Surgical outcome of single-staged three horizontal muscles squint surgery for extra-large angle exotropia
Purpose To report the surgical outcomes of 24 patients undergoing single-staged three horizontal muscles squint surgery for extra-large angle exotropia. Patients and methods Prospective case series of 24 consecutive patients with primary exotropia >60 prism diopters (PD) at distant and underwent...
Gespeichert in:
| Veröffentlicht in: | Eye (London) 2010-07, Vol.24 (7), p.1171-1176 |
|---|---|
| Hauptverfasser: | , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 1176 |
|---|---|
| container_issue | 7 |
| container_start_page | 1171 |
| container_title | Eye (London) |
| container_volume | 24 |
| creator | Lau, F H S Fan, D S P Yip, W W K Yu, C B O Lam, D S C |
| description | Purpose
To report the surgical outcomes of 24 patients undergoing single-staged three horizontal muscles squint surgery for extra-large angle exotropia.
Patients and methods
Prospective case series of 24 consecutive patients with primary exotropia >60 prism diopters (PD) at distant and underwent single-staged three horizontal muscles squint surgery from 2003 to 2006. Surgery consisted of bilateral lateral rectus recession of 9.0 mm for 50 PD exotropic correction. For every 5 PD remaining angle exceeding 50 PD, we additionally performed 1.0 mm of unilateral medial rectus resection. The mean follow-up period was 15.8 months (range 6.0–38.0 months; SD 9.5 months).
Results
The mean age at surgery was 31.2 years old (range 7–78 years old, SD 18.2 years old). The mean distant preoperative deviation was 71.3 PD (range 60–85 PD, SD 7.7 PD). No limitation of eye movement or diplopia was found. The success rate was higher in the intermittent group (88.2%) than the constant group (42.9%) (
P
=0.02) and in cases with preoperative deviation of 80 PD are warranted. |
| doi_str_mv | 10.1038/eye.2010.5 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_733983783</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2080579921</sourcerecordid><originalsourceid>FETCH-LOGICAL-c415t-b89648e01b5704b371b8203450c0ce0ae12c2e2814ebe2b1c54d3b68651789a3</originalsourceid><addsrcrecordid>eNptkN9rFDEQx4Mo9qy--AdIEESwbM3P3eSxFLWFgg_2wbeQzc1eU3Y310wWPP96c9xpQfo0zMyH7wwfQt5yds6ZNJ9hB-eC1U4_IyuuurbRSqvnZMWsZo0Q4ucJeYV4z1hdduwlOam0tJaLFYk_lryJwY80LSWkCWgaKMZ5M0KDxW9gTctdBqB3KcffaS6VnBYMIyDFhyXOhWJNgLyjQ8oUfpXsm9HXCfX7kDpJJadt9K_Ji8GPCG-O9ZTcfv1ye3nV3Hz_dn15cdMExXVpemNbZYDxXndM9bLjvRFMKs0CC8A8cBEECMMV9CB6HrRay741readsV6eko-H2G1ODwtgcVPEAOPoZ0gLuk5Ka2RnZCXf_0fepyXP9TfXMms1F8pU6NMBCjkhZhjcNsfJ553jzO3tu2rf7e07XeF3x8Sln2D9D_2ruwIfjoDH6nzIfg4RHznJhLVmf_XswGFdzdXu42tPnP0DXA-b-Q</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>609951248</pqid></control><display><type>article</type><title>Surgical outcome of single-staged three horizontal muscles squint surgery for extra-large angle exotropia</title><source>MEDLINE</source><source>Springer Nature - Complete Springer Journals</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><creator>Lau, F H S ; Fan, D S P ; Yip, W W K ; Yu, C B O ; Lam, D S C</creator><creatorcontrib>Lau, F H S ; Fan, D S P ; Yip, W W K ; Yu, C B O ; Lam, D S C</creatorcontrib><description>Purpose
To report the surgical outcomes of 24 patients undergoing single-staged three horizontal muscles squint surgery for extra-large angle exotropia.
