Timely surgery in intermittent and constant exotropia for superior sensory outcome
PURPOSE: To determine whether time of strabismus surgery for patients with acquired intermittent exotropia and constant exotropia influences postoperative sensory outcome. METHODS: In a retrospective, cross-sectional study, 76 patients with acquired intermittent or constant exotropia and motor reali...
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| Veröffentlicht in: | American journal of ophthalmology 2001, Vol.131 (1), p.111-116 |
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| container_title | American journal of ophthalmology |
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| creator | Abroms, Adam D Mohney, Brian G Rush, Dawn P Parks, Marshall M Tong, Patrick Y |
| description | PURPOSE: To determine whether time of strabismus surgery for patients with acquired intermittent exotropia and constant exotropia influences postoperative sensory outcome.
METHODS: In a retrospective, cross-sectional study, 76 patients with acquired intermittent or constant exotropia and motor realignment were evaluated for postoperative sensory status. Age at surgery, duration of exotropia, and presence of intermittent or constant exotropia were correlated with postoperative sensory status. The 23 male and 53 female patients had an average age of 9.3 years at the time of surgery and a mean follow-up of 5.9 years.
RESULTS: Patients had a significantly greater chance of having postoperative stereoacuity better than 60 seconds of arc (bifixation) if they were surgically aligned before 7 years of age (
P < .01) or before 5 years of strabismus duration (
P < .05), or with intermittent as compared with constant exotropia (
P < .001). Patients with postoperative bifixation had earlier surgical intervention (
P < .025) and shorter duration of exotropia (
P < .025) than those with postoperative monofixation.
CONCLUSIONS: Patients with intermittent or constant exotropia may achieve superior sensory outcome with motor realignment before age 7, before 5 years of strabismus duration, or while the deviation is intermittent. |
| doi_str_mv | 10.1016/S0002-9394(00)00623-1 |
| format | Article |
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METHODS: In a retrospective, cross-sectional study, 76 patients with acquired intermittent or constant exotropia and motor realignment were evaluated for postoperative sensory status. Age at surgery, duration of exotropia, and presence of intermittent or constant exotropia were correlated with postoperative sensory status. The 23 male and 53 female patients had an average age of 9.3 years at the time of surgery and a mean follow-up of 5.9 years.
RESULTS: Patients had a significantly greater chance of having postoperative stereoacuity better than 60 seconds of arc (bifixation) if they were surgically aligned before 7 years of age (
P < .01) or before 5 years of strabismus duration (
P < .05), or with intermittent as compared with constant exotropia (
P < .001). Patients with postoperative bifixation had earlier surgical intervention (
P < .025) and shorter duration of exotropia (
P < .025) than those with postoperative monofixation.
CONCLUSIONS: Patients with intermittent or constant exotropia may achieve superior sensory outcome with motor realignment before age 7, before 5 years of strabismus duration, or while the deviation is intermittent.</description><identifier>ISSN: 0002-9394</identifier><identifier>EISSN: 1879-1891</identifier><identifier>DOI: 10.1016/S0002-9394(00)00623-1</identifier><identifier>PMID: 11162985</identifier><identifier>CODEN: AJOPAA</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Adolescent ; Adult ; Aged ; Biological and medical sciences ; Child ; Child, Preschool ; Cross-Sectional Studies ; Exotropia - surgery ; Female ; Humans ; Infant ; Male ; Medical sciences ; Middle Aged ; Oculomotor disorders ; Oculomotor Muscles - surgery ; Ophthalmology ; Retrospective Studies ; Sensation - physiology ; Time Factors ; Treatment Outcome ; Vision, Binocular - physiology ; Visual Acuity - physiology</subject><ispartof>American journal of ophthalmology, 2001, Vol.131 (1), p.111-116</ispartof><rights>2001 Elsevier Science Inc.</rights><rights>2001 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c389t-36d5f9cead0c3d43e31e66d6a7455348067fcf31f0c2cb8c59f7eb8f55a2d21f3</citedby><cites>FETCH-LOGICAL-c389t-36d5f9cead0c3d43e31e66d6a7455348067fcf31f0c2cb8c59f7eb8f55a2d21f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0002939400006231$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,4010,27900,27901,27902,65306</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=853389$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11162985$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Abroms, Adam D</creatorcontrib><creatorcontrib>Mohney, Brian G</creatorcontrib><creatorcontrib>Rush, Dawn P</creatorcontrib><creatorcontrib>Parks, Marshall M</creatorcontrib><creatorcontrib>Tong, Patrick Y</creatorcontrib><title>Timely surgery in intermittent and constant exotropia for superior sensory outcome</title><title>American journal of ophthalmology</title><addtitle>Am J Ophthalmol</addtitle><description>PURPOSE: To determine whether time of strabismus surgery for patients with acquired intermittent exotropia and constant exotropia influences postoperative sensory outcome.
METHODS: In a retrospective, cross-sectional study, 76 patients with acquired intermittent or constant exotropia and motor realignment were evaluated for postoperative sensory status. Age at surgery, duration of exotropia, and presence of intermittent or constant exotropia were correlated with postoperative sensory status. The 23 male and 53 female patients had an average age of 9.3 years at the time of surgery and a mean follow-up of 5.9 years.
RESULTS: Patients had a significantly greater chance of having postoperative stereoacuity better than 60 seconds of arc (bifixation) if they were surgically aligned before 7 years of age (
P < .01) or before 5 years of strabismus duration (
P < .05), or with intermittent as compared with constant exotropia (
P < .001). Patients with postoperative bifixation had earlier surgical intervention (
P < .025) and shorter duration of exotropia (
P < .025) than those with postoperative monofixation.
CONCLUSIONS: Patients with intermittent or constant exotropia may achieve superior sensory outcome with motor realignment before age 7, before 5 years of strabismus duration, or while the deviation is intermittent.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Cross-Sectional Studies</subject><subject>Exotropia - surgery</subject><subject>Female</subject><subject>Humans</subject><subject>Infant</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Oculomotor disorders</subject><subject>Oculomotor Muscles - surgery</subject><subject>Ophthalmology</subject><subject>Retrospective Studies</subject><subject>Sensation - physiology</subject><subject>Time Factors</subject><subject>Treatment Outcome</subject><subject>Vision, Binocular - physiology</subject><subject>Visual Acuity - physiology</subject><issn>0002-9394</issn><issn>1879-1891</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2001</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkNtKxDAQhoMo7rr6CEpBEL2oJk3Tw5XI4gkWBF2vQzaZSKRtapKK-_ZmD6yXQiAZ-P7MzIfQKcHXBJPi5g1jnKU1rfNLjK8wLjKakj00JlVZp6SqyT4a75AROvL-M5ZFmZeHaEQIKbK6YmP0OjctNMvED-4D3DIxXTwBXGtCgC4kolOJtJ0PIhbwY4OzvRGJti5GenBm9YDO25i1Q5C2hWN0oEXj4WR7T9D7w_18-pTOXh6fp3ezVNKqDiktFNO1BKGwpCqnQAkUhSpEmTNG8yrOqqWmRGOZyUUlWa1LWFSaMZGpjGg6QRebf3tnvwbwgbfGS2ga0YEdPC8xqyguWQTZBpTOeu9A896ZVrglJ5ivZPK1TL4yxTHma5mcxNzZtsGwaEH9pbb2InC-BYSXotFOdNL4HReJuGmkbjcURBnfBhz30kAnQRkHMnBlzT-D_AIBVZI9</recordid><startdate>2001</startdate><enddate>2001</enddate><creator>Abroms, Adam D</creator><creator>Mohney, Brian G</creator><creator>Rush, Dawn P</creator><creator>Parks, Marshall M</creator><creator>Tong, Patrick Y</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>IQODW</scope><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>2001</creationdate><title>Timely surgery in intermittent and constant exotropia for superior sensory outcome</title><author>Abroms, Adam D ; Mohney, Brian G ; Rush, Dawn P ; Parks, Marshall M ; Tong, Patrick Y</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c389t-36d5f9cead0c3d43e31e66d6a7455348067fcf31f0c2cb8c59f7eb8f55a2d21f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2001</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Cross-Sectional Studies</topic><topic>Exotropia - surgery</topic><topic>Female</topic><topic>Humans</topic><topic>Infant</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Oculomotor disorders</topic><topic>Oculomotor Muscles - surgery</topic><topic>Ophthalmology</topic><topic>Retrospective Studies</topic><topic>Sensation - physiology</topic><topic>Time Factors</topic><topic>Treatment Outcome</topic><topic>Vision, Binocular - physiology</topic><topic>Visual Acuity - physiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Abroms, Adam D</creatorcontrib><creatorcontrib>Mohney, Brian G</creatorcontrib><creatorcontrib>Rush, Dawn P</creatorcontrib><creatorcontrib>Parks, Marshall M</creatorcontrib><creatorcontrib>Tong, Patrick Y</creatorcontrib><collection>Pascal-Francis</collection><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>American journal of ophthalmology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Abroms, Adam D</au><au>Mohney, Brian G</au><au>Rush, Dawn P</au><au>Parks, Marshall M</au><au>Tong, Patrick Y</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Timely surgery in intermittent and constant exotropia for superior sensory outcome</atitle><jtitle>American journal of ophthalmology</jtitle><addtitle>Am J Ophthalmol</addtitle><date>2001</date><risdate>2001</risdate><volume>131</volume><issue>1</issue><spage>111</spage><epage>116</epage><pages>111-116</pages><issn>0002-9394</issn><eissn>1879-1891</eissn><coden>AJOPAA</coden><abstract>PURPOSE: To determine whether time of strabismus surgery for patients with acquired intermittent exotropia and constant exotropia influences postoperative sensory outcome.
METHODS: In a retrospective, cross-sectional study, 76 patients with acquired intermittent or constant exotropia and motor realignment were evaluated for postoperative sensory status. Age at surgery, duration of exotropia, and presence of intermittent or constant exotropia were correlated with postoperative sensory status. The 23 male and 53 female patients had an average age of 9.3 years at the time of surgery and a mean follow-up of 5.9 years.
RESULTS: Patients had a significantly greater chance of having postoperative stereoacuity better than 60 seconds of arc (bifixation) if they were surgically aligned before 7 years of age (
P < .01) or before 5 years of strabismus duration (
P < .05), or with intermittent as compared with constant exotropia (
P < .001). Patients with postoperative bifixation had earlier surgical intervention (
P < .025) and shorter duration of exotropia (
P < .025) than those with postoperative monofixation.
CONCLUSIONS: Patients with intermittent or constant exotropia may achieve superior sensory outcome with motor realignment before age 7, before 5 years of strabismus duration, or while the deviation is intermittent.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>11162985</pmid><doi>10.1016/S0002-9394(00)00623-1</doi><tpages>6</tpages></addata></record> |
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| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Adolescent Adult Aged Biological and medical sciences Child Child, Preschool Cross-Sectional Studies Exotropia - surgery Female Humans Infant Male Medical sciences Middle Aged Oculomotor disorders Oculomotor Muscles - surgery Ophthalmology Retrospective Studies Sensation - physiology Time Factors Treatment Outcome Vision, Binocular - physiology Visual Acuity - physiology |
| title | Timely surgery in intermittent and constant exotropia for superior sensory outcome |
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