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Bo Ram Seol, Ho Kyung Choung, Seong Joon Kim
PURPOSE: To analyze stereopsis change before and after inferior oblique weakening surgery. METHODS: We retrospectively reviewed the medical records of 31 patients who had undergone inferior oblique weakening surgery. The factors analyzed included sex, age at surgery, preoperative and postoperative visual acuity (VA), time from first detection to surgery, degree of inferior oblique overaction (IOOA), primary/secondary IOOA, exotropia/hypertropia, bilaterality, and type of surgery...
March 19, 2018: Korean Journal of Ophthalmology: KJO
Akemi Wakayama, Yukari Seki, Rika Takahashi, Ikumi Umebara, Fumi Tanabe, Kosuke Abe, Fumiko Matsumoto, Yoshikazu Shimomura
PURPOSE: To examine the role of fusional convergence amplitude in postoperative phoria maintenance in childhood intermittent exotropia [X(T)]. METHODS: The medical records of 29 children aged 15 years or younger (mean age, 10.8 ± 2.4 years) and treated with monocular recession-resection for X(T) were reviewed retrospectively. The patients' fusional convergence amplitude (break point/total amplitudes), physiologic diplopia, and phoria maintenance (presence/absence of phoria maintenance and ability to maintain phoria) were assessed...
March 19, 2018: Japanese Journal of Ophthalmology
Ramón Medel Jiménez, Juan C Sánchez España, José Visa Nassarre, Eva Ayala Barroso, Alfredo Pueyo Ferrer, Alejandra Tapia Bahamondes, Luz M Vasquez
PURPOSE: To describe our experience and outcomes managing complete third cranial nerve palsy. METHODS: This was a retrospective analysis of the clinical records of 7 consecutive patients treated at our centre for unilateral third nerve palsy over the period 2010-2016. We describe our surgical approach using a frontalis muscle flap to correct the eyelid ptosis associated with medial fixation of the rectus muscle tendon to the orbit to correct the horizontal deviation...
March 15, 2018: Orbit
Jianhua Yan
PURPOSE: Fibrous histiocytomas (FHs) involving the orbit are uncommon. To our knowledge, here the authors report the first patient with an orbital low-grade malignant FH originating from the medial rectus muscle. METHODS: A clinical report relating clinical features as well as imaging and histopathologic findings is presented. RESULTS: A 26-year-old female presented with a left eye proptosis that had been present for 4 months. A small left exotropia was observed and ocular motility evaluation revealed a -3 adduction and -1 abduction of the left eye...
March 13, 2018: Journal of Craniofacial Surgery
Mansooreh Bagheri, Manajid Farvardin
PURPOSE: To review the association of postoperative ocular alignment, sensory outcomes, and need for reoperation after surgical management of infantile exotropia. METHODS: The clinical records of patients who presented with constant infantile exotropia of >25Δ and subsequently underwent strabismus surgery at a single center from 2004 to 2014 were reviewed retrospectively. Postoperative binocular sensory status was assessed using Worth 4-Dot and Titmus stereoacuity tests...
March 8, 2018: Journal of AAPOS: the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus
Sudhi P Kurup, Heath W Barto, Gihyun Myung, Marilyn B Mets
BACKGROUND: Previous studies of partially accommodative esotropia (PAET) have assessed factors requiring surgery and alignment outcomes. The purpose of the present study was to additionally evaluate stereoacuity in patients who required surgery for their nonaccommodative component. METHODS: The medical records of consecutive patients with PAET who underwent bilateral medial rectus recession from April 1990 to July 2010to treat the nonaccommodative component were reviewed retrospectively...
