Outcomes of 3 or 4 Horizontal Muscles Surgery in Large-Angle Exotropia

@article{Raiyawa2015OutcomesO3,
  title={Outcomes of 3 or 4 Horizontal Muscles Surgery in Large-Angle Exotropia},
  author={Tassanee Raiyawa and Supharat Jariyakosol and Pokpong Praneeprachachon and Parnchat Pukrushpan},
  journal={Asia-Pacific Journal of Ophthalmology},
  year={2015},
  volume={4},
  pages={208–211}
}
PurposeTo evaluate motor and sensory outcomes of 3 or 4 horizontal muscles surgery for the treatment of large-angle exotropia and to evaluate factors influencing the success rate and the relationship between initial postoperative and final motor outcomes. DesignA retrospective analytical study. MethodsMedical records of patients with primary large-angle exotropia [>50 prism diopters (PD)] who had 3 or 4 horizontal muscles surgery were reviewed. Motor outcomes were categorized as successful… 
View on Wolters Kluwer
apjo.org
8 Citations
Background Citations
3
Results Citations
2

8 Citations

Citation Type

Citation Type

Is single-stage two-muscle surgery of 7–11 mm enough for large-angle exotropia?
TLDR
Large-angle exodeviations can be successfully corrected with a two-muscle surgical procedure without causing significant abduction deficiency and has the advantage of 2 horizontal rectus muscles remaining untouched.
Extraocular Muscle Transplantation for Primary Treatment of Large-Angle Exotropia
TLDR
Unilateral muscle transplantation combined with the recession-resection procedure could be a useful alternative for the management of large-angle exotropia.
Bilateral medial rectus resection for primary large-angle exotropia.
  • A. Elkamshoushy
  • Medicine
    Journal of AAPOS : the official publication of the American Association for Pediatric Ophthalmology and Strabismus
  • 2017
Supramaximal Recession and Resection Surgery in Large-Angle Strabismus: Outcomes of Large Interventional Case Series Exotropia and Esotropia
TLDR
It is possible to consider monocular recession-resection surgery in non-fixating eye (with poor vision) or BLR and BMR recession in both eyes as a viable option for surgical treatment of large angles deviations.
Surgical Correction and Outcome of Exotropia.
  • E. Campos
  • Medicine
    Asia-Pacific journal of ophthalmology
  • 2015
TLDR
A surgical decision should be made when periods of deviation prevail over those of control, ideally not earlier than age 6 or 7, as exodeviations tend to increase spontaneously until age 14 or 15 because of the reduction in accommodative range and widening of the orbits.
Visual outcome and factors influencing surgical outcome of horizontal strabismus surgery in a teaching hospital in Malaysia: A 5-year experience
TLDR
The success rate was good, postoperative best-corrected visual acuity was promising, and age of onset, gender, presence of amblyopia, type of deviations, amount of deviation, and postoperativeBest-Corrected visual Acuity did not influence the outcome of horizontal strabismus surgery in a Southeast Asian cohort.
Extraocular muscle resection, recession length and surgery outcome modelling in strabismus treatment: a pilot study
TLDR
Four mathematical models are proposed as potential instruments for EOM RsL, EOM RcL and PAD modelling in esotropia and exotropia surgery and showed the preoperative angle of deviation (PreAD) with PAD predictive ability for strabismus surgery outcome prediction.
Клиническая эффективность модифицированной миопластики экстраокулярных мышц
TLDR
This document is intended to help clarify the role of social media in the development of educational material for children with special needs.

References

SHOWING 1-10 OF 15 REFERENCES
Three-muscle surgery for very large-angle constant exotropia.
  • Jun Hong Li, Li Zhang
  • Medicine
    Journal of AAPOS : the official publication of the American Association for Pediatric Ophthalmology and Strabismus
  • 2013
Surgical results in large-angle exotropia.
TLDR
Large-angle exodeviations can be successfully approached with bilateral lateral rectus recessions or recess/resect procedures in preoperative deviations up to and including 50 Delta with a success rate of 71%.
Surgical outcome of single-staged three horizontal muscles squint surgery for extra-large angle exotropia
TLDR
Measurement of preoperative deviation and the surgery for extra-large angle exotropia made management of this condition difficult, but single-staged three horizontal muscles squint surgery can be one of the options.
Factors Affecting the Surgical Outcome of Primary Exotropia
TLDR
Surgical treatment for exotropia is effective and the dose response is correlated to the preoperative angle of deviation and average visual acuity, and poor or no preoperative stereopsis was associated with better response to surgery.
Surgical correction of large-angle exotropia in adults
TLDR
In adults with large-angle manifest exodeviations, adjustable suture surgery involving three or more horizontal recti successfully restores primary position alignment, a high degree of patient satisfaction, and can be expected to be associated with a low incidence of symptomatic postoperative asymmetrical ocular movement deficits.
Binocular status after surgery for constant and intermittent exotropia.
Long-Standing, Large-Angle Exotropia in Adults
TLDR
Long-standing, presumably constant, large-angle exotropia does not preclude the recovery of stereopsis after surgical alignment, and in spite of the large deviations, nonadjustable surgery produces good alignment in most cases.
Supermaximal Recession and Resection in Large-Angle Sensory Exotropia
TLDR
In large-angle sensory exotropia, instead of additive surgery on the seeing eye, supermaximal medial rectus resection and lateral rectus recession only on the visually poor eye is a clinically feasible surgical option.
The outcomes of horizontal strabismus surgery and influencing factors of the surgical success.
TLDR
The surgical success rate of horizontal strabismus surgery was 60.2% and revealed no statistically significant improvement of visual acuity after surgery, while the presence of binocular vision was increased in number of patient by two times.
Large Bilateral Lateral Rectus Recession in Large Angle Divergence Excess Exotropia
TLDR
It is concluded that large bilateral LR recession is an appropriate surgical method for large-angle divergence excess exotropia.
...
1
2
...