Document Detail

Large bilateral lateral rectus recession in large angle divergence excess exotropia.
MedLine Citation:
PMID:  11284487     Owner:  NLM     Status:  MEDLINE    
PURPOSE: Classic teaching suggests that surgery for intermittent exotropia should be based on distance/near differences. True divergence excess exotropia should be treated with symmetric lateral rectus recession. The aim of this study was to investigate the effect of large bilateral lateral rectus (LR) recession in large-angle intermittent exotropia. METHODS: Thirty-three consecutive patients with large-angle divergence excess exotropia ranging from 50 to 65 (mean 56.7 +/- 6.3) prism diopters were treated with 8.0 to 9.5 mm (mean 8.8 +/- 0.7 mm) recession of both LR muscles. RESULTS: Successful alignment was achieved in 25 cases (76%) while residual exotropia was seen in eight patients (24%) within the limit of 15 prism diopters. Mean follow-up time was 28.5 +/- 8.4 (range 13 to 38) months. Abduction deficit due to this procedure was not seen in any case. CONCLUSIONS: We conclude that large bilateral LR recession is an appropriate surgical method for large-angle divergence excess exotropia.
S Celebi; A S Kükner
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  European journal of ophthalmology     Volume:  11     ISSN:  1120-6721     ISO Abbreviation:  Eur J Ophthalmol     Publication Date:    2001 Jan-Mar
Date Detail:
Created Date:  2001-04-03     Completed Date:  2001-08-02     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9110772     Medline TA:  Eur J Ophthalmol     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  6-8     Citation Subset:  IM    
Department of Ophthalmology, School of Medicine, Firat University, Elazig, Turkey.
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MeSH Terms
Child, Preschool
Exotropia / surgery*
Follow-Up Studies
Middle Aged
Oculomotor Muscles / surgery*
Ophthalmologic Surgical Procedures
Treatment Outcome
Vision, Binocular

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