March 8, 2018: Journal of AAPOS: the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus
Giuseppe Giannaccare, Laura Primavera, Michela Fresina
PURPOSE: To evaluate refractive, binocular vision and ocular alignment outcomes of photorefractive keratectomy (PRK) for the treatment of hyperopia in esotropic patients. METHODS: Medical charts of hyperopic patients with full or partial accommodative esotropia (FAE or PAE) or consecutive exotropia (CE) undergone PRK from 2011 to 2014 were reviewed. The primary outcome was to assess the efficacy of PRK in improving ocular alignment. The secondary outcomes were the assessments of uncorrected visual acuity (UCVA), best-corrected visual acuity (BCVA), spherical equivalent (SE) and stereoacuity...
March 3, 2018: International Ophthalmology
Won Jae Kim, Myung Mi Kim
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...
March 2, 2018: BMC Ophthalmology
Nathalie Voide, Matthieu P Robert
PURPOSE: Although less frequent than consecutive exotropia, consecutive esotropia is a well-known type of strabismus when it follows the surgical correction of an exotropia. Spontaneous conversion from initial constant, large-angle exotropia beyond the age of 3 months to esotropia or orthophoria, however, is not common. We describe a series of infants who presented a spontaneous evolution from a large-angle infantile exotropia to either an orthophoria or a spontaneously consecutive esotropia...
March 2, 2018: Eye
Mohammad Reza Akbari, Narges Hassanpoor, Masoud Aghsaei Fard, Zohreh Nozarian, Mehdi Yaseri, Arash Mirmohammadsadeghi
PURPOSE: The purpose of this study is to investigate clinical and histopathologic features of consecutive exotropia. METHODS: Thirty patients with consecutive exotropia and negative forced duction testing underwent unilateral medial rectus resection and advancement. Abnormal scleral attachment (appearance of stretched scar or slipped muscle) was documented and compared with histopathology results. The term "stretched scar" is used when tendon-like scar appears between muscle fibers and scleral attachment...
March 1, 2018: Strabismus
Jay C Wang, Alexandra T Elliott
We report an unusual case of acute large-angle left exotropia associated with blunt orbital trauma in a healthy 8-year-old boy. Examination revealed a large-angle left exotropia with limitation in adduction of the left eye. Microhyphema and commotio retinae of the left eye were also present. High-resolution orbital magnetic resonance imaging (MRI) demonstrated perimuscular and intramuscular edema mostly involving the left medial rectus muscle but also involving the left lateral rectus muscle. The extraocular muscle insertions were intact...
February 26, 2018: Orbit
Michael J Wan, Hedva Chiu, Ankoor S Shah, David G Hunter
PURPOSE: To report the long-term surgical outcomes for a cohort of children with large-angle, infantile esotropia. DESIGN: Multicenter, non-randomized clinical study METHODS: SETTING: Two tertiary-care pediatric hospitals. STUDY POPULATION: 88 children with large-angle (≥ 55 prism diopters), infantile esotropia. INTERVENTION: Surgical treatment of infantile esotropia. MAIN OUTCOME MEASURE: Success rate at final follow-up (postoperative deviation ≤10 prism diopters and no need for retreatment)...
February 19, 2018: American Journal of Ophthalmology
P C Shen, Y Zhang, Y Liu, J Jiang, J J Xu, H L Lin, D Xu
Objective: To evaluate the accommodative response of patients with intermittent exotropia (IXT) objectively, and study the changes of accommodative response of intermittent exotropia patients when maintaining binocular fusion. Methods: The prospective cohort study was used in this study. Twenty-four patients diagnosed with basic intermittent exotropia who visited the eye hospital of Wenzhou Medical University during October 2016 through January 2017 together with 24 normal volunteers were included, the 48 participants aged from 10 to 27 years old...
January 11, 2018: [Zhonghua Yan Ke za Zhi] Chinese Journal of Ophthalmology
Eun Hye Jung, Seong-Joon Kim, Young Suk Yu
PURPOSE: To compare the characteristics of intermittent exotropia patients according to their response to the diagnostic monocular occlusion test. STUDY DESIGN: Retrospective study. METHODS: A retrospective review was performed of 141 patients with intermittent exotropia who had taken a monocular occlusion test before surgery. We classified the patients into 3 groups based on the response to monocular occlusion. The increase group was defined as those patients having an increase in deviation of ≥ 5 prism diopters (PD) after monocular occlusion as compared with the maximum measured angle...
