Outcomes of surgery in patients with sensory exotropia

Lajmi, Houda; Yakhlef, A. Ben; Bouazzeoui, E O A; Fekih, L.

doi:10.1016/j.jfo.2019.07.007

Cited by 6 publications

(5 citation statements)

References 8 publications

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“…However, recurrence was noted to occur earlier for this report. During the follow-up period in the Lajmi et al study, eight patients showed recurrence of XT (18.6%) and were reoperated on after 13.8 months on average (6 to 14 months), achieving a final motor success rate of 74.4%, 3 as opposed to our study with recurrence occurring as early as 6.2 months. Mawatari et al in 2016 reported successful postoperative alignment results on the final visit similar to our study results at six months.…”

Section: Discussioncontrasting

confidence: 78%

“…Because of the high rates of postoperative drift, the patient must be warned of the possibility of reoperation. [1][2][3] Several studies reported varying outcomes depending on the type of surgery performed and length of interval between diagnosis and surgery. [1][2][3][4] The decision as to which type of surgery largely depends on surgeon preferences and capabilities.…”

Section: Introductionmentioning

confidence: 99%

“…[1][2][3] Several studies reported varying outcomes depending on the type of surgery performed and length of interval between diagnosis and surgery. [1][2][3][4] The decision as to which type of surgery largely depends on surgeon preferences and capabilities. Reports on different surgeries performed are widely available, but the local setting is wanting this information.…”

Section: Introductionmentioning

confidence: 99%

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Surgical Outcomes for Sensory Exotropia in a Tertiary Hospital in Manila, Philippines

2023

Acta Med Philipp

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Background and Objective.There is no strict by-the-book rule as to which approach is the best strabismus surgery for patients with sensory exotropia. More commonly, a monocular lateral rectus recession and a medial rectus resection (monocular R & R; MRR) is performed in the eye with a poorer prognosis. Rarely, for larger deviations, a third or fourth horizontal muscle in the better eye is added. This study aimed to determine the outcomes of strabismus surgery performed for sensory exotropia in a tertiary hospital in the Philippines. Methods.The medical records of all patients with sensory exotropia who underwent strabismus surgical correction from January 2015 to December 2019 were retrospectively reviewed.Results. A total of 29 medical records satisfied the inclusion criteria. Mean age at diagnosis and at the time of surgery were 7.5 ± 11.6 (range: 1 to 68 years) and 12.4 ± 16.2 years (range: 1 to 68 years) years old, respectively, with a mean follow-up of 6.2 months (range: 3 to 24 months). After a mean follow-up of 6.2 months, the overall success (alignment in primary position is within 10 prism diopters of orthotropia) was relatively low, where 34% were successful, 65.5% developed recurrence, and none had overcorrections. Survival plots of both surgeries revealed a decline in success probability in achieving desired alignment six months after surgery. Conclusion.We reported the surgical outcomes of 29 patients with sensory exotropia. The general trend realized was that the decline in success rates of good alignment was evident beginning six months post-operatively. The retrospective design serves as a limitation and hence, readers should treat results with caution.

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Section: Discussioncontrasting

confidence: 78%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Surgical Outcomes for Sensory Exotropia in a Tertiary Hospital in Manila, Philippines

2023

Acta Med Philipp

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“…Os resultados cirúrgicos costumam ser satisfatórios, mas, em desvios maiores, pode ocorrer hipocorreção e recorrência do desvio. (16) Todos os pacientes submetidos a esse procedimento eram maiores 18 anos, com estrabismo de grande ângulo, seja ET ou exotropia (XT), com, pelo menos, 70 DP quantificados pelo método de Krimsky (desvios entre 70 e 90 DP) ou Krimsky e Hirschberg (desvios > 95 DP), com ambliopia já diagnosticada (sendo o olho de pior visão com, no máximo, 0,3 na tabela de optotipos de Snellen), sem importar a causa da baixa visual.…”

Section: Discussionunclassified

“…Da mesma forma, não foi descrita complicação grave na literatura. (10,14,16) Shafik et al mencionaram um caso de XT residual, no qual foi necessária reoperação 6 meses após a primeira abordagem, sendo realizada nova técnica de recuo-ressecção, (14) semelhante a um dos casos aqui relatados, que evoluiu para resultado satisfatório.…”

Section: Discussionunclassified