Consecutive exotropia following surgery.

Folk, Eugene R.; Miller, Marilyn T.; Chapman, Lawrence I.

doi:10.1136/bjo.67.8.546

Cited by 51 publications

(40 citation statements)

References 5 publications

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“…As is already known, the presence of amblyopia 8 and hypermetropia 9 are the most common risk factors for the development of consecutive exotropia and are also typical characteristics of most of the partially accommodative esotropia cases. Another risk factor for the development of consecutive exotropia is postoperative underaction of medial rectus 8 for which Resolution in partially accomodative esotropia F Koc et al high hypermetropic partially accommodative cases are also more prone with their smaller globe size. Although our 4-year follow-up period could be considered relatively short to draw these conclusions, this conservative approach might be a preventative factor for the development of consecutive exotropia.…”

Section: Discussionmentioning

confidence: 99%

Resolution in partially accomodative esotropia during occlusion treatment for amblyopia

Koç¹,

Özal²,

Yaşar³

et al. 2005

Eye

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Purpose To evaluate alignment changes in partially accommodative esotropia during occlusion treatment for amblyopia. Method Changes at the deviation angles of 63 partially accommodative esotropia patients, who had occlusion treatment for amblyopia, were evaluated retrospectively. Results Mean deviation angle at the start of therapy without glasses was 45 PD (10-90 PD) and became 27 PD (5-70 PD) after at least 2 months with glasses. During 12 (2-36) months of occlusion period, mean manifest deviation angle with glasses decreased to 11 PD (0-50) (Po0.001) and amblyopia resolved in 71.5% of the cases. After termination of amblyopia treatment 24 (38%) cases had surgery for the residual deviation but if we had planned surgery before amblyopia treatment, 81% of the patients would have had surgery. Discussion Should amblyopia be treated initially or should we operate first in patients with strabismus and amblyopia together? Our research suggests that we should not hurry to operate in high hypermetropic partially accommodative cases, which have amblyopia and a long-term history of strabismus. Initial amblyopia treatment in these cases allows time for resolution of the nonaccomodative component in strabismus and can significantly decrease the necessity for surgery.

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Section: Discussionmentioning

confidence: 99%

Resolution in partially accomodative esotropia during occlusion treatment for amblyopia

Koç¹,

Özal²,

Yaşar³

et al. 2005

Eye

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“…In our cases, it was noted that limitation of adduction was more frequent in the symmetrical rather than the asymmetrical surgical procedure. Amblyopia was reported as one of the important factors in the development of consecutive exotropia and the incidence was reported between 36–54.8% in different series [1, 9, 10]. It was proposed that amblyopia disturbing central binocular vision might cause consecutive exotropia after esotropia surgery [11].…”

Section: Discussionmentioning

confidence: 99%

“…Consecutive exotropia secondary to esotropia surgery is rather frequent [1, 2]. Consecutive exotropia arising after surgery is an iatrogenic strabismus either due to inadequate diagnosis or inappropriate surgical procedures.…”

Section: Introductionmentioning

confidence: 99%

Consecutive Exotropia following Strabismus Surgery

et al. 2002

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We investigated the clinical factors affecting the development of consecutive exotropia following esotropia surgery. The development period of consecutive exotropia, amblyopia and limitation of adduction were evaluated in 89 patients with primary esotropia that changed to consecutive exotropia after surgery. In the presence of deep amblyopia, consecutive exotropia developed earlier. When two horizontal muscles were operated, limitation of adduction was more frequent in symmetrical rather than asymmetrical surgical procedure. Since consecutive exotropia may develop many years after esotropia surgery, a long-term follow-up period in patients without consecutive exotropia in the early postoperative period is advised.

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“…In our study we did not have patients with high degree of hyperopia witch according to some publication has been thought to be an important risk factor in producing a consecutive exotropia [2]. Amblyopia-another factor witch increase the risk of developing consecutive XT was found in 67.6% in our series.…”

Section: Discussionmentioning

confidence: 73%

“…This deviation occurs according to Von Noorden between 2% -8% [1] while other studies found an incidence ranged from 4% to 27% [2] [3]. This surgical complication can develop immediately after surgery or many years and even decades later [4] [5], some risk factors causing its development have been reported by ophthalmologist like high hyperopia, amblyopia, vertical deviation, A and V patterns, nystagmus, large medial rectus recessions, restriction of adduction, multiple surgeries, and developmental delay, the failure to evaluate the patient condition preoperatively [2] [3] [5]- [8].…”

Section: Introductionmentioning

confidence: 97%

Consecutive Exotropia after Convergent Strabismus Surgery—Surgical Treatment

Paduca¹

2016

OJOph

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Purpose: In this study the results of consecutive exotropia surgical treatment by using different surgical technics are presented. Methods: This study included 34 patients, aged 21 to 47 years (mean 27.9), who underwent medial rectus muscle advancement alone or in combination with medial rectus resection and/or lateral rectus recession. The mean interval between original surgery and surgery for consecutive exotropia was 8.5 years (range: 5.5 years to 14 years). Most of patients had 2 and more prior surgeries (73.5%) sold by an adduction deficit (47.06%). Results: The overall mean preoperative exodeviation was 35.12 ± 10.13 PD. Satisfactory alignment (within 10 PD of orthophoria) was achieved in 20 patients (58.8%) at 10 days after surgery and 24 patients (70.5%) at final 6-month follow-up. The most common surgical procedures were unilateral MR advancement and LR recession-47%. Conclusion: Medial rectus advancement is an effective method of surgical treatment, especially in cases with adduction limitation, but the risk of the eyelid fissure narrowing in cases of MRM advancement more than 5 mm associated with resection is present. In our opinion for reducing this risk in cases of XT with big angle of deviation, performing a smaller amount of advancement associated with recession of LRM can prevent the development of a such complication.

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Consecutive exotropia following surgery.

Cited by 51 publications

References 5 publications

Resolution in partially accomodative esotropia during occlusion treatment for amblyopia

Resolution in partially accomodative esotropia during occlusion treatment for amblyopia

Consecutive Exotropia following Strabismus Surgery

Consecutive Exotropia after Convergent Strabismus Surgery—Surgical Treatment

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