Document Detail

Bilateral lateral rectus recession for consecutive exotropia.
MedLine Citation:
PMID:  11040479     Owner:  NLM     Status:  MEDLINE    
INTRODUCTION: Treatment of consecutive exotropia after bilateral medial rectus recessions has been rarely studied. Though several series have reported results of medial rectus advancement, none has described results of lateral rectus recessions. METHODS: We reviewed our results in 31 patients who underwent bilateral lateral rectus recessions for consecutive exotropia after bilateral medial rectus recessions. Mean follow-up was 30 months (range, 1-140 months) after the exotropia repair. RESULTS: At last follow-up, 20 of 31 patients (65%) had deviations of less than or equal to 10 PD. Limitation of adduction was not apparent. DISCUSSION: Cooper's dictum states that lateral rectus recession should be performed instead of medial rectus advancement. Our results suggest that this approach is generally successful. The outcome after exotropia repair in consecutive deviations is comparable to that after repair of primary exotropia.
A S Patel; J W Simon; L L Lininger
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Journal of AAPOS : the official publication of the American Association for Pediatric Ophthalmology and Strabismus / American Association for Pediatric Ophthalmology and Strabismus     Volume:  4     ISSN:  1091-8531     ISO Abbreviation:  J AAPOS     Publication Date:  2000 Oct 
Date Detail:
Created Date:  2000-11-22     Completed Date:  2000-12-07     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9710011     Medline TA:  J AAPOS     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  291-4     Citation Subset:  IM    
Lions Eye Institute and Department of Ophthalmology, Albany Medical College, Albany, New York, USA.
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MeSH Terms
Child, Preschool
Exotropia / physiopathology,  surgery*
Eye Movements / physiology
Oculomotor Muscles / physiopathology,  surgery*
Ophthalmologic Surgical Procedures
Retrospective Studies
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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