Document Detail

Postoperative outcomes in children with intermittent exotropia from a population-based cohort.
MedLine Citation:
PMID:  18848478     Owner:  NLM     Status:  MEDLINE    
PURPOSE: To describe the long-term surgical outcomes in a population-based cohort of children with intermittent exotropia.
METHODS: The medical records of all children (<19 years) who were diagnosed with intermittent exotropia as residents of Olmsted County Minnesota, from January 1, 1975, through December 31, 1994, and managed with surgery were retrospectively reviewed.
RESULTS: Of 184 patients with intermittent exotropia, 61 (33%) underwent surgery at a mean age of 7.6 years (range, 3.2 to 23 years). Twelve of the 61 children (19.7%) underwent a second surgery (10 for recurrent exotropia and 2 for consecutive esotropia), and no patient received 3 or more surgeries during a mean follow-up of 10 years from the first surgery. The final postoperative measurements were recorded in 56 of 61 patients (92%) at a mean of 7.4 years (range, 0 to 18 years) after the first surgery: 31 of the 56 (55%) were within 9(Delta) of orthotropia at distance and 25 of 55 (45%) had better than 60 seconds of stereopsis. The Kaplan-Meier rate of developing >/=10(Delta) of misalignment after the first surgery was 54% by 5 years, 76% by 10 years, and 86% by 15 years.
CONCLUSIONS: In this population-based study of surgery in children with intermittent exotropia, although only 1 in 5 received a second surgery, after a mean follow-up of 8 years, approximately half were successfully aligned and 45% had high-grade stereopsis.
Noha S Ekdawi; Kevin J Nusz; Nancy N Diehl; Brian G Mohney
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2008-10-10
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:  13     ISSN:  1528-3933     ISO Abbreviation:  J AAPOS     Publication Date:  2009 Feb 
Date Detail:
Created Date:  2009-02-23     Completed Date:  2009-06-19     Revised Date:  2014-09-11    
Medline Journal Info:
Nlm Unique ID:  9710011     Medline TA:  J AAPOS     Country:  United States    
Other Details:
Languages:  eng     Pagination:  4-7     Citation Subset:  IM    
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MeSH Terms
Child, Preschool
Cohort Studies
Depth Perception
Exotropia / epidemiology*,  surgery*
Follow-Up Studies
Kaplan-Meier Estimate
Ophthalmologic Surgical Procedures / statistics & numerical data*
Postoperative Complications / epidemiology*
Reoperation / statistics & numerical data*
Treatment Outcome
Young Adult
Grant Support
Comment In:
J AAPOS. 2009 Feb;13(1):1-3   [PMID:  19233012 ]

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

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