| Postoperative outcomes in children with intermittent exotropia from a population-based cohort. | |
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MedLine Citation:
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PMID: 18848478 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Noha S Ekdawi; Kevin J Nusz; Nancy N Diehl; Brian G Mohney |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't Date: 2008-10-10 |
Journal Detail:
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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:
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Created Date: 2009-02-23 Completed Date: 2009-06-19 Revised Date: 2013-06-05 |
Medline Journal Info:
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Nlm Unique ID: 9710011 Medline TA: J AAPOS Country: United States |
Other Details:
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Languages: eng Pagination: 4-7 Citation Subset: IM |
Affiliation:
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Department of Ophthalmology, Mayo Clinic and Mayo Foundation, Rochester, Minnesota, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Child Child, Preschool Cohort Studies Depth Perception Exotropia / epidemiology*, surgery* Female Follow-Up Studies Humans Kaplan-Meier Estimate Male Ophthalmologic Surgical Procedures / statistics & numerical data* Postoperative Complications / epidemiology* Recurrence Reoperation / statistics & numerical data* Treatment Outcome Young Adult |
| Grant Support | |
ID/Acronym/Agency:
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R01 AR030582-43/AR/NIAMS NIH HHS |
| Comments/Corrections | |
Comment In:
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J AAPOS. 2009 Feb;13(1):1-3
[PMID:
19233012
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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