Slanted bilateral lateral rectus recession for convergence insufficiency-type intermittent exotropia: a retrospective study
Abstract Background The present study sought to investigate the efficiency and safety of slanted bilateral lateral rectus recession for the treatment of convergence insufficiency-type intermittent exotropia. Methods This retrospective study included 34 patients who underwent slanted bilateral latera...
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| Format: | Article |
| Language: | English |
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BMC
2020-07-01
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| Series: | BMC Ophthalmology |
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| Online Access: | http://link.springer.com/article/10.1186/s12886-020-01562-2 |
| _version_ | 1818863224357912576 |
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| author | Meiyu Ren Qi Wang Lihua Wang |
| author_facet | Meiyu Ren Qi Wang Lihua Wang |
| author_sort | Meiyu Ren |
| collection | DOAJ |
| description | Abstract Background The present study sought to investigate the efficiency and safety of slanted bilateral lateral rectus recession for the treatment of convergence insufficiency-type intermittent exotropia. Methods This retrospective study included 34 patients who underwent slanted bilateral lateral rectus recession for convergence insufficiency-type intermittent exotropia in Shandong Provincial Hospital affiliated to Shandong First Medical University between September 2013 and October 2015 with a minimum follow-up of 6 months. A successful surgical alignment was defined as + 5 (positive for esotropia) to − 10 (negative for exotropia) prism diopters (PD) of orthotropia in the primary position while viewing distant or near targets and a near-distance deviation difference ≤ 8PD. Results The mean age of the patients at surgery was 7.09 ± 3.80 years (range, 3 to 18 years). The mean distance deviations were − 26.09 ± 6.5 PD (range, − 15 to − 35 PD) and the mean near deviations, − 37.21 ± 6.3 PD (range, − 25 to − 45 PD) preoperatively. The mean recession amount of upper pole of the lateral rectus was 5.97 mm (range, 4.0 to 7.5 mm) and that of lower pole of the lateral rectus, 7.49 mm (range, 6.0 to 8.5 mm). At a mean follow-up of 15.0 months (range, 6 to 37 months), the surgical success rate was 70.6% (24/34), the under-correction rate was 17.6% (6/34), and the overcorrection rate was 11.8% (4/34). The mean near-distance deviation difference was significantly reduced from 11.12 ± 2.06 PD (range, 10 to 15 PD) preoperatively to 2.47 ± 3.04 PD (range, 0 to 10 PD) postoperatively (P < 0.001). Each millimeter of difference between the upper and lower poles of the lateral rectus recession was associated with an improvement of 5.65 PD in the near-distance deviation difference. At the final follow up, a near-distance deviation difference of ≤8PD was found in 32 (94.1%) patients. None of the patients developed A-V pattern, torsional diplopia, or restricted abduction of the eyes. Conclusions Slanted bilateral lateral rectus recession may successfully reduce the distance and near exodeviations and the near-distance deviation difference, thus was proved to be an effective and safe procedure for the treatment of convergence insufficiency-type intermittent exotropia. |
| first_indexed | 2024-12-19T10:12:22Z |
| format | Article |
| id | doaj.art-b1fe1ada00c94e5a97db70cd8046b9f1 |
| institution | Directory Open Access Journal |
| issn | 1471-2415 |
| language | English |
| last_indexed | 2024-12-19T10:12:22Z |
| publishDate | 2020-07-01 |
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| series | BMC Ophthalmology |
| spelling | doaj.art-b1fe1ada00c94e5a97db70cd8046b9f12022-12-21T20:26:20ZengBMCBMC Ophthalmology1471-24152020-07-012011610.1186/s12886-020-01562-2Slanted bilateral lateral rectus recession for convergence insufficiency-type intermittent exotropia: a retrospective studyMeiyu Ren0Qi Wang1Lihua Wang2Department of Ophthalmology, Shandong Provincial Hospital Affiliated to Shandong First Medical UniversityDepartment of Ophthalmology, Shandong Provincial Hospital Affiliated to Shandong First Medical UniversityDepartment of Ophthalmology, Shandong Provincial Hospital Affiliated to Shandong First Medical UniversityAbstract Background The present study sought to investigate the efficiency and safety of slanted bilateral lateral rectus recession for the treatment of convergence insufficiency-type intermittent exotropia. Methods This retrospective study included 34 patients who underwent slanted bilateral lateral rectus recession for convergence insufficiency-type intermittent exotropia in Shandong Provincial Hospital affiliated to Shandong First Medical University between September 2013 and October 2015 with a minimum follow-up of 6 months. A successful surgical alignment was defined as + 5 (positive for esotropia) to − 10 (negative for exotropia) prism diopters (PD) of orthotropia in the primary position while viewing distant or near targets and a near-distance deviation difference ≤ 8PD. Results The mean age of the patients at surgery was 7.09 ± 3.80 years (range, 3 to 18 years). The mean distance deviations were − 26.09 ± 6.5 PD (range, − 15 to − 35 PD) and the mean near deviations, − 37.21 ± 6.3 PD (range, − 25 to − 45 PD) preoperatively. The mean recession amount of upper pole of the lateral rectus was 5.97 mm (range, 4.0 to 7.5 mm) and that of lower pole of the lateral rectus, 7.49 mm (range, 6.0 to 8.5 mm). At a mean follow-up of 15.0 months (range, 6 to 37 months), the surgical success rate was 70.6% (24/34), the under-correction rate was 17.6% (6/34), and the overcorrection rate was 11.8% (4/34). The mean near-distance deviation difference was significantly reduced from 11.12 ± 2.06 PD (range, 10 to 15 PD) preoperatively to 2.47 ± 3.04 PD (range, 0 to 10 PD) postoperatively (P < 0.001). Each millimeter of difference between the upper and lower poles of the lateral rectus recession was associated with an improvement of 5.65 PD in the near-distance deviation difference. At the final follow up, a near-distance deviation difference of ≤8PD was found in 32 (94.1%) patients. None of the patients developed A-V pattern, torsional diplopia, or restricted abduction of the eyes. Conclusions Slanted bilateral lateral rectus recession may successfully reduce the distance and near exodeviations and the near-distance deviation difference, thus was proved to be an effective and safe procedure for the treatment of convergence insufficiency-type intermittent exotropia.http://link.springer.com/article/10.1186/s12886-020-01562-2Intermittent exotropiaConvergence insufficiencySurgery |
| spellingShingle | Meiyu Ren Qi Wang Lihua Wang Slanted bilateral lateral rectus recession for convergence insufficiency-type intermittent exotropia: a retrospective study BMC Ophthalmology Intermittent exotropia Convergence insufficiency Surgery |
| title | Slanted bilateral lateral rectus recession for convergence insufficiency-type intermittent exotropia: a retrospective study |
| title_full | Slanted bilateral lateral rectus recession for convergence insufficiency-type intermittent exotropia: a retrospective study |
| title_fullStr | Slanted bilateral lateral rectus recession for convergence insufficiency-type intermittent exotropia: a retrospective study |
| title_full_unstemmed | Slanted bilateral lateral rectus recession for convergence insufficiency-type intermittent exotropia: a retrospective study |
| title_short | Slanted bilateral lateral rectus recession for convergence insufficiency-type intermittent exotropia: a retrospective study |
| title_sort | slanted bilateral lateral rectus recession for convergence insufficiency type intermittent exotropia a retrospective study |
| topic | Intermittent exotropia Convergence insufficiency Surgery |
| url | http://link.springer.com/article/10.1186/s12886-020-01562-2 |
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