January 30, 2018: Japanese Journal of Ophthalmology
Moo Hyun Kim, Hyunuk Chung, Won Jae Kim, Myung Mi Kim
PURPOSE: To evaluate the effects of the surgical assistant's level of resident training on operation time and surgical outcome in the surgical treatment of intermittent exotropia. METHODS: This study included 456 patients with intermittent exotropia who underwent lateral rectus recession and medial rectus resection and were followed up for 24 months after surgery. The patients were divided into two groups according to the surgical assistant's level of resident training: group F (surgery assisted by a first-year resident [n = 198]) and group S (surgery assisted by a second-, third-, or fourth-year resident [n = 258])...
January 23, 2018: Korean Journal of Ophthalmology: KJO
Yuan Sun, Ting Zhang, Jingchang Chen
OBJECTIVE: To compare the outcomes between bilateral lateral rectus recession (BLR) and unilateral recession resection (R&R) procedures in the treatment of basic intermittent exotropia. METHODS: Databases from Medline, Embase, Web of Science and the Cochrane Register of Controlled Trials were searched prior to June 2, 2017. From these searches, three eligible randomized studies and three retrospective cohort trials, which compared conventional BLR versus R&R procedure were identified...
January 24, 2018: Graefe's Archive for Clinical and Experimental Ophthalmology
C Q Yuan, H Zhu, J Y Zhu, L X Xiao, Q Zhang, H Liu
Objective: To evaluate the effects of different surgical methods and postoperative eye positions on the quality of life of children with intermittent exotropia (IXT) and their parents 3 months following strabismus surgery. Methods: Clinical observation. One-hundred and eighty children aged 2 to 17 years with IXT who received surgical treatment were recruited. One parent of each child was investigated by using 2 kinds of the Chinese version of the Intermittent Exotropia Questionnaires (CIXTQ) within 1 weeks before and at 3 months after surgery: the parent proxy scale (for parents to assess children's health related quality of life (HRQoL)) and the parent scale (containing functional, psychosocial and surgery subscales; for parents to assess their HRQoL)...
December 11, 2017: [Zhonghua Yan Ke za Zhi] Chinese Journal of Ophthalmology
Seok Hyun Bae, Young Bok Lee, Soolienah Rhiu, Joo Yeon Lee, Mi Young Choi, Key Hwan Lim, Dong Gyu Choi
PURPOSE: To evaluate the early postoperative changes of the angle of deviation after surgery for intermittent exotropia. METHODS: We retrospectively reviewed the medical records of 114 patients who had been surgically treated for intermittent exotropia and followed-up on postoperatively for 1 month or more. Patients were observed at postoperative 6 h, 1 day, 1 week, and 1 month. The main outcome measure was the change of the angle of deviation during the early postoperative period (from 6 h to 1 day postoperatively)...
January 5, 2018: Graefe's Archive for Clinical and Experimental Ophthalmology
Won Jae Kim, Jun Sung Moon, Myung Mi Kim
Exotropia is rarely reported in thyroid eye disease (TED). We report the case of an 18-year-old patient with TED who developed exotropia and hypotropia as an initial presentation of TED.
December 27, 2017: Journal of AAPOS: the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus
Jung Yup Kim, Soo Jung Lee
BACKGROUND: To evaluate the efficacy of unilateral lateral rectus muscle advancement surgery based on one-fourth of the angle of consecutive esotropia within 25 prism diopters (PD) occurring after bilateral lateral rectus muscle recession for intermittent exotropia. METHODS: Medical records of 11 patients who underwent unilateral lateral rectus muscle advancement for consecutive esotropia from 2011 to 2014 and who were observed for at least 6 months after surgery were retrospectively reviewed...
December 29, 2017: BMC Ophthalmology
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