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Exotropia

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https://www.readbyqxmd.com/read/28652690/combined-resection-recession-versus-combined-recession-retroequatorial-myopexy-of-medial-rectus-muscles-for-treatment-of-near-distance-disparity-esotropia
#1
Manar A Ghali
PURPOSE: To compare and evaluate the efficacy of two different surgical techniques for the treatment of near-distance disparity esotropia; combined resection-recession and recession-retroequatorial myopexy of medial rectus muscles. PATIENTS AND METHODS: This prospective study included 28 patients diagnosed with convergence excess esotropia who had worn their full cycloplegic refraction and/or bifocal glasses for at least 6 months and still had near-distance disparity esotropia...
2017: Clinical Ophthalmology
https://www.readbyqxmd.com/read/28652574/clinical-features-of-congenital-and-developmental-cataract-in-east-china-a-five-year-retrospective-review
#2
Xiangjia Zhu, Yu Du, Wenwen He, Ting Sun, Yinglei Zhang, Ruiqi Chang, Keke Zhang, Yi Lu
Congenital/developmental cataract is a significant cause of blindness in children worldwide. Full knowledge of clinical features is essential for early diagnosis and proper treatment to prevent irreversible visual impairment. We conducted a retrospective chart review on 520 congenital/developmental cataract cases based on a five-year clinical data from Eye and ENT Hospital of Fudan University, Shanghai, China. Clinical features including age at the surgery, chief complaints, interval between initial identification of cataract-related manifestations and surgery, etc...
June 26, 2017: Scientific Reports
https://www.readbyqxmd.com/read/28643726/exotropia-in-a-pediatric-patient-with-rhabdomyolysis-caused-by-an-insect-sting
#3
Won Jae Kim, Saeyoon Kim, Myung Mi Kim
Various ocular and systemic reactions have been associated with insect sting. However, insect stings have been rarely reported to cause exotropia and diplopia. We encountered exotropia in a 6-year-old child with rhabdomyolysis of the left lower extremities caused by an insect sting. Exotropia and diplopia developed within 1 day after the sting and improved completely 1 week after the onset of symptoms. Clinicians should be aware of the potential for the development of exotropia in patients with insect stings, which requires careful follow-up...
June 2017: Indian Journal of Ophthalmology
https://www.readbyqxmd.com/read/28632404/medial-and-lateral-rectus-muscle-insertion-distance-and-width-in-esotropia-and-exotropia-patients
#4
Leyla Niyaz, Ozlem Eski Yucel, Adem Gul
PURPOSE: The hypothesis that the extraocular muscle insertion distance and muscle width may be associated with the type and size of deviation was tested. METHODS: This was a prospective study of 129 patients who had surgery for horizontal strabismus or retinal detachment. The insertion distances and widths of the medial rectus (MR) and lateral rectus (LR) muscles were measured intraoperatively in esotropia, exotropia, and buckling surgery (control group) patients...
June 20, 2017: Current Eye Research
https://www.readbyqxmd.com/read/28628645/effect-of-horizontal-rectus-surgery-for-the-correction-of-intermittent-exotropia-on-sub-a-or-sub-v-pattern
#5
Young Bok Lee, Soolienah Rhiu, Joo Yeon Lee, Mi Young Choi, Hae Jung Paik, Key Hwan Lim, Dong Gyu Choi
We evaluated effect of horizontal rectus surgery on sub-A or sub-V pattern intermittent exotropia. We enrolled patients with sub-A or sub-V pattern intermittent exotropia. The sub-A pattern was diagnosed when the eyes diverged less than 10 prism diopters (PD) from upgaze to downgaze, and sub-V pattern when the divergence was 14 PD or less from downgaze to upgaze. Patients had undergone horizontal rectus surgery without vertical transposition of horizontal rectus muscle or oblique muscle weakening. The patients were divided into two groups: sub-A pattern (group A) and sub-V pattern (group V)...
2017: PloS One
https://www.readbyqxmd.com/read/28611988/management-of-orbital-and-periorbital-venous-malformation
#6
Lara A Benoiton, Kenneth Chan, Frederica Steiner, Trevor FitzJohn, Swee T Tan
BACKGROUND: To review our management of common venous malformation (VM) affecting the orbit and/or periorbital area. METHODS: Consecutive patients with orbital and/or periorbital VM were identified from our vascular anomalies database. Demographic details of the patients, anatomic site(s) affected, symptoms and signs, presence of a family history of VM, and types of treatment(s) were collected, supplemented by chart review. RESULTS: A total of 24 patients' age 1-68 (mean, 30) years with orbital and/or periorbital VM presented with cosmetic concerns (n = 17, 71%), distensibility (n = 15, 63%), pain (n = 9, 38%), diplopia (n = 4, 17%), and spontaneous thrombosis (n = 1, 8%)...
2017: Frontiers in Surgery
https://www.readbyqxmd.com/read/28583469/withdrawn-bilateral-medial-rectus-resection-for-primary-large-angle-exotropia
#7
Amr A ElKamshoushy
The Publisher regrets that this article is an accidental duplication of an article that has already been published, http://dx.doi.org/10.1016/j.jaapos.2017.03.003. The duplicate article has therefore been withdrawn. The full Elsevier Policy on Article Withdrawal can be found at https://www.elsevier.com/about/our-business/policies/article-withdrawal.
