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Bilateral lateral rectus muscle recession for the convergence insufficiency type of intermittent exotropia

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机构: [1]Tianjin Med Univ, Tianjin Eye Inst, Tianjin Eye Hosp, Tianjin, Peoples R China; [2]Fuyang Peoples Hosp, Ophthalmol Dept, Fuyang, Anhui, Peoples R China; [3]Capital Med Univ, Beijing Children Hosp, Dept Ophthalmol, Beijing 100040, Peoples R China; [4]Capital Med Univ, Affiliated Beijing Children Hosp, Dept Ophthalmol, 56 Nan Li Shi Rd, Beijing 100040, Peoples R China
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PURPOSE To evaluate the surgical efficacy of bilateral lateral rectus recession (BLRR) for intermittent exotropia with convergence insufficiency (CI-type X[T]). METHODS The medical records of patients with CI-type X(T) who underwent BLRR on adjustable suture from January 2011 to March 2014 were retrospectively reviewed. Ocular alignment and sensory status were evaluated pre- and postoperatively for each patient. The mean distance and mean near deviation, before and after surgery, as well as the mean near distance difference, were compared. Success was defined as postoperative alignment of esophoria/tropia of <= 5(Delta) and exophoria/tropia of <= 8(Delta) at distance. RESULTS A total of 25 patients were included. The mean exodeviation was significantly reduced, from 32.5(Delta) preoperatively to 0.08(Delta) postoperatively (P < 0.001) at distance and from 45(Delta) preoperatively to 2.4(Delta) (P < 0.001) postoperatively at near. The mean near distance difference was reduced from 16(Delta) preoperatively to 2 postoperatively (P < 0.01). Of the 25 patients, 21 (84%) obtained successful motor alignment, 2 had recurrent exodeviation of >= 10(Delta) at distance, and 2 had overcorrected esotropia with deviation angles of >8(Delta). CONCLUSIONS In this cohort of patients, bilateral lateral rectus recession using an adjustable suture technique successfully treated CI-type X(T).

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出版当年[2015]版:
大类 | 4 区 医学
小类 | 4 区 眼科学 4 区 儿科
最新[2023]版:
大类 | 4 区 医学
小类 | 4 区 眼科学 4 区 儿科
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出版当年[2014]版:
Q4 PEDIATRICS Q4 OPHTHALMOLOGY
最新[2023]版:
Q3 OPHTHALMOLOGY Q3 PEDIATRICS

影响因子: 最新[2023版] 最新五年平均 出版当年[2014版] 出版当年五年平均 出版前一年[2013版] 出版后一年[2015版]

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第一作者机构: [1]Tianjin Med Univ, Tianjin Eye Inst, Tianjin Eye Hosp, Tianjin, Peoples R China; [2]Fuyang Peoples Hosp, Ophthalmol Dept, Fuyang, Anhui, Peoples R China;
通讯作者:
通讯机构: [1]Tianjin Med Univ, Tianjin Eye Inst, Tianjin Eye Hosp, Tianjin, Peoples R China; [3]Capital Med Univ, Beijing Children Hosp, Dept Ophthalmol, Beijing 100040, Peoples R China; [4]Capital Med Univ, Affiliated Beijing Children Hosp, Dept Ophthalmol, 56 Nan Li Shi Rd, Beijing 100040, Peoples R China
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