Patients and methods
Prospective case series of 24 consecutive patients with primary exotropia >60 prism diopters (PD) at distant and underwent single-staged three horizontal muscles squint surgery from 2003 to 2006. Surgery consisted of bilateral lateral rectus recession of 9.0 mm for 50 PD exotropic correction. For every 5 PD remaining angle exceeding 50 PD, we additionally performed 1.0 mm of unilateral medial rectus resection. The mean follow-up period was 15.8 months (range 6.0–38.0 months; SD 9.5 months).
Results
The mean age at surgery was 31.2 years old (range 7–78 years old, SD 18.2 years old). The mean distant preoperative deviation was 71.3 PD (range 60–85 PD, SD 7.7 PD). No limitation of eye movement or diplopia was found. The success rate was higher in the intermittent group (88.2%) than the constant group (42.9%) (
P
=0.02) and in cases with preoperative deviation of <80 PD (84.2%) compared with those with deviation ⩾80 PD (40.0%) (
P
=0.042).
Conclusion
Measurement of preoperative deviation and the surgery for extra-large angle exotropia made management of this condition difficult. Single-staged three horizontal muscles squint surgery can be one of the options. Further researches on management of exotropia of >80 PD are warranted.</description><identifier>ISSN: 0950-222X</identifier><identifier>EISSN: 1476-5454</identifier><identifier>DOI: 10.1038/eye.2010.5</identifier><identifier>PMID: 20139912</identifier><identifier>CODEN: EYEEEC</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>692/308/409 ; 692/699/375 ; 692/700/565/545 ; Adolescent ; Adult ; Aged ; Biological and medical sciences ; Child ; clinical-study ; Exotropia - physiopathology ; Exotropia - surgery ; Eye Movement Measurements ; Female ; Follow-Up Studies ; Humans ; Laboratory Medicine ; Male ; Medical sciences ; Medicine ; Medicine & Public Health ; Middle Aged ; Miscellaneous ; Oculomotor disorders ; Oculomotor Muscles - surgery ; Ophthalmologic Surgical Procedures ; Ophthalmology ; Pharmaceutical Sciences/Technology ; Prospective Studies ; Surgery ; Surgical Oncology ; Young Adult</subject><ispartof>Eye (London), 2010-07, Vol.24 (7), p.1171-1176</ispartof><rights>Royal College of Ophthalmologists 2010</rights><rights>2015 INIST-CNRS</rights><rights>Copyright Nature Publishing Group Jul 2010</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c415t-b89648e01b5704b371b8203450c0ce0ae12c2e2814ebe2b1c54d3b68651789a3</citedby><cites>FETCH-LOGICAL-c415t-b89648e01b5704b371b8203450c0ce0ae12c2e2814ebe2b1c54d3b68651789a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1038/eye.2010.5$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1038/eye.2010.5$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=23029988$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20139912$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lau, F H S</creatorcontrib><creatorcontrib>Fan, D S P</creatorcontrib><creatorcontrib>Yip, W W K</creatorcontrib><creatorcontrib>Yu, C B O</creatorcontrib><creatorcontrib>Lam, D S C</creatorcontrib><title>Surgical outcome of single-staged three horizontal muscles squint surgery for extra-large angle exotropia</title><title>Eye (London)</title><addtitle>Eye</addtitle><addtitle>Eye (Lond)</addtitle><description>Purpose
To report the surgical outcomes of 24 patients undergoing single-staged three horizontal muscles squint surgery for extra-large angle exotropia.
Patients and methods
Prospective case series of 24 consecutive patients with primary exotropia >60 prism diopters (PD) at distant and underwent single-staged three horizontal muscles squint surgery from 2003 to 2006. Surgery consisted of bilateral lateral rectus recession of 9.0 mm for 50 PD exotropic correction. For every 5 PD remaining angle exceeding 50 PD, we additionally performed 1.0 mm of unilateral medial rectus resection. The mean follow-up period was 15.8 months (range 6.0–38.0 months; SD 9.5 months).
Results
The mean age at surgery was 31.2 years old (range 7–78 years old, SD 18.2 years old). The mean distant preoperative deviation was 71.3 PD (range 60–85 PD, SD 7.7 PD). No limitation of eye movement or diplopia was found. The success rate was higher in the intermittent group (88.2%) than the constant group (42.9%) (
P
=0.02) and in cases with preoperative deviation of <80 PD (84.2%) compared with those with deviation ⩾80 PD (40.0%) (
P
=0.042).
