Binocular lateral rectus recession versus monocular recess-resect procedure for basic intermittent exotropia:a Meta analysis of randomized controlled trials
AIM:To compare the curative effect between monocular lateral rectus recession(BLR)and Binocular recession resection(R & R)for basic intermittent exotropia.<p>METHODS:A literature review using the MEDLINE, EMBASE, The Cochrane Library, Web of Science, Clinical Trial, CBM, Wanfang Databases...
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| Format: | Article |
| Language: | English |
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Press of International Journal of Ophthalmology (IJO PRESS)
2019-01-01
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| Series: | Guoji Yanke Zazhi |
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| Online Access: | http://ies.ijo.cn/cn_publish/2019/1/201901009.pdf |
| _version_ | 1819093985507934208 |
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| author | Ya-Tu Guo Lu Tian Wei Zhang |
| author_facet | Ya-Tu Guo Lu Tian Wei Zhang |
| author_sort | Ya-Tu Guo |
| collection | DOAJ |
| description | AIM:To compare the curative effect between monocular lateral rectus recession(BLR)and Binocular recession resection(R & R)for basic intermittent exotropia.<p>METHODS:A literature review using the MEDLINE, EMBASE, The Cochrane Library, Web of Science, Clinical Trial, CBM, Wanfang Databases and paper collections of conferences was performed. Randomized controlled trials comparing the effects of BLR and R & R for basic intermittent exotropia with a duration of follow-up at least half a year were eligible for inclusion. The methodologic quality of included studies was evaluated independently by 2 authors. Statistical analysis was performed by using the STATA 14 software(StataCorp Texas USA).<p>RESULTS:Five prospective random controlled clinical trials involving 529 patients were included. Compared with R & R procedure,the BLR procedure group showed lower successful rate(<i>RR</i>:0.85; 95% <i>CI</i>:0.72-0.99; <i>P</i>=0.043)and postoperative undercorrection(<i>RR</i>:3.975; 95% <i>CI</i>:2.097-7.537; <i>P</i><0.01). The <i>P</i> value of long-term postoperative corrected rate in Meta analysis was decreased near to 0.05 when the included references increased. There was no significant difference in overcorrection rate between the BLR and R & R procedures(<i>RR</i>:0.336; 95% <i>CI</i>:0.049-2.294; <i>P</i>=0.266).<p>CONCLUSION:Current evidences suggested that BLR procedure is related to lower successful and higher undercorrection rates for basic intermittent exotropia compared to conventional R & R procedure. |
| first_indexed | 2024-12-21T23:20:13Z |
| format | Article |
| id | doaj.art-ef8def7f63504c39b8f539a44eeba91b |
| institution | Directory Open Access Journal |
| issn | 1672-5123 1672-5123 |
| language | English |
| last_indexed | 2024-12-21T23:20:13Z |
| publishDate | 2019-01-01 |
| publisher | Press of International Journal of Ophthalmology (IJO PRESS) |
| record_format | Article |
| series | Guoji Yanke Zazhi |
| spelling | doaj.art-ef8def7f63504c39b8f539a44eeba91b2022-12-21T18:46:48ZengPress of International Journal of Ophthalmology (IJO PRESS)Guoji Yanke Zazhi1672-51231672-51232019-01-01191465010.3980/j.issn.1672-5123.2019.1.09Binocular lateral rectus recession versus monocular recess-resect procedure for basic intermittent exotropia:a Meta analysis of randomized controlled trialsYa-Tu Guo0Lu Tian1Wei Zhang2Tianjin Eye Hospital, Tianjin 300020, ChinaTianjin Eye Hospital, Tianjin 300020, ChinaTianjin Eye Hospital, Tianjin 300020, ChinaAIM:To compare the curative effect between monocular lateral rectus recession(BLR)and Binocular recession resection(R & R)for basic intermittent exotropia.<p>METHODS:A literature review using the MEDLINE, EMBASE, The Cochrane Library, Web of Science, Clinical Trial, CBM, Wanfang Databases and paper collections of conferences was performed. Randomized controlled trials comparing the effects of BLR and R & R for basic intermittent exotropia with a duration of follow-up at least half a year were eligible for inclusion. The methodologic quality of included studies was evaluated independently by 2 authors. Statistical analysis was performed by using the STATA 14 software(StataCorp Texas USA).<p>RESULTS:Five prospective random controlled clinical trials involving 529 patients were included. Compared with R & R procedure,the BLR procedure group showed lower successful rate(<i>RR</i>:0.85; 95% <i>CI</i>:0.72-0.99; <i>P</i>=0.043)and postoperative undercorrection(<i>RR</i>:3.975; 95% <i>CI</i>:2.097-7.537; <i>P</i><0.01). The <i>P</i> value of long-term postoperative corrected rate in Meta analysis was decreased near to 0.05 when the included references increased. There was no significant difference in overcorrection rate between the BLR and R & R procedures(<i>RR</i>:0.336; 95% <i>CI</i>:0.049-2.294; <i>P</i>=0.266).<p>CONCLUSION:Current evidences suggested that BLR procedure is related to lower successful and higher undercorrection rates for basic intermittent exotropia compared to conventional R & R procedure.http://ies.ijo.cn/cn_publish/2019/1/201901009.pdfbinocular lateral rectus recessionmonocular recession resectionMeta analysisrandomized controlled trials |
| spellingShingle | Ya-Tu Guo Lu Tian Wei Zhang Binocular lateral rectus recession versus monocular recess-resect procedure for basic intermittent exotropia:a Meta analysis of randomized controlled trials Guoji Yanke Zazhi binocular lateral rectus recession monocular recession resection Meta analysis randomized controlled trials |
| title | Binocular lateral rectus recession versus monocular recess-resect procedure for basic intermittent exotropia:a Meta analysis of randomized controlled trials |
| title_full | Binocular lateral rectus recession versus monocular recess-resect procedure for basic intermittent exotropia:a Meta analysis of randomized controlled trials |
| title_fullStr | Binocular lateral rectus recession versus monocular recess-resect procedure for basic intermittent exotropia:a Meta analysis of randomized controlled trials |
| title_full_unstemmed | Binocular lateral rectus recession versus monocular recess-resect procedure for basic intermittent exotropia:a Meta analysis of randomized controlled trials |
| title_short | Binocular lateral rectus recession versus monocular recess-resect procedure for basic intermittent exotropia:a Meta analysis of randomized controlled trials |
| title_sort | binocular lateral rectus recession versus monocular recess resect procedure for basic intermittent exotropia a meta analysis of randomized controlled trials |
| topic | binocular lateral rectus recession monocular recession resection Meta analysis randomized controlled trials |
| url | http://ies.ijo.cn/cn_publish/2019/1/201901009.pdf |
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