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The fast exodrift after the first surgical treatment of exotropia and its correlation with surgical outcome of second surgery.

Abstract To compare the rate of exodrift after a second surgery for recurrent exotropia, in patients grouped to fast versus slow exodrift after their first surgery. To determine whether there is a correlation with surgical outcome, and to evaluate the factors associated with fast exodrift.
PMID
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Authors

Mayor MeshTerms
Keywords

Exodrift

Recurrent exotropia

Surgical outcome

Journal Title bmc ophthalmology
Publication Year Start




PMID- 29499664
OWN - NLM
STAT- MEDLINE
DCOM- 20180309
LR  - 20180309
IS  - 1471-2415 (Electronic)
IS  - 1471-2415 (Linking)
VI  - 18
IP  - 1
DP  - 2018 Mar 2
TI  - The fast exodrift after the first surgical treatment of exotropia and its
      correlation with surgical outcome of second surgery.
PG  - 67
LID - 10.1186/s12886-018-0722-5 [doi]
AB  - BACKGROUND: To compare the rate of exodrift after a second surgery for recurrent 
      exotropia, in patients grouped to fast versus slow exodrift after their first
      surgery. To determine whether there is a correlation with surgical outcome, and
      to evaluate the factors associated with fast exodrift. METHODS: Patients with
      recurrent intermittent exotropia, who underwent contralateral lateral rectus
      recession and medial rectus resection as the second surgery and were followed up 
      for 24 months postoperatively between January 1991 and January 2013, were
      reviewed retrospectively. The patients were divided into two groups according to 
      the rate of exodrift after the first surgery: Group F, patients exhibiting fast
      exodrift after the first surgery (> 10 prism diopters [PD] before postoperative
      month 6); and Group S, patients exhibiting slow exodrift after the first surgery 
      (</=10 PD before postoperative month 6). The difference in the clinical course
      over the 24 months after the second surgery between the two groups and factors
      associated with fast exodrift were analyzed. RESULTS: In total, 106 patients with
      recurrent exotropia were enrolled in this study. Of these, 68 (64.2%) and 38
      (35.8%) patients were included in group F and S, respectively. Group F showed
      more exodrift compared with groups S over the 24-month postoperative period;
      however, there was no significant difference in the clinical course between the
      two groups during that time (p = 0.54, repeated-measure ANOVA). In logistic
      analysis, immediate postoperative deviation after the first surgery was
      associated with fast exodrift (p < 0.001). CONCLUSION: Although patients with
      recurrent exotropia had shown fast exodrift after the first surgery, no
      significant difference in the surgical outcome was observed after the second
      surgery according to the rate of exodrift after the first surgery.
FAU - Kim, Won Jae
AU  - Kim WJ
AD  - Department of Ophthalmology, Yeungnam University College of Medicine, 170,
      Hyeonchung-ro, Nam-gu, Daegu, 42415, South Korea.
FAU - Kim, Myung Mi
AU  - Kim MM
AD  - Department of Ophthalmology, Yeungnam University College of Medicine, 170,
      Hyeonchung-ro, Nam-gu, Daegu, 42415, South Korea. [email protected]
LA  - eng
GR  - 215A580081/Yeungnam University
PT  - Journal Article
DEP - 20180302
PL  - England
TA  - BMC Ophthalmol
JT  - BMC ophthalmology
JID - 100967802
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Child
MH  - Child, Preschool
MH  - Exotropia/diagnosis/physiopathology/*surgery
MH  - Eye Movements/physiology
MH  - Female
MH  - Follow-Up Studies
MH  - Humans
MH  - Male
MH  - Oculomotor Muscles/physiopathology/*surgery
MH  - Ophthalmologic Surgical Procedures
MH  - Prognosis
MH  - Recurrence
MH  - Reoperation
MH  - Retrospective Studies
MH  - Vision, Binocular/physiology
MH  - Visual Acuity
MH  - Young Adult
PMC - PMC5834857
OTO - NOTNLM
OT  - Exodrift
OT  - Recurrent exotropia
OT  - Surgical outcome
EDAT- 2018/03/04 06:00
MHDA- 2018/03/10 06:00
CRDT- 2018/03/04 06:00
PHST- 2017/07/17 00:00 [received]
PHST- 2018/02/16 00:00 [accepted]
PHST- 2018/03/04 06:00 [entrez]
PHST- 2018/03/04 06:00 [pubmed]
PHST- 2018/03/10 06:00 [medline]
AID - 10.1186/s12886-018-0722-5 [doi]
AID - 10.1186/s12886-018-0722-5 [pii]
PST - epublish
SO  - BMC Ophthalmol. 2018 Mar 2;18(1):67. doi: 10.1186/s12886-018-0722-5.