June 3, 2017: Journal of AAPOS: the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus
https://www.readbyqxmd.com/read/28576201/proposing-a-new-scoring-system-in-intermittent-exotropia-towards-a-better-assessment-of-control
#8
Hyuna Kim, Dae Hee Kim, Hyosook Ahn, Hyun Taek Lim
OBJECTIVE: There is a clinical need for a valid and reliable assessment system to quantify the severity and measure the progression of intermittent exotropia. We have developed a new scoring system (Look And Cover, then Ten seconds of Observation Scale for Exotropia [LACTOSE]) based on the examinee's potential to regain the phoria for both distance and near fixation. The test takes only 1 minute to complete. The aim of this study was to evaluate the reliability and validity of LACTOSE...
June 2017: Canadian Journal of Ophthalmology. Journal Canadien D'ophtalmologie
https://www.readbyqxmd.com/read/28546936/clinical-characteristics-of-sibling-patients-with-comitant-strabismus
#9
Haeng Jin Lee, Seong-Joon Kim, Young Suk Yu
AIM: To investigate the clinical characteristics of sibling patients with comitant strabismus. METHODS: Sibling patients who were diagnosed with comitant strabismus from January 2005 to December 2014 were retrospectively reviewed. Factors including age, sex, types of strabismus, refractive errors, angle of deviation, and coexistence of other strabismus were analyzed. RESULTS: A total of 62 patients (31 pairs of siblings) were included. Of these, 26 pairs had intermittent exotropia, 3 had accommodative esotropia, and 2 had infantile esotropia...
2017: International Journal of Ophthalmology
https://www.readbyqxmd.com/read/28540016/congenital-double-elevator-palsy-with-sensory-exotropia-a-unique-surgical-management
#10
R C Nagpal, Anuradha Raj, Amit Maitreya
PURPOSE: To report a unique surgical approach for congenital double elevator palsy with sensory exotropia. CASE REPORT: A 7-year-old boy with congenital double elevator palsy and sensory exotropia was managed surgically by Callahan's procedure with recession and resection of the horizontal recti for exotropia without inferior rectus recession, followed by frontalis sling surgery for congenital ptosis. CONCLUSIONS: Favourable surgical outcome was achieved without any complication...
April 2017: Journal of Ophthalmic & Vision Research
https://www.readbyqxmd.com/read/28534342/the-effect-of-preoperative-occlusion-therapy-on-long-term-outcome-after-surgery-for-early-onset-exotropia
#11
Kwang Hoon Shin, Iris Naheah Kim, Hae Jung Paik
PURPOSE: To investigate the effect of preoperative part-time occlusion therapy on long-term surgical success in early-onset exotropia. METHODS: The medical records of patients who underwent surgery for exotropia with onset before the first year of age and who were followed for ≥3 years were reviewed. Patients were divided into two groups according to the degree of compliance with part-time occlusion therapy: the good compliance group (>50% adherence rate) and the poor compliance group (≤50% adherence rate)...
June 2017: Korean Journal of Ophthalmology: KJO
https://www.readbyqxmd.com/read/28527655/variability-of-preoperative-measurements-in-intermittent-exotropia-and-its-effect-on-surgical-outcome
#12
Won Jae Kim, Myung Mi Kim
PURPOSE: To investigate the variability of preoperative measurements in patients with intermittent exotropia and to compare surgical outcomes according to the variability. METHODS: Patients who underwent unilateral lateral rectus recession and medial rectus resection and had 24 months' postoperative follow-up were enrolled. Patients were divided into three groups according to variability, which was defined as the largest angle minus the smallest angle ever measured during the preoperative visits; group C comprised patients with consistent exodeviation; group VL, patients with less variability (<10(Δ)); and group VM, patients with more variability (≥10(Δ))...
May 17, 2017: Journal of AAPOS: the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus
https://www.readbyqxmd.com/read/28521562/divergence-excess-intermittent-exotropia-long-term-effect-of-augmented-bilateral-lateral-rectus-recession
#13
A Magli, P Esposito Veneruso, E Chiariello Vecchio, G Esposito, L Rombetto
PURPOSE: To investigate the long-term (10 years) effects of augmented bilateral lateral rectus (aBLR) recession in patients affected by divergence excess intermittent exotropia (deIXT). METHODS: Data of 58 patients affected by deIXT who underwent aBLR muscle recession were retrospectively analyzed. All patients were treated with 8.0 to 9.5 mm (mean 8.6 ± 0.5 mm) recession of BLR. RESULTS: Our result showed a significant decreasing of both distance and near residual deviation during follow-up...
