Document Detail

Postoperative convergence after recovery from general anesthesia in exotropia surgery.
MedLine Citation:
PMID:  20964275     Owner:  NLM     Status:  In-Data-Review    
PURPOSE: To compare eye position at the end of surgery under general anesthesia with strabismic angles on postoperative day 1 in exotropia surgery.
METHODS: Seventy-eight patients between 3 and 58 years of age who had undergone surgery were divided into two groups (group A = 46 patients with bilateral rectus recession, group B = 32 patients with surgery that included medial rectus resection). Strabismic angles were measured at the end of surgery under general anesthesia using the Hirschberg test and the alternate prism cover test was performed on postoperative day 1.
RESULTS: Mean strabismic angle was 3.15 prism diopters (PD) under general anesthesia and -6.78 PD on postoperative day 1 in group A and -0.31 and -0.37 PD, respectively, in group B. Mean postoperative convergence was 9.93 PD in group A and 0.06 PD in group B, and the differences were statistically significant (P < .001).
CONCLUSION: All patients receiving lateral rectus recession showed approximately 10 PD of convergence. Those who received surgery that included medial rectus resection showed much less convergence and a tendency to be the same as at the end of surgery on postoperative day 1.
Sukgyu Ha; Seung-Hyun Kim
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Publication Detail:
Type:  Journal Article     Date:  2010-10-21
Journal Detail:
Title:  Journal of pediatric ophthalmology and strabismus     Volume:  48     ISSN:  1938-2405     ISO Abbreviation:  J Pediatr Ophthalmol Strabismus     Publication Date:  2011 Sep 
Date Detail:
Created Date:  2011-09-14     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7901143     Medline TA:  J Pediatr Ophthalmol Strabismus     Country:  United States    
Other Details:
Languages:  eng     Pagination:  305-10     Citation Subset:  IM    
Copyright Information:
Copyright 2011, SLACK Incorporated.
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