients underwent bilateral lateral rectus recession and 19 patients underwent unilateral recession-resection for X(T). Results: Forty-three patients underwent surgery at a mean age of 11.2 +/- 4.6 years (range, 6 to 25 years). Eleven of the 43 children (25.6%) underwent a second surgical intervention (9 for recurrent exotropia and 2 for consecutive esotropia), and no patient received more than 2 interventions. Four patients were lost to follow-up after 2 years. Mean follow-up time was 9 +/- 5.2 years for 39 patients. Consecutive esotropia (ET) developed in 9(21%) patients with immediate overcorrection of at least 20 prism diopters (PD). Only two cases of consecutive ET required second surgery. Postoperative esodeviation developed in almost all cases and it showed a tendency to progress to exodeviation with longer follow-up time. Nine cases required surgery for residual or recurrent exotropia. Finally, 28 of the 39 (71.8%) were within 10 PD of orthotropia at distance and 18 of 39 (46.2%) had a stereopsis better than 60 seconds of arc. Conclusion: In this population with intermittent exotropia, although 11 cases underwent a second surgical intervention, after a mean follow-up of 9.8 years, approximately 3 out of 4 cases were successfully aligned and 46.2% had high-grade stereopsis.
dc.identifier.doi10.5336/medsci.2011-24369
dc.identifier.endpage643
dc.identifier.issn1300-0292
dc.identifier.issue3en_US
dc.identifier.scopus2-s2.0-84857870663
dc.identifier.scopusqualityQ4
dc.identifier.startpage638
dc.identifier.urihttps://doi.org/10.5336/medsci.2011-24369
dc.identifier.urihttps://hdl.handle.net/20.500.11776/8207
dc.identifier.volume32
dc.identifier.wosWOS:000307199900006
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.institutionauthorKeskinbora, Kadircan Hıdır
dc.institutionauthorHorozoglu, Fatih
dc.institutionauthorGönen, Tansu
dc.institutionauthorSever, Özkan
dc.language.isoen
dc.publisherOrtadogu Ad Pres & Publ Co
dc.relation.ispartofTurkiye Klinikleri Tip Bilimleri Dergisi
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectExotropia
dc.subjectsurgery
dc.subjectstrabismus
dc.subjectLateral Rectus Recession
dc.subjectPopulation-Based Cohort
dc.subjectPostoperative Alignment
dc.subjectSurgical-Management
dc.subjectDistance
dc.subjectExodeviations
dc.subjectConstant
dc.subjectTarget
dc.subjectAngle
dc.titleLong-Term Results of Surgery for Intermittent Exotropia
dc.title.alternativeİntermitan ekzotropya cerrahisinin uzun vadeli sonuçlan]
dc.typeArticle

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