May 19, 2017: Seminars in Ophthalmology
https://www.readbyqxmd.com/read/28514246/the-development-of-the-chinese-intermittent-exotropia-questionnaire
#14
Hui Zhu, Ling Shen, Chao-Qun Yuan, Shu Xu, Zhen-Hua Leng, Zhu-Jun Fu, Yun-Hua Xiao, Hu Liu
PURPOSE: The Intermittent Exotropia Questionnaire (IXTQ) is a child, proxy, and parent report of health-related quality of life specific to children with intermittent exotropia (IXT). The present study aimed to develop a Chinese-language version of the IXTQ (CIXTQ) and evaluate its validity and reliability when used in Chinese IXT children and their parents. METHODS: The IXTQ was translated into Chinese. One hundred seventy-five IXT children (2 to 17 years old) and 151 orthotropic control children (2 to 17 years old) along with one of their parents were recruited...
June 2017: Optometry and Vision Science: Official Publication of the American Academy of Optometry
https://www.readbyqxmd.com/read/28510776/patient-characteristics-and-surgical-approach-impacting-simultaneous-to-alternate-prism-cover-test-disparity-after-exotropia-surgery-a-quantitative-look-at-the-difference-in-motor-outcomes
#15
Pavlina S Kemp, Yoon-Hee Chang, Patrice Melvin, Linda R Dagi
PURPOSE: To investigate the relationship between simultaneous prism and cover test (SPCT) and alternate prism and cover test (APCT) outcomes after exotropia surgery, and to identify characteristics associated with significant disparity between them. METHODS: Review of sensorimotor outcomes 2 to 6 months after exotropia surgery identified patients with alignment documented by both SPCT and APCT at the same examination. Two hundred seventy-four and 319 patients had both measurements recorded at distance and near, respectively...
May 15, 2017: Journal of Pediatric Ophthalmology and Strabismus
https://www.readbyqxmd.com/read/28510774/combined-surgery-for-simultaneous-treatment-of-congenital-ptosis-and-coexisting-strabismus
#16
Feng Zhou, Ming Ouyang, Dahui Ma, Guiqin Liu, Hongbo Cheng
PURPOSE: To evaluate the clinical outcomes of single-stage surgery for treatment of patients with congenital ptosis and coexisting strabismus. METHODS: A retrospective analysis was performed on 10 patients (17 eyes) with congenital ptosis and coexisting strabismus. Patients were treated with levator resection or frontalis suspension for ptosis and ocular muscle surgery for strabismus, performed as a single-stage procedure. Levator resection was performed in 9 patients (15 eyes) and frontalis muscle flap suspension was performed in 1 patient (2 eyes) with blepharophimosis...
May 15, 2017: Journal of Pediatric Ophthalmology and Strabismus
https://www.readbyqxmd.com/read/28506723/a-chronicle-of-surgical-thinking-and-doing-for-exotropia-innovations-and-rediscoveries
#17
Edward L Raab
PURPOSE: To review the evolution of theories and practices concerning surgery for exotropia over the last approximately 200 years. METHODS: Major ophthalmology texts and relevant references were reviewed to discover experience and thinking concerning the causes of comitant intermittent and constant exotropia and corrective surgical approaches. RESULTS: The concept that excessive divergence is the cause of comitant exotropia has given way to one recognizing that this disorder is a position of rest modified by convergence...
May 12, 2017: Journal of AAPOS: the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus
https://www.readbyqxmd.com/read/28501391/long-term-visual-acuity-strabismus-and-nystagmus-outcomes-following-multimodality-treatment-in-group-d-retinoblastoma-eyes
#18
Ido D Fabian, Zishan Naeem, Andrew W Stacey, Tanzina Chowdhury, Catriona Duncan, M Ashwin Reddy, Mandeep S Sagoo
PURPOSE: To analyze the long-term visual acuity, strabismus, and nystagmus outcomes in Group D retinoblastoma following multimodality treatments in a national retinoblastoma referral center. DESIGN: Retrospective interventional case series. METHODS: A 13-year retrospective chart review of Group D eyes treated initially with intravenous chemotherapy (IVC) and followed up for at least 1 year from last treatment. Risk factors for final visual acuity (VA) were analyzed, and rate of strabismus and nystagmus at last follow-up visit were calculated...
May 10, 2017: American Journal of Ophthalmology
https://www.readbyqxmd.com/read/28499831/resolution-of-hypertropia-with-correction-of-consecutive-horizontal-deviation
#19
Rui Hao, Kanxing Zhao, Wei Zhang
BACKGROUND: To study the resolution of hypertropia in patients who undergo horizontal deviation surgery for consecutive esotropia or consecutive exotropia. METHODS: We retrospectively reviewed the records of 23 patients with consecutive esotropia or exotropia who had concomitant vertical tropia. All patients had had surgery for horizontal deviation that required further surgery to correct consecutive horizontal strabismus and had a minimum of six months of postoperative follow-up...
May 9, 2017: Journal of the Chinese Medical Association: JCMA
https://www.readbyqxmd.com/read/28481654/binocular-summation-and-control-of-intermittent-exotropia
#20
Fatma Yulek, Federico G Velez, Sherwin J Isenberg, Joseph L Demer, Stacy L Pineles
BACKGROUND: Binocular summation (BiS), or improvement in binocular vision exceeding the better eye alone, is affected by strabismus. Being easily