Determinents of ocular alignment at 6 month after intermittent exotropia surgery
Autor: | Pawan Kumar Chaurasia, Anagha Chawhan |
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Rok vydání: | 2021 |
Předmět: |
medicine.medical_specialty
genetic structures business.industry medicine.disease eye diseases Ocular alignment Resection Surgery Neuro-ophthalmology 03 medical and health sciences 0302 clinical medicine 030225 pediatrics 030221 ophthalmology & optometry medicine Pediatric ophthalmology sense organs business Exotropia Esotropia Orthoptic Intermittent exotropia |
Zdroj: | Indian Journal of Clinical and Experimental Ophthalmology. 7:45-48 |
ISSN: | 2395-1451 2395-1443 |
Popis: | Purpose: To evaluate postoperative ocular alignment at day 1 and at 6 months after unilateral LR recessionmedial rectus (MR) resection bilateral LR recession for Intermittent exotropia. Materials and Methods: Retrospectively medical records of 30 patients who underwent unilateral LR recession with MR resection and bilateral LR recession for intermittent exotropia were evaluated at postop day 1 & at 6 months. Each patient underwent complete orthoptic examination and had surgery plan for orthophoria. Surgical outcomes in reference of postoperative angle were compared & grouped as group A (esotropia 8-15 PD), group B (Orthotropia or esotropia/exotropia- 8 PD) & group C (exotropia>8-15 PD). Success alignment was defined as orthotropia or esotropia/ exotropia wihtin 6-8 PD. Results: Out of 30 patients, 19 underwent unilateral LR recession with MR resection & 11 underwent and bilateral LR recession. Pre-operative. Mean angle was 49.5(30-55 PD). Surgical outcome at post-operative day 1 in group A, B,C were 10%, 73.3%,16.7% respectively. Surgical outcome at 6 months in group A, B & C were 3.4%, 76.6% & 20% respectively. Surgical success at early ocular alignment and at 6 months 73.3% and 76.6% respectively. At 6 months success outcome in BLR was 81.8% & that in R/R was 73.6%. Conclusion: Early postoperative ocular alignment of intermittent exotropia at day 1 can be a determinant of orthophoria at 6 months. Orthophoric or slight overcorrection gives better ocular alignment but, prediction of long-term ocular alignment remains a grey zone. Keywords: Alignment, Bilateral LR recession, Intermittent Exotropia, Unilateral LR recession- MR resection. |
Databáze: | OpenAIRE |
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