Optimal surgical timing in infantile exotropia

Yoo, Eun Joo; Kim, Seung Hyun

doi:10.1016/j.jcjo.2014.05.004

Cited by 14 publications

(8 citation statements)

References 12 publications

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“…Surgical dosages were applied using modified tables. 10,11 Finally, 14 (66.7%) patients who underwent reoperation were considered to be successful, as defined previously. However, 7 (33.3%) patients were not considered as successful.…”

Section: Resultsmentioning

confidence: 99%

Long-Term Postoperative Development of Stereopsis in Infantile Exotropia

Seo¹,

Kim²

2015

Asia-Pacific Journal of Ophthalmology

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Section: Resultsmentioning

confidence: 99%

Long-Term Postoperative Development of Stereopsis in Infantile Exotropia

Seo¹,

Kim²

2015

Asia-Pacific Journal of Ophthalmology

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“…Infantile exotropia is defined as a large and constant outward eye deviation with an onset age of up to 12 months [1,2] . As reported by different studies, even with early surgery, bifoveal fixation is less likely to be obtained in these cases [3,9] .…”

Section: Discussionmentioning

confidence: 99%

“…Infantile exotropia is defined by idiopathic, large-angle, constant exotropia appearing in the first six to 12 months of life [1,2] . Based on the literature, infantile exotropia has an incidence rate of 1.1% [3] and it is reported to affect about one per 30,000 infants in the general population [4] .…”

Section: Introductionmentioning

confidence: 99%

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Motor and Sensory Outcomes of Infantile Exotropia: A 10-Year Study (2008–2017)

Rajavi

Sabbaghi

Behradfar

et al. 2020

Korean J Ophthalmol

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We aimed to determine the long-term motor and sensory outcomes of patients with infantile exotropia. Methods: In this longitudinal retrospective (historical cohort) study, the records of 76 patients with infantile exotropia were Studied. Subjects with constant exotropia manifesting before the age of one year who were at least five years old at recruitment time between 2008 and 2017 were included. Results: The medical records of 26 patients were excluded due to not participating in followup examinations or having incomplete records. In total, 54 infantile exotropic patients (51.9% male) with a mean age of 11.1 ± 6.8 years and follow-up of 4.99 ± 3.58 years were studied. Postoperative sensory outcomes [central stereopsis (< 60 sec/arc), peripheral fusion (60-3,000 sec/arc), and non-stereopsis (> 3,000 sec/arc)] were observed in 38.9%, 38.9%, and 21.2% of patients, respectively. In terms of postoperative motor outcomes, 69%, 24%, and 7% were achieved as orthophoria, residual exotropia, and consecutive esotropia, respectively. Patients with a higher surgical age (p = 0.022) and better visual acuity (p = 0.004) had significantly better sensory outcomes, while higher preoperative deviation resulted in more suppression (p = 0.039; rs = 0.218). Conclusion: With rates of 69% for motor success and 78.8% for sensory success, surgical outcomes of infantile exotropic patients seems to be favorable. Further studies are recommended to verify our findings.

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“…Exotropia in healthy children younger than 1 year of age is rare, and several studies have been conducted on this disease entity [1234567]. Occlusion therapy alone is not sufficiently effective in reducing exodeviation, and surgery is the most promising treatment for early-onset exotropia as well as intermittent exotropia [8].…”

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confidence: 99%

The Effect of Preoperative Occlusion Therapy on Long-term Outcome after Surgery for Early-onset Exotropia

Shin

Kim

Paik

2017

Korean J Ophthalmol

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PurposeTo investigate the effect of preoperative part-time occlusion therapy on long-term surgical success in early-onset exotropia.MethodsThe medical records of patients who underwent surgery for exotropia with onset before the first year of age and who were followed for ≥3 years were reviewed. Patients were divided into two groups according to the degree of compliance with part-time occlusion therapy: the good compliance group (>50% adherence rate) and the poor compliance group (≤50% adherence rate). Surgical success was defined as orthophoria to exodeviation less than 10 prism diopters both at distance and near. The level of postoperative stereopsis was compared between the two study groups among total enrolled patients and among those with constant exotropia.ResultsOf the 51 patients, 26 were assigned to the good compliance group and the remaining 25 patients to the poor compliance group. The surgical success rate was significantly higher in the good compliance group than in the poor compliance group (80.8% vs. 52.0%, p = 0.040). Among 24 constant exotropia patients (12 patients for each group), the success rate was insignificantly higher in the good compliance group than in the poor compliance group (75.0% vs. 58.3%, p = 0.448). The good compliance group had a better level of stereopsis than the poor compliance group (p = 0.045 for all 44 patients, p = 0.020 for 19 patients with constant exotropia).ConclusionsPreoperative part-time occlusion therapy was useful for improving the surgical outcome of early-onset exotropia and postoperative stereopsis.

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Optimal surgical timing in infantile exotropia

Cited by 14 publications

References 12 publications

Long-Term Postoperative Development of Stereopsis in Infantile Exotropia

Long-Term Postoperative Development of Stereopsis in Infantile Exotropia

Motor and Sensory Outcomes of Infantile Exotropia: A 10-Year Study (2008–2017)

The Effect of Preoperative Occlusion Therapy on Long-term Outcome after Surgery for Early-onset Exotropia

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