| Surgical Outcomes in Convergence Insufficiency-Type Exotropia. | |
| | |
MedLine Citation:
|
PMID: 21474185 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
|
PURPOSE: To determine the efficacy of different types of strabismus surgeries in patients with convergence insufficiency (CI)-type exotropia, according to their response to diagnostic monocular occlusion. DESIGN: Retrospective cohort study. PARTICIPANTS: Sixty-five patients with CI-type exotropia with near-distance differences of ≥10 prism diopters (PD) who underwent strabismus surgery. METHODS: Patients were divided into 3 groups according to their response to monocular occlusion: (1) true-CI group: near-distance differences ≥10 PD before and after occlusion; (2) masked-CI group: near-distance differences <10 PD before occlusion and ≥10 PD after occlusion; and (3) pseudo-CI group: near-distance differences ≥10 PD before occlusion and <10 PD after occlusion. Either bilateral lateral rectus recession based on near measurements with 1 mm augmentation (BLR) or unilateral medial rectus resection based on the near deviation with lateral rectus recession based on the distant deviation (RR) was performed. MAIN OUTCOME MEASURES: Cumulative probabilities of success, near-distance differences of exodeviation, rate of recurrence per person-year, and risk factors of recurrence. RESULTS: There were 24 children in the true-CI group, 19 children in the masked-CI group, and 22 children in the pseudo-CI group. The cumulative probabilities of success at 2 years after BLR versus RR were 61% versus 100% in the true-CI group, 58% versus 100% in the masked-CI group, and 77% versus 71% in the pseudo-CI group. The RR procedure was significantly more successful than the BLR procedure in the true-CI and masked-CI groups. CONCLUSIONS: Successful outcome in CI-type exotropia was closely related to the patients' response to monocular occlusion. In patients with CI-type exotropia maintained after monocular occlusion, unilateral resection-recession based on near-distance measurements is recommended. FINANCIAL DISCLOSURE(S): Proprietary or commercial disclosure may be found after the references. |
| | |
Authors:
|
Hee Kyung Yang; Jeong-Min Hwang |
Related Documents
:
|
21195215 - Do angiotensin converting enzyme inhibitors improve walking distance in patients with s... 7605025 - Local anesthetic test dose as a predictor of effective epidural opioid analgesia. 14698495 - Hypodermoclysis (subcutaneous infusion) effective mode of treatment of dehydration in l... 16925195 - Combined preemptive and preventive analgesia in morbidly obese patients undergoing open... 22019575 - A basic diagnostic headache diary (bdhd) is well accepted and useful in the diagnosis o... 23557955 - Endovascular treatment of deep hemorrhagic brain arteriovenous malformations with trans... |
Publication Detail:
|
Type: JOURNAL ARTICLE Date: 2011-4-5 |
Journal Detail:
|
Title: Ophthalmology Volume: - ISSN: 1549-4713 ISO Abbreviation: - Publication Date: 2011 Apr |
Date Detail:
|
Created Date: 2011-4-8 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 7802443 Medline TA: Ophthalmology Country: - |
Other Details:
|
Languages: ENG Pagination: - Citation Subset: - |
Copyright Information:
|
Copyright © 2011 American Academy of Ophthalmology. Published by Elsevier Inc. All rights reserved. |
Affiliation:
|
Department of Ophthalmology, Seoul National University College of Medicine, Seoul National University Bundang Hospital, Seongnam, Korea. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Generation and epitope analysis of human monoclonal antibody isotypes with specificity for the timot...
Next Document: Influence of Disc Size on Optic Nerve Head versus Retinal Nerve Fiber Layer Assessment for Diagnosin...