The clinical course of recurrent intermittent exotropia following one or two surgeries over 24 months postoperatively

Title
The clinical course of recurrent intermittent exotropia following one or two surgeries over 24 months postoperatively
Author(s)
김명미김원제[김원제]
Keywords
UNILATERAL RECESSION-RESECTION; PROGNOSTIC-FACTORS; RECTUS RECESSION; ALIGNMENT; CHILDREN
Issue Date
201407
Publisher
NATURE PUBLISHING GROUP
Citation
EYE, v.28, no.7, pp.819 - 824
Abstract
Purpose The aim of this study is to investigate the difference of the clinical course in recurrent intermittent exotropia after second surgery compared with both recurrent intermittent exotropia after its first of two surgeries and intermittent exotropia after only a single surgery. Methods We retrospectively reviewed the medical records of patients diagnosed with intermittent exotropia who underwent lateral rectus recession and medial rectus resection (R&R) between January 1992 and January 2011 at Yeungnam University Hospital. Repeated measure ANOVA (rmANOVA) was used to compare the clinical course of recurrent intermittent exotropia before and after a second surgery with that of intermittent exotropia with a single surgery. Results A total of 352 intermittent exotropia patients who underwent one R&R procedure and 77 recurrent intermittent exotropia patients who underwent a second R&R in the contralateral eye were included in this study. Although exodrift of recurrent intermittent exotropia was observed at 24 months of follow-up even after a second surgery, it was significantly lower than both intermittent exotropia with a single surgery and after its first of two surgeries (P<0.001, rmANOVA). Conclusion The clinical course of recurrent intermittent exotropia after a second surgery was improved compared with both recurrent intermittent exotropia after its first of two surgeries and intermittent exotropia after a single surgery.
URI
http://hdl.handle.net/YU.REPOSITORY/31543http://dx.doi.org/10.1038/eye.2014.93
ISSN
0950-222X
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의과대학 > 안과학교실 > Articles
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