Factors associated with surgical success in adult patients with exotropia
Abstract Purpose To report the results of surgical treatment for intermittent or constant comitant exotropia in adults and to examine the factors associated with the surgical outcome. Methods The medical records of consecutive patients older than 18 years of age at the time of surgery for intermitte...
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| Veröffentlicht in: | Journal of AAPOS 2016-12, Vol.20 (6), p.511-514 |
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| creator | Jung, Eun Hye, MD Kim, Seong-Joon, MD Yu, Young Suk, MD |
| description | Abstract Purpose To report the results of surgical treatment for intermittent or constant comitant exotropia in adults and to examine the factors associated with the surgical outcome. Methods The medical records of consecutive patients older than 18 years of age at the time of surgery for intermittent or constant comitant exotropia and with at least 1 year’s follow-up were retrospectively reviewed. Surgical success was defined as postoperative esodeviation of 10Δ ) were considered surgical failure. Preoperative patient characteristics, surgical procedures performed, and early postoperative ocular alignment were evaluated as potential factors associated with the surgical outcome. Results A total of 39 patients were included, of whom 28 (72%) achieved surgical success, 7 (18%) showed overcorrection, and 4 (10%) had recurrence. Alignment at postoperative week 1 was the only significant factor correlated with surgical results. Surgical outcome was best with early postoperative alignment of |
| doi_str_mv | 10.1016/j.jaapos.2016.08.011 |
| format | Article |
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Methods The medical records of consecutive patients older than 18 years of age at the time of surgery for intermittent or constant comitant exotropia and with at least 1 year’s follow-up were retrospectively reviewed. Surgical success was defined as postoperative esodeviation of <5Δ , orthotropia, or exodeviation of <10Δ . Overcorrection (defined as esodeviation >5Δ ) and recurrence (exodeviation of >10Δ ) were considered surgical failure. Preoperative patient characteristics, surgical procedures performed, and early postoperative ocular alignment were evaluated as potential factors associated with the surgical outcome. Results A total of 39 patients were included, of whom 28 (72%) achieved surgical success, 7 (18%) showed overcorrection, and 4 (10%) had recurrence. Alignment at postoperative week 1 was the only significant factor correlated with surgical results. Surgical outcome was best with early postoperative alignment of <10Δ of esotropia. Conclusions Early postoperative overcorrection of <10Δ resulted in more favorable surgical outcomes in adults undergoing surgery to treat exotropia.</description><identifier>ISSN: 1091-8531</identifier><identifier>EISSN: 1528-3933</identifier><identifier>DOI: 10.1016/j.jaapos.2016.08.011</identifier><identifier>PMID: 27815187</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adult ; Aged ; Exotropia - surgery ; Female ; Follow-Up Studies ; Humans ; Male ; Middle Aged ; Oculomotor Muscles ; Ophthalmologic Surgical Procedures ; Ophthalmology ; Retrospective Studies ; Treatment Outcome ; Vision, Binocular</subject><ispartof>Journal of AAPOS, 2016-12, Vol.20 (6), p.511-514</ispartof><rights>American Association for Pediatric Ophthalmology and Strabismus</rights><rights>2016 American Association for Pediatric Ophthalmology and Strabismus</rights><rights>Copyright © 2016 American Association for Pediatric Ophthalmology and Strabismus. Published by Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c417t-e7a4c38b9b1717696a20d7652bf381549ce4b624d8cde05f9c1a7ee72b4faa2c3</citedby><cites>FETCH-LOGICAL-c417t-e7a4c38b9b1717696a20d7652bf381549ce4b624d8cde05f9c1a7ee72b4faa2c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.jaapos.2016.08.011$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3549,27923,27924,45994</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27815187$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Jung, Eun Hye, MD</creatorcontrib><creatorcontrib>Kim, Seong-Joon, MD</creatorcontrib><creatorcontrib>Yu, Young Suk, MD</creatorcontrib><title>Factors associated with surgical success in adult patients with exotropia</title><title>Journal of AAPOS</title><addtitle>J AAPOS</addtitle><description>Abstract Purpose To report the results of surgical treatment for intermittent or constant comitant exotropia in adults and to examine the factors associated with the surgical outcome. Methods The medical records of consecutive patients older than 18 years of age at the time of surgery for intermittent or constant comitant exotropia and with at least 1 year’s follow-up were retrospectively reviewed. Surgical success was defined as postoperative esodeviation of <5Δ , orthotropia, or exodeviation of <10Δ . Overcorrection (defined as esodeviation >5Δ ) and recurrence (exodeviation of >10Δ ) were considered surgical failure. Preoperative patient characteristics, surgical procedures performed, and early postoperative ocular alignment were evaluated as potential factors associated with the surgical outcome. Results A total of 39 patients were included, of whom 28 (72%) achieved surgical success, 7 (18%) showed overcorrection, and 4 (10%) had recurrence. Alignment at postoperative week 1 was the only significant factor correlated with surgical results. Surgical outcome was best with early postoperative alignment of <10Δ of esotropia. Conclusions Early postoperative overcorrection of <10Δ resulted in more favorable surgical outcomes in adults undergoing surgery to treat exotropia.