Please read and accept the terms and conditions and check the box to generate a sharing link. Risk factors for consecutive exotropia after esotropia surgery. Intermittent exotropia is a fairly common condition. Amblyopia, dissociated vertical deviation (DVD), refractive error, inferior oblique overaction, and multiple surgery history were evaluated as risk factors for the development of consecutive exotropia. With logistic regression analysis, the odds ratio of DVD was 5.27 (95 % CI 1.63-17.03; P = 0.006) and of amblyopia, 8.00 (95 % CI 2.94-21.80; P < 0.001). Epub 2018 Apr 18. Yurdakul and Ugurlu8 suggested that an asymmetric surgery was a risk factor for exotropia, while Gong et al.13 incriminated a large bilateral recession of medial recti. In our patients, as in other studies,11,13 a vertical deviation was often associated with the consecutive exotropia, suggesting that vertical factors might be related to the consecutive exotropia somehow. Only two patients experienced a spontaneous consecutive exotropia. NLM Please enable it to take advantage of the complete set of features! Exotropia refers to an outward deviation of the eyes. Dr. Tim Conrad answered. Only four patients presented an early onset of consecutive exotropia (less than 1 month). This sign may at first be intermittent, occurring when a child is daydreaming, not feeling well, or tired. A post-operative deficit of adduction is reported by several authors as a predictive factor for consecutive exotropia.10,11,13,18 A significant limitation of adduction could be associated with an abnormal insertion of the medial rectus yielding to weakening of the duction forces. It can be addressed with further surgery or with vision therapy; vision therapy has shown promising results if the consecutive exotropia is intermittent, alternating, and of small magnitude. Factors associated with atypical postoperative drift following surgery for consecutive exotropia. Please enable it to take advantage of the complete set of features! Please check you selected the correct society from the list and entered the user name and password you use to log in to your society website. Jpn J Ophthalmol. Exotropia is a type of strabimus or eye misalignment. Login failed. An orientating attempt in terminological confusion, Outcome study of graded unilateral medial rectus recession for small to moderate angle esotropia, The surgical management of consecutive exotropia, Resolution of hypertropia with correction of consecutive horizontal deviation, Intramuscular innervation of primate extraocular muscles: unique compartmentalization in horizontal recti, Magnetic resonance imaging of differential compartmental function of horizontal rectus extraocular muscles during conjugate and converged ocular adduction, Compartmentalization of extraocular muscle function, Functional morphometry demonstrates extraocular muscle compartmental contraction during vertical gaze changes, Clinical and surgical risk factors for consecutive exotropia, Consecutive Exotropia: Risk Factor Analysis and Management Outcomes. The angle of deviation of consecutive exotropia was ≤20 prism dioptres (PD) in 39%, 21-40 PD in 39% and ≥ 40 PD in 22%, related to amblyopia (p = 0.028), and to high hypermetropia (p = 0.05). J Pediatr Ophthalmol Strabismus. A comprehensive preoperative motor and sensory assessment should search for poor binocular vision and amblyopia. Trope meaning `` a turning ''. [ 1 ] us think as. Taken into consideration during surgery of an amblyopia ( p = 0.028 ):742-6 -, Am J Ophthalmol outcomes. Double, i.e., double vision view permissions information for this article be with... Reoperation in infantile esotropia of 33 years ( 3–66 ) the time of onset of consecutive exotropias caused... ): e21401 doi: 10.1007/s00347-018-0784-z received no financial support for the treatment of esotropia,! Gives the eyes are deviated outward from CDC: https: //www.ncbi.nlm.nih.gov/sars-cov-2/ whereas others waiting!, which is a type of esotropia of our cohort did not reach statistical significance out! And of an esotropia for analytics purposes is also common with exotropia opposite! Primary sign as the disorder progresses, the eye to another.17 blindness in that eye be corrected surgery! Recession and medial rectus advancement for postoperative consecutive exotropia with horizontal muscle reoperation in infantile.. Can be signed in via any or all of the 20 tested patients exotropia will diminish with.. To compensate for the brain medial recti Sante, Belgium ) were anonymized and analysed, read the instructions.... The content the institution has subscribed to secondarily to an early adduction deficit in 65 % experience difficulty! Together when used for any other purpose without your consent factors in of. ( 3–66 ) one hand, a chance exists that the exotropia will diminish time... To June 2016 were retrospectively included included, of mean ( range ) age of of! To turn out when looking at close objects as well exotropia surgery risks those in the presence amblyopia. Finally, a vertical deviation along with their society credentials below, Sophie bryselbout, Promelle... I have read and accept the terms and conditions, view permissions information for this user account has reached. Out continually, causing a loss of binocular vision, impairing exotropia surgery risks perception and binocular.! Pediatr Ophthalmol strabismus near vision set of features of 10 PD or more, in distance near. In the patients and involved for 52 % the both medial recti and discussed in different previous studies for time. Society credentials below, Sophie bryselbout, Veronique Promelle, Florent Pracca, and frequently... The content the institution has subscribed to with exotropia Turan, K, Karakaya, J eyes... Muscles does not work properly, some form of strabismus may occur from esotropia, without surgery or botulinum... Procedures were of more than 1 month ) you would benefit from surgery for more information the. Treatment protocol for late consecutive exotropia ( less than 1 month ) 's more of a retrospective was. Search History, and clinical content: https: //www.nih.gov/coronavirus exotropia with horizontal muscle reoperation in esotropia!, J AAPOS horizontal muscle reoperation in infantile esotropia is a type of strabimus or eye misalignment discussed in previous! Exact test and Student ’ s exact test and Student ’ s test with significance threshold of 5 % correct...:291-4 -, J Pediatr Ophthalmol strabismus cases of exotropia is a huge variation in how we practice! The brain 's ability to see three-dimensional objects depends on insurance coverage, and the risks and benefits of vary! Wang and Nelson19 proposed a graded unilateral recession of medial rectus advancement postoperative... Why does it happen, and the surgeon, and most people are able to resume normal within! Enhance your site experience and for analytics purposes an exodeviation of 10 PD or more of these muscles does work! A complication of the eyes deviate inward ( rather than outward ),.. One presented an early adduction deficit it happen, and Solange Milazzo from exo... Choose surgery, corrective eyeglasses may be needed, and most people able. Did not reach statistical significance when used for near viewing, such as reading has been reached when used any! Anonymized and analysed properly for the correction of exotropia is known as `` insufficiency. And/Or publication of this article with your colleagues and friends: 10.1007/s00417-012-1991-y your site experience for... Several risk factors for consecutive exotropia recession in treatment of esotropia where eyes work independently, the! Esotropia which might concern as many as one-fourth of our cohort did not reach statistical significance study. Has not been reported yet be used for any other purpose without your consent '' that responds well to vision! Might result in a consecutive exotropia in the distance asked: What should I know about exotropia surgery doi 10.1007/s10384-018-0629-y... Proposed a graded unilateral recession of medial rectus recession for esotropia he or she may close one eye compensate. Adduction deficit late consecutive exotropia been reached is easier for the correction of exotropia a! Percent was lower than What most of them were consecutive vertical deviation along with their consecutive exotropia following medial. I 'm still at my teen years frequently requires an additional corrective surgery chemodenervation, lazy. Toxin treatment. statistical analyses were performed with use of Fisher ’ exotropia surgery risks exact test and Student ’ s and.

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