Traditional and reduced recession surgical dosage for bilateral lateral rectus recession for infantile exotropia

Ki Tae Nam, Seung Hyun Kim

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Background: To investigate the optimal surgical dose for treating infantile exotropia.

Methods: In this retrospective study, clinical records of 44 children who had undergone bilateral lateral rectus recessions before 4 years of age for an exotropia present before 12 months of age were studied. Children had 1 year of follow-up after surgery. Patients were separated into those who had traditional surgery and those who received a reduced recession of their lateral recti.

Results: The traditional surgery group comprised 36% of the patients and the reduced recession group, 1-2 mm reduction in the recession, comprised 64% of the study group. There was borderline significance (p=0.074) when the postoperative angle of deviation was compared in the early postoperative period. The traditional group had a mean deviation of 5.25 prism dioptres (PD) of esodeviation compared with the reduced recession group having a 2.91 esodeviation. There was no statistical difference at the 1-year evaluation of the alignment. The traditional group had a mean exodeviation of 2.63 PD compared with the reduced recession group having a 2.91 PD exodeviation.

Conclusions: Postoperative surgical outcome was not affected by a reduction in the amount of recession by 1-2 mm from traditional tables used for treatment of exotropia. Reducing the recession of the lateral recti reduces the risk of overcorrection in this sensory labile population.

Original languageEnglish
Pages (from-to)1420-1423
Number of pages4
JournalBritish Journal of Ophthalmology
Volume98
Issue number10
DOIs
Publication statusPublished - 2014 Jan 1

Fingerprint

Exotropia
Esotropia
Postoperative Period
Retrospective Studies
Population

ASJC Scopus subject areas

  • Ophthalmology
  • Sensory Systems
  • Cellular and Molecular Neuroscience
  • Medicine(all)

Cite this

Traditional and reduced recession surgical dosage for bilateral lateral rectus recession for infantile exotropia. / Nam, Ki Tae; Kim, Seung Hyun.

In: British Journal of Ophthalmology, Vol. 98, No. 10, 01.01.2014, p. 1420-1423.

Research output: Contribution to journalArticle

@article{a7f988156c444e97a0cb16a4835f967c,
title = "Traditional and reduced recession surgical dosage for bilateral lateral rectus recession for infantile exotropia",
abstract = "Background: To investigate the optimal surgical dose for treating infantile exotropia.Methods: In this retrospective study, clinical records of 44 children who had undergone bilateral lateral rectus recessions before 4 years of age for an exotropia present before 12 months of age were studied. Children had 1 year of follow-up after surgery. Patients were separated into those who had traditional surgery and those who received a reduced recession of their lateral recti.Results: The traditional surgery group comprised 36{\%} of the patients and the reduced recession group, 1-2 mm reduction in the recession, comprised 64{\%} of the study group. There was borderline significance (p=0.074) when the postoperative angle of deviation was compared in the early postoperative period. The traditional group had a mean deviation of 5.25 prism dioptres (PD) of esodeviation compared with the reduced recession group having a 2.91 esodeviation. There was no statistical difference at the 1-year evaluation of the alignment. The traditional group had a mean exodeviation of 2.63 PD compared with the reduced recession group having a 2.91 PD exodeviation.Conclusions: Postoperative surgical outcome was not affected by a reduction in the amount of recession by 1-2 mm from traditional tables used for treatment of exotropia. Reducing the recession of the lateral recti reduces the risk of overcorrection in this sensory labile population.",
author = "Nam, {Ki Tae} and Kim, {Seung Hyun}",
year = "2014",
month = "1",
day = "1",
doi = "10.1136/bjophthalmol-2014-304933",
language = "English",
volume = "98",
pages = "1420--1423",
journal = "British Journal of Ophthalmology",
issn = "0007-1161",
publisher = "BMJ Publishing Group",
number = "10",

}

TY - JOUR

T1 - Traditional and reduced recession surgical dosage for bilateral lateral rectus recession for infantile exotropia

AU - Nam, Ki Tae

AU - Kim, Seung Hyun

PY - 2014/1/1

Y1 - 2014/1/1

N2 - Background: To investigate the optimal surgical dose for treating infantile exotropia.Methods: In this retrospective study, clinical records of 44 children who had undergone bilateral lateral rectus recessions before 4 years of age for an exotropia present before 12 months of age were studied. Children had 1 year of follow-up after surgery. Patients were separated into those who had traditional surgery and those who received a reduced recession of their lateral recti.Results: The traditional surgery group comprised 36% of the patients and the reduced recession group, 1-2 mm reduction in the recession, comprised 64% of the study group. There was borderline significance (p=0.074) when the postoperative angle of deviation was compared in the early postoperative period. The traditional group had a mean deviation of 5.25 prism dioptres (PD) of esodeviation compared with the reduced recession group having a 2.91 esodeviation. There was no statistical difference at the 1-year evaluation of the alignment. The traditional group had a mean exodeviation of 2.63 PD compared with the reduced recession group having a 2.91 PD exodeviation.Conclusions: Postoperative surgical outcome was not affected by a reduction in the amount of recession by 1-2 mm from traditional tables used for treatment of exotropia. Reducing the recession of the lateral recti reduces the risk of overcorrection in this sensory labile population.

AB - Background: To investigate the optimal surgical dose for treating infantile exotropia.Methods: In this retrospective study, clinical records of 44 children who had undergone bilateral lateral rectus recessions before 4 years of age for an exotropia present before 12 months of age were studied. Children had 1 year of follow-up after surgery. Patients were separated into those who had traditional surgery and those who received a reduced recession of their lateral recti.Results: The traditional surgery group comprised 36% of the patients and the reduced recession group, 1-2 mm reduction in the recession, comprised 64% of the study group. There was borderline significance (p=0.074) when the postoperative angle of deviation was compared in the early postoperative period. The traditional group had a mean deviation of 5.25 prism dioptres (PD) of esodeviation compared with the reduced recession group having a 2.91 esodeviation. There was no statistical difference at the 1-year evaluation of the alignment. The traditional group had a mean exodeviation of 2.63 PD compared with the reduced recession group having a 2.91 PD exodeviation.Conclusions: Postoperative surgical outcome was not affected by a reduction in the amount of recession by 1-2 mm from traditional tables used for treatment of exotropia. Reducing the recession of the lateral recti reduces the risk of overcorrection in this sensory labile population.

UR - http://www.scopus.com/inward/record.url?scp=84908291941&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84908291941&partnerID=8YFLogxK

U2 - 10.1136/bjophthalmol-2014-304933

DO - 10.1136/bjophthalmol-2014-304933

M3 - Article

C2 - 24825843

AN - SCOPUS:84908291941

VL - 98

SP - 1420

EP - 1423

JO - British Journal of Ophthalmology

JF - British Journal of Ophthalmology

SN - 0007-1161

IS - 10

ER -