scholarly journals Comment on “Early Results of Slanted Recession of the Lateral Rectus Muscle for Intermittent Exotropia with Convergence Insufficiency”

2016 ◽  
Vol 2016 ◽  
pp. 1-1
Author(s):  
Osman Melih Ceylan ◽  
Onder Ayyildiz ◽  
Gokcen Gokce ◽  
Fatih Mehmet Mutlu
Keyword(s):  
Rectus Muscle ◽  
Lateral Rectus ◽  
Intermittent Exotropia ◽  
Convergence Insufficiency ◽  
Lateral Rectus Muscle ◽  
Early Results

scholarly journals Early Results of Slanted Recession of the Lateral Rectus Muscle for Intermittent Exotropia with Convergence Insufficiency

2015 ◽  
Vol 2015 ◽  
pp. 1-5 ◽  
Author(s):  
Bo Young Chun ◽  
Kyung Min Kang
Keyword(s):  
Rectus Muscle ◽  
Lateral Rectus ◽  
Mean Deviation ◽  
Intermittent Exotropia ◽  
Convergence Insufficiency ◽  
Lateral Rectus Muscle ◽  
Early Results ◽  
Distance Difference ◽  
The Mean

The aim of this study was to evaluate the efficacy of slanted recession of the lateral rectus muscle for intermittent exotropia with convergence insufficiency. This prospective study included 31 patients who underwent slanted lateral rectus recession for intermittent exotropia with convergence insufficiency between June 2010 and June 2012. Following parameters were recorded and analyzed: patient sex, age, preoperative and postoperative near and distance ocular alignment, and changes in stereopsis. The mean age of the patients was 9.2 years. The preoperative mean deviation angle was 32.4 PD at distance and 43.4 PD at near. After 6 months, slanted lateral rectus recession reduced the deviation angles to 2 PD at distance and 3.4 PD at near. In addition, the mean difference between distance and near deviation angles was significantly reduced from 11 PD to 1.4 PD at 6 months postoperatively. Slanted lateral rectus recession for intermittent exotropia with convergence insufficiency in children successfully reduced the distance and near exodeviations and the near-distance difference without increasing the risk of long-term postoperative esotropia or diplopia.

scholarly journals Surgical management of intermittent exotropia: do we have an answer for all?

2019 ◽  
Vol 4 (1) ◽  
pp. e000243 ◽  
Author(s):  
Pratik Chougule ◽  
Ramesh Kekunnaya
Keyword(s):  
Surgical Outcomes ◽  
Surgical Techniques ◽  
Rectus Muscle ◽  
Lateral Rectus ◽  
Intermittent Exotropia ◽  
Comprehensive Overview ◽  
Convergence Insufficiency ◽  
Lateral Rectus Muscle ◽  
Recurrent Exotropia ◽  
Prospective Trials

Intermittent exotropia (X(T)) is one of the most common form of strabismus with surgery being the mainstay of treatment. The main goal of surgery is to preserve binocular vision and stereopsis and to prevent its further loss. The decision to operate is mainly based on four aspects: increasing angle of exodeviation, deteriorating control of X(T), decrease in stereopsis for near or distance and quality of life. Bilateral lateral rectus muscle recession and unilateral lateral rectus recession with medial rectus resection, are the two most common surgical procedures performed and have been studied extensively in basic, divergence excess and convergence insufficiency types of X(T). However, there is no consensus over the relative efficacy of the two procedures in terms of postoperative alignment, residual or recurrent exotropia and consecutive esotropia with widely variable results, which can be attributed to poor understanding of the natural course of the disease. Multiple demographic, clinical and anatomic features that may influence the surgical outcomes have been studied to explain this variability. Moreover, most of the evidence regarding surgical outcomes of X(T) is from retrospective studies and the ongoing randomised prospective trials can shed light on long-term efficacy of these procedures. The goal of this review is to give a comprehensive overview of the outcomes of various surgical techniques in the management of different types of X(T), the preoperative and postoperative factors that may affect the surgical outcomes and to discuss the dilemmas faced by the treating surgeons including the effective management of overcorrection and undercorrection.

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