</description><subject>Adult</subject><subject>Aged</subject><subject>Exotropia - surgery</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Oculomotor Muscles</subject><subject>Ophthalmologic Surgical Procedures</subject><subject>Ophthalmology</subject><subject>Retrospective Studies</subject><subject>Treatment Outcome</subject><subject>Vision, Binocular</subject><issn>1091-8531</issn><issn>1528-3933</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkT2P1jAMgCsE4j7gHyDUkaUlTtokXZDQiYOTTmIA5ihNXUjp25Q4Be7fk6p3DCxMtqXHdvK4KF4Aq4GBfD3Vk7VroJrnqma6ZgCPinNoua5EJ8TjnLMOKt0KOCsuiCbGmOwAnhZnXGloQavz4ubauhQilZYoOG8TDuUvn76VtMWv3tk5J84hUemX0g7bnMrVJo9LooPD3yHFsHr7rHgy2pnw-X28LL5cv_t89aG6_fj-5urtbeUaUKlCZRsndN_1oEDJTlrOBiVb3o8iP6rpHDa95M2g3YCsHTsHViEq3jejtdyJy-LVMXeN4ceGlMzJk8N5tguGjQxoIZXgWrGMNgfqYiCKOJo1-pONdwaY2SWayRwSzS7RMG2yxNz28n7D1p9w-Nv0YC0Dbw4A8z9_eoyGXFbicPARXTJD8P_b8O8AN_tl1_0d75CmsMUlOzRgiBtmPu2H3O8IUjDJhBR_AOEymlY</recordid><startdate>20161201</startdate><enddate>20161201</enddate><creator>Jung, Eun Hye, MD</creator><creator>Kim, Seong-Joon, MD</creator><creator>Yu, Young Suk, MD</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20161201</creationdate><title>Factors associated with surgical success in adult patients with exotropia</title><author>Jung, Eun Hye, MD ; Kim, Seong-Joon, MD ; Yu, Young Suk, MD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c417t-e7a4c38b9b1717696a20d7652bf381549ce4b624d8cde05f9c1a7ee72b4faa2c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Exotropia - surgery</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Oculomotor Muscles</topic><topic>Ophthalmologic Surgical Procedures</topic><topic>Ophthalmology</topic><topic>Retrospective Studies</topic><topic>Treatment Outcome</topic><topic>Vision, Binocular</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Jung, Eun Hye, MD</creatorcontrib><creatorcontrib>Kim, Seong-Joon, MD</creatorcontrib><creatorcontrib>Yu, Young Suk, MD</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of AAPOS</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Jung, Eun Hye, MD</au><au>Kim, Seong-Joon, MD</au><au>Yu, Young Suk, MD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Factors associated with surgical success in adult patients with exotropia</atitle><jtitle>Journal of AAPOS</jtitle><addtitle>J AAPOS</addtitle><date>2016-12-01</date><risdate>2016</risdate><volume>20</volume><issue>6</issue><spage>511</spage><epage>514</epage><pages>511-514</pages><issn>1091-8531</issn><eissn>1528-3933</eissn><abstract>Abstract Purpose To report the results of surgical treatment for intermittent or constant comitant exotropia in adults and to examine the factors associated with the surgical outcome. Methods The medical records of consecutive patients older than 18 years of age at the time of surgery for intermittent or constant comitant exotropia and with at least 1 year’s follow-up were retrospectively reviewed. Surgical success was defined as postoperative esodeviation of <5Δ , orthotropia, or exodeviation of <10Δ . Overcorrection (defined as esodeviation >5Δ ) and recurrence (exodeviation of >10Δ ) were considered surgical failure. Preoperative patient characteristics, surgical procedures performed, and early postoperative ocular alignment were evaluated as potential factors associated with the surgical outcome. Results A total of 39 patients were included, of whom 28 (72%) achieved surgical success, 7 (18%) showed overcorrection, and 4 (10%) had recurrence. Alignment at postoperative week 1 was the only significant factor correlated with surgical results. Surgical outcome was best with early postoperative alignment of <10Δ of esotropia. Conclusions Early postoperative overcorrection of <10Δ resulted in more favorable surgical outcomes in adults undergoing surgery to treat exotropia.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>27815187</pmid><doi>10.1016/j.jaapos.2016.08.011</doi><tpages>4</tpages></addata></record> |
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| source | MEDLINE; ScienceDirect Journals (5 years ago - present) |
| subjects | Adult Aged Exotropia - surgery Female Follow-Up Studies Humans Male Middle Aged Oculomotor Muscles Ophthalmologic Surgical Procedures Ophthalmology Retrospective Studies Treatment Outcome Vision, Binocular |
| title | Factors associated with surgical success in adult patients with exotropia |
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