Consecutive Exotropia after LASIK in a Patient with Accommodative Esotropia

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Main Authors: Sepehr Feizi, Khosro Jadidi
Format: Article
Language:English
Published: Knowledge E 2008-12-01
Series:Journal of Ophthalmic & Vision Research
Online Access:http://www.jovr.ir/index.php/jovr/article/view/22
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author Sepehr Feizi
Khosro Jadidi
author_facet Sepehr Feizi
Khosro Jadidi
author_sort Sepehr Feizi
collection DOAJ
description <!--[if gte mso 9]><xml> Normal 0 false false false MicrosoftInternetExplorer4 </xml><![endif]--><!--[if gte mso 9]><xml> </xml><![endif]--> <!--[if gte mso 10]> <style>
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 </style> <![endif]--> <p>PURPOSE: To report consecutive exotropia after hyperopic laser in situ keratomileusis (LASIK) in a patient with accommodative esotropia. METHODS: A 22-year-old female patient with hyperopia and mild to moderate amblyopia in her right eye was referred for accommodative esotropia. She had undergone right medial rectus recession 4 years ago. Examination revealed right esotropia of 25 and 6 prism diopters (PD) without and with correction, respectively. She underwent LASIK in both eyes to correct the refractive accommodative esotropia. Eight months after LASIK, her refraction was plano-0.75@160 and +0.5-0.75@180 in the right and left eyes respectively, but she developed right exotropia of 20 PD without correction. CONCLUSIONS: Although hyperopic LASIK may be considered as an alternative treatment for refractive accommodative esotropia, the presence of amblyopia and absence of fusion preoperatively increase the risk of postoperative exotropia.</p> <!--[if gte mso 9]><xml> <w:WordDocument> <w:View>Normal</w:View> <w:Zoom>0</w:Zoom> <w:PunctuationKerning /> <w:ValidateAgainstSchemas /> <w:SaveIfXMLInvalid>false</w:SaveIfXMLInvalid> <w:IgnoreMixedContent>false</w:IgnoreMixedContent> <w:AlwaysShowPlaceholderText>false</w:AlwaysShowPlaceholderText> <w:Compatibility> <w:BreakWrappedTables /> <w:SnapToGridInCell /> <w:WrapTextWithPunct /> <w:UseAsianBreakRules /> <w:DontGrowAutofit /> </w:Compatibility> <w:BrowserLevel>MicrosoftInternetExplorer4</w:BrowserLevel> </w:WordDocument> </xml><![endif]--><!--[if gte mso 9]><xml> <w:LatentStyles DefLockedState="false" LatentStyleCount="156"> </w:LatentStyles> </xml><![endif]--> <!-- /* Font Definitions */ @font-face {font-family:Palatino; mso-font-alt:"Book Antiqua"; mso-font-charset:0; mso-generic-font-family:roman; mso-font-pitch:variable; mso-font-signature:7 0 0 0 147 0;} /* Style Definitions */ p.MsoNormal, li.MsoNormal, div.MsoNormal {mso-style-parent:""; margin:0cm; margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:12.0pt; font-family:"Times New Roman"; mso-fareast-font-family:"Times New Roman";} @page Section1 {size:612.0pt 792.0pt; margin:72.0pt 90.0pt 72.0pt 90.0pt; mso-header-margin:36.0pt; mso-footer-margin:36.0pt; mso-paper-source:0;} div.Section1 {page:Section1;} --> <!--[if gte mso 10]> <style>
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spelling doaj.art-91b43885df8f4164865c7101c862ff072022-12-22T02:39:06ZengKnowledge EJournal of Ophthalmic & Vision Research2008-20102008-322X2008-12-0122154156Consecutive Exotropia after LASIK in a Patient with Accommodative EsotropiaSepehr FeiziKhosro Jadidi<!--[if gte mso 9]><xml> Normal 0 false false false MicrosoftInternetExplorer4 </xml><![endif]--><!--[if gte mso 9]><xml> </xml><![endif]--> <!--[if gte mso 10]> <style>
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 </style> <![endif]--> <p>PURPOSE: To report consecutive exotropia after hyperopic laser in situ keratomileusis (LASIK) in a patient with accommodative esotropia. METHODS: A 22-year-old female patient with hyperopia and mild to moderate amblyopia in her right eye was referred for accommodative esotropia. She had undergone right medial rectus recession 4 years ago. Examination revealed right esotropia of 25 and 6 prism diopters (PD) without and with correction, respectively. She underwent LASIK in both eyes to correct the refractive accommodative esotropia. Eight months after LASIK, her refraction was plano-0.75@160 and +0.5-0.75@180 in the right and left eyes respectively, but she developed right exotropia of 20 PD without correction. CONCLUSIONS: Although hyperopic LASIK may be considered as an alternative treatment for refractive accommodative esotropia, the presence of amblyopia and absence of fusion preoperatively increase the risk of postoperative exotropia.</p> <!--[if gte mso 9]><xml> <w:WordDocument> <w:View>Normal</w:View> <w:Zoom>0</w:Zoom> <w:PunctuationKerning /> <w:ValidateAgainstSchemas /> <w:SaveIfXMLInvalid>false</w:SaveIfXMLInvalid> <w:IgnoreMixedContent>false</w:IgnoreMixedContent> <w:AlwaysShowPlaceholderText>false</w:AlwaysShowPlaceholderText> <w:Compatibility> <w:BreakWrappedTables /> <w:SnapToGridInCell /> <w:WrapTextWithPunct /> <w:UseAsianBreakRules /> <w:DontGrowAutofit /> </w:Compatibility> <w:BrowserLevel>MicrosoftInternetExplorer4</w:BrowserLevel> </w:WordDocument> </xml><![endif]--><!--[if gte mso 9]><xml> <w:LatentStyles DefLockedState="false" LatentStyleCount="156"> </w:LatentStyles> </xml><![endif]--> <!-- /* Font Definitions */ @font-face {font-family:Palatino; mso-font-alt:"Book Antiqua"; mso-font-charset:0; mso-generic-font-family:roman; mso-font-pitch:variable; mso-font-signature:7 0 0 0 147 0;} /* Style Definitions */ p.MsoNormal, li.MsoNormal, div.MsoNormal {mso-style-parent:""; margin:0cm; margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:12.0pt; font-family:"Times New Roman"; mso-fareast-font-family:"Times New Roman";} @page Section1 {size:612.0pt 792.0pt; margin:72.0pt 90.0pt 72.0pt 90.0pt; mso-header-margin:36.0pt; mso-footer-margin:36.0pt; mso-paper-source:0;} div.Section1 {page:Section1;} --> <!--[if gte mso 10]> <style>
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spellingShingle Sepehr Feizi
Khosro Jadidi
Consecutive Exotropia after LASIK in a Patient with Accommodative Esotropia
Journal of Ophthalmic & Vision Research
title Consecutive Exotropia after LASIK in a Patient with Accommodative Esotropia
title_full Consecutive Exotropia after LASIK in a Patient with Accommodative Esotropia
title_fullStr Consecutive Exotropia after LASIK in a Patient with Accommodative Esotropia
title_full_unstemmed Consecutive Exotropia after LASIK in a Patient with Accommodative Esotropia
title_short Consecutive Exotropia after LASIK in a Patient with Accommodative Esotropia
title_sort consecutive exotropia after lasik in a patient with accommodative esotropia
url http://www.jovr.ir/index.php/jovr/article/view/22
work_keys_str_mv AT sepehrfeizi consecutiveexotropiaafterlasikinapatientwithaccommodativeesotropia
AT khosrojadidi consecutiveexotropiaafterlasikinapatientwithaccommodativeesotropia