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Contralateral lateral rectus recession versus recess-resect for recurrent exotropia after unilateral recess-resect.
MedLine Citation:
PMID:  23536421     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
BACKGROUND: To compare outcomes following contralateral lateral rectus (LR) recession and recess-resect (RR) procedures for recurrent exotropia of 20-25 prism dioptres (PD) after unilateral RR. METHODS: 39 subjects were included in this retrospective study. All underwent, as a primary surgery for intermittent exotropia, unilateral RR on the non-dominant eye. They were then randomly assigned to the subsequent contralateral LR recession (LR, n=19) or RR (n=20) group for recurrent exotropia of 20-25 PD. Surgical success was defined as alignment between 5 PD esodeviation and 10 PD exodeviation. RESULTS: The mean deviation angles at postoperative 1 day were -0.7 PD (overcorrection) in the LR group and -4.3 PD in the RR group (p=0.047). The deviation angles at 3 and 6 months postoperatively were not significant (p=0.771, p=0.923). The final successful outcome was achieved in 63.2% of patients in the LR group and in 65% of patients in the RR group (p=0.905). CONCLUSIONS: Contralateral LR recession was found to be a safe and effective procedure for the treatment of recurrent exotropia of 20-25 PD after unilateral RR for intermittent exotropia. With LR recession, the intentional overcorrection in the immediate postoperative period could be avoided.
Authors:
Joo Hyun Kim; Hae Jin Kim; Dong Gyu Choi
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2013-3-27
Journal Detail:
Title:  The British journal of ophthalmology     Volume:  -     ISSN:  1468-2079     ISO Abbreviation:  Br J Ophthalmol     Publication Date:  2013 Mar 
Date Detail:
Created Date:  2013-3-28     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0421041     Medline TA:  Br J Ophthalmol     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Hallym University College of Medicine, Seoul, Korea.
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