Comparison of bilateral/unilateral lateral rectus recession and unilateral recession-resection for intermittent exotropia: a Meta-analysis

Song, Desheng; Chen, Zhijun; Qian, Ji

doi:10.18240/ijo.2018.12.18

Cited by 4 publications

(4 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Surgery is the main treatment for strabismus. Weakening and/or strengthening the horizontal rectus muscle to alter its direction of activity has been the treatment of choice for concomitant strabismus [ 13 , 14 ]. A link has been established between strabismus surgery and postoperative changes in astigmatism, most of which are associated with changes in corneal curvature caused by changes in extraocular muscle tension transmitted through the sclera to the cornea.…”

Section: Resultsmentioning

confidence: 99%

Analysis of the Changes and Possible Reasons in Aberrations before and after Surgery in Patients with Concomitant Exotropia

Zhang

Zhou

et al. 2022

Computational Intelligence and Neuroscience

View full text Add to dashboard Cite

Objective. The objective is to observe the changes in aberrations before and after surgery in patients with common horizontal strabismus and to analyze the possible reasons for the changes. Methods. Forty eyes of 40 cases with concomitant exotropia who underwent strabismus correction at the Ophthalmology Department of Nantong University Hospital from October 2020 to July 2021 were included in this study, all of whom underwent unilateral lateral rectus recession combined with a medial rectus resection in the same eye. Aberration parameters were measured 1 day before surgery and 1 week, 1 month, 3 months, and 6 months after surgery. Differences in the indicators at each time period were compared by analysis of variance (ANOVA) of repeated measures data for a single factor, and data were analyzed using SPSS 25.0 statistical application software. Results. 5 mm pupil diameter: the preoperative and postoperative RMS of total aberration showed statistically significant difference ( P < 0.01 ). Postoperation test (Bonferroni method) and preoperative comparison at each period after surgery showed statistically significant differences between 6 months after surgery ( P = 0.002 ) and preoperative comparison. The preoperative and postoperative comparison of RMS in LOAs was statistically significant ( P < 0.01 ); postoperative test (Bonferroni method) and preoperative comparison showed that there were statistically significant differences between 1 week ( P = 0.033 ) and 6 months ( P = 0.002 ) after operation. The difference of RMS of defocus before and after operation was statistically significant ( P < 0.01 ); postoperation test (Bonferroni method) and preoperative comparison showed that there was statistically significant difference between 6 months after operation ( P = 0.007 ) and preoperative comparison. There was statistically significant difference in preoperative and postoperative RMS of HOAs ( P = 0.013 ). Postoperative test (Bonferroni method) and preoperative comparison showed that there was statistically significant difference 6 months after surgery ( P = 0.03 ). The RMS of secondary astigmatism showed a statistically significant difference before and after operation ( P = 0.001 ), and the postoperation test (Bonferroni method) showed a statistically significant difference 6 months after operation ( P = 0.002 ). In 5 mm pupil diameter, the preoperative and postoperative RMS of total aberration showed statistically significant difference ( P < 0.01 ), postoperative test (Bonferroni method) was used to compare each period after surgery with that before surgery, and there were statistically significant differences between 1 week after surgery ( P = 0.034 ), 3 months after surgery ( P = 0.033 ), and 6 months after surgery ( P = 0.003 ). The preoperative and postoperative comparison of RMS in LOAs was statistically significant ( P < 0.01 ), postoperative test (Bonferroni method) was used to compare each period after surgery with that before surgery, and there were statistically significant differences between 1 week after surgery ( P = 0.04 ), 3 months after surgery ( P = 0.034 ), and 6 months after surgery ( P = 0.004 ). The difference of RMS of defocus before and after surgery was statistically significant ( P = 0.002 ), and the comparison between postoperation test (Bonferroni method) and preoperation showed that the difference was statistically significant 6 months after surgery ( P = 0.027 ). The RMS of astigmatism showed statistically significant difference before and after operation ( P = 0.002 ), and the postoperation test (Bonferroni method) showed statistically significant difference between 6 months after operation ( P = 0.009 ) and before operation. Conclusion. We found that horizontal rectus surgery had a transient effect on LOAs and almost no effect on HOAs. Long-term follow-up is recommended after strabismus surgery to observe eye position and binocular visual function. Because of the high prevalence of strabismus in adolescents, long-term observation of the eye axis and aberration is recommended.

show abstract

Section: Resultsmentioning

confidence: 99%

Analysis of the Changes and Possible Reasons in Aberrations before and after Surgery in Patients with Concomitant Exotropia

Zhang

Zhou

et al. 2022

Computational Intelligence and Neuroscience

View full text Add to dashboard Cite

show abstract

“…No significant difference in terms of overcorrection rates was observed between BLR and RR [ 59 ]. Another meta-analysis, including nine studies found that the success rate of RR was better than that of BLR for up to 2 years; however, after 2 years, the success rate of BLR became higher than that of RR with a lower undercorrection rate [ 60 ]. The overcorrection rate was not different regardless of the follow-up period [ 60 ].…”

Section: Surgical Treatment In Basic Type X(t)mentioning

confidence: 99%

“…Another meta-analysis, including nine studies found that the success rate of RR was better than that of BLR for up to 2 years; however, after 2 years, the success rate of BLR became higher than that of RR with a lower undercorrection rate [ 60 ]. The overcorrection rate was not different regardless of the follow-up period [ 60 ]. Another meta-analysis involving 967 patients from 10 studies found no differences in the success rates and overcorrection and/or undercorrection rates between BLR and RR [ 61 ].…”

Section: Surgical Treatment In Basic Type X(t)mentioning

confidence: 99%

See 1 more Smart Citation

How to Better Treat Patients with Intermittent Exotropia: A Review of Surgical Treatment of Intermittent Exotropia

Hwang

2022

Korean J Ophthalmol

View full text Add to dashboard Cite

Intermittent exotropia (X(T)) is the most common form of strabismus, especially in Asians. Treatment of X(T) includes occlusion, over-minus lens, and surgery, of which, surgery is the mainstay of treatment.Commonly performed surgical procedures for X(T) are bilateral lateral rectus muscle recession or unilateral lateral rectus recession with medial rectus resection; however, it is unclear which of the two surgeries is more effective. The purpose of this review is to provide an insight on the surgical treatment of X(T). Randomized controlled trials, comparative observational studies, and case series with a large number of patients as well as a long follow-up period of over a year were included.

show abstract

Factors Influencing Surgical Outcome of Intermittent Exotropia

Hegazy

2019

The Egyptian Journal of Hospital Medicine

View full text Add to dashboard Cite

Comparison of bilateral/unilateral lateral rectus recession and unilateral recession-resection for intermittent exotropia: a Meta-analysis

Cited by 4 publications

References 26 publications

Analysis of the Changes and Possible Reasons in Aberrations before and after Surgery in Patients with Concomitant Exotropia

Analysis of the Changes and Possible Reasons in Aberrations before and after Surgery in Patients with Concomitant Exotropia

How to Better Treat Patients with Intermittent Exotropia: A Review of Surgical Treatment of Intermittent Exotropia

Factors Influencing Surgical Outcome of Intermittent Exotropia

Contact Info

Product

Resources

About