Conclusion
Measurement of preoperative deviation and the surgery for extra-large angle exotropia made management of this condition difficult. Single-staged three horizontal muscles squint surgery can be one of the options. Further researches on management of exotropia of >80 PD are warranted.</description><subject>692/308/409</subject><subject>692/699/375</subject><subject>692/700/565/545</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>clinical-study</subject><subject>Exotropia - physiopathology</subject><subject>Exotropia - surgery</subject><subject>Eye Movement Measurements</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Laboratory Medicine</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Miscellaneous</subject><subject>Oculomotor disorders</subject><subject>Oculomotor Muscles - surgery</subject><subject>Ophthalmologic Surgical Procedures</subject><subject>Ophthalmology</subject><subject>Pharmaceutical Sciences/Technology</subject><subject>Prospective Studies</subject><subject>Surgery</subject><subject>Surgical Oncology</subject><subject>Young Adult</subject><issn>0950-222X</issn><issn>1476-5454</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNptkN9rFDEQx4Mo9qy--AdIEESwbM3P3eSxFLWFgg_2wbeQzc1eU3Y310wWPP96c9xpQfo0zMyH7wwfQt5yds6ZNJ9hB-eC1U4_IyuuurbRSqvnZMWsZo0Q4ucJeYV4z1hdduwlOam0tJaLFYk_lryJwY80LSWkCWgaKMZ5M0KDxW9gTctdBqB3KcffaS6VnBYMIyDFhyXOhWJNgLyjQ8oUfpXsm9HXCfX7kDpJJadt9K_Ji8GPCG-O9ZTcfv1ye3nV3Hz_dn15cdMExXVpemNbZYDxXndM9bLjvRFMKs0CC8A8cBEECMMV9CB6HrRay741readsV6eko-H2G1ODwtgcVPEAOPoZ0gLuk5Ka2RnZCXf_0fepyXP9TfXMms1F8pU6NMBCjkhZhjcNsfJ553jzO3tu2rf7e07XeF3x8Sln2D9D_2ruwIfjoDH6nzIfg4RHznJhLVmf_XswGFdzdXu42tPnP0DXA-b-Q</recordid><startdate>20100701</startdate><enddate>20100701</enddate><creator>Lau, F H S</creator><creator>Fan, D S P</creator><creator>Yip, W W K</creator><creator>Yu, C B O</creator><creator>Lam, D S C</creator><general>Nature Publishing Group UK</general><general>Nature Publishing Group</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>3V.</scope><scope>7TK</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7P</scope><scope>PHGZM</scope><scope>PHGZT</scope><scope>PJZUB</scope><scope>PKEHL</scope><scope>PPXIY</scope><scope>PQEST</scope><scope>PQGLB</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope></search><sort><creationdate>20100701</creationdate><title>Surgical outcome of single-staged three horizontal muscles squint surgery for extra-large angle exotropia</title><author>Lau, F H S ; Fan, D S P ; Yip, W W K ; Yu, C B O ; Lam, D S C</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c415t-b89648e01b5704b371b8203450c0ce0ae12c2e2814ebe2b1c54d3b68651789a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>692/308/409</topic><topic>692/699/375</topic><topic>692/700/565/545</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Child</topic><topic>clinical-study</topic><topic>Exotropia - physiopathology</topic><topic>Exotropia - surgery</topic><topic>Eye Movement Measurements</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Laboratory Medicine</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Miscellaneous</topic><topic>Oculomotor disorders</topic><topic>Oculomotor Muscles - surgery</topic><topic>Ophthalmologic Surgical Procedures</topic><topic>Ophthalmology</topic><topic>Pharmaceutical Sciences/Technology</topic><topic>Prospective Studies</topic><topic>Surgery</topic><topic>Surgical Oncology</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lau, F H S</creatorcontrib><creatorcontrib>Fan, D S P</creatorcontrib><creatorcontrib>Yip, W W K</creatorcontrib><creatorcontrib>Yu, C B O</creatorcontrib><creatorcontrib>Lam, D S C</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>ProQuest Central (Corporate)</collection><collection>Neurosciences Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Biological Science Database</collection><collection>ProQuest Central (New)</collection><collection>ProQuest One Academic (New)</collection><collection>ProQuest Health & Medical Research Collection</collection><collection>ProQuest One Academic Middle East (New)</collection><collection>ProQuest One Health & Nursing</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Applied & Life Sciences</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><jtitle>Eye (London)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lau, F H S</au><au>Fan, D S P</au><au>Yip, W W K</au><au>Yu, C B O</au><au>Lam, D S C</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Surgical outcome of single-staged three horizontal muscles squint surgery for extra-large angle exotropia</atitle><jtitle>Eye (London)</jtitle><stitle>Eye</stitle><addtitle>Eye (Lond)</addtitle><date>2010-07-01</date><risdate>2010</risdate><volume>24</volume><issue>7</issue><spage>1171</spage><epage>1176</epage><pages>1171-1176</pages><issn>0950-222X</issn><eissn>1476-5454</eissn><coden>EYEEEC</coden><abstract>Purpose
To report the surgical outcomes of 24 patients undergoing single-staged three horizontal muscles squint surgery for extra-large angle exotropia.
Patients and methods
Prospective case series of 24 consecutive patients with primary exotropia >60 prism diopters (PD) at distant and underwent single-staged three horizontal muscles squint surgery from 2003 to 2006. Surgery consisted of bilateral lateral rectus recession of 9.0 mm for 50 PD exotropic correction. For every 5 PD remaining angle exceeding 50 PD, we additionally performed 1.0 mm of unilateral medial rectus resection. The mean follow-up period was 15.8 months (range 6.0–38.0 months; SD 9.5 months).
Results
The mean age at surgery was 31.2 years old (range 7–78 years old, SD 18.2 years old). The mean distant preoperative deviation was 71.3 PD (range 60–85 PD, SD 7.7 PD). No limitation of eye movement or diplopia was found. The success rate was higher in the intermittent group (88.2%) than the constant group (42.9%) (
P
=0.02) and in cases with preoperative deviation of <80 PD (84.2%) compared with those with deviation ⩾80 PD (40.0%) (
P
=0.042).
Conclusion
Measurement of preoperative deviation and the surgery for extra-large angle exotropia made management of this condition difficult. Single-staged three horizontal muscles squint surgery can be one of the options. Further researches on management of exotropia of >80 PD are warranted.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>20139912</pmid><doi>10.1038/eye.2010.5</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0950-222X |
| ispartof | Eye (London), 2010-07, Vol.24 (7), p.1171-1176 |
| issn | 0950-222X 1476-5454 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_733983783 |
| source | MEDLINE; Springer Nature - Complete Springer Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals |
| subjects | 692/308/409 692/699/375 692/700/565/545 Adolescent Adult Aged Biological and medical sciences Child clinical-study Exotropia - physiopathology Exotropia - surgery Eye Movement Measurements Female Follow-Up Studies Humans Laboratory Medicine Male Medical sciences Medicine Medicine & Public Health Middle Aged Miscellaneous Oculomotor disorders Oculomotor Muscles - surgery Ophthalmologic Surgical Procedures Ophthalmology Pharmaceutical Sciences/Technology Prospective Studies Surgery Surgical Oncology Young Adult |
| title | Surgical outcome of single-staged three horizontal muscles squint surgery for extra-large angle exotropia |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-21T21%3A48%3A25IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Surgical%20outcome%20of%20single-staged%20three%20horizontal%20muscles%20squint%20surgery%20for%20extra-large%20angle%20exotropia&rft.jtitle=Eye%20(London)&rft.au=Lau,%20F%20H%20S&rft.date=2010-07-01&rft.volume=24&rft.issue=7&rft.spage=1171&rft.epage=1176&rft.pages=1171-1176&rft.issn=0950-222X&rft.eissn=1476-5454&rft.coden=EYEEEC&rft_id=info:doi/10.1038/eye.2010.5&rft_dat=%3Cproquest_cross%3E2080579921%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=609951248&rft_id=info:pmid/20139912&rfr_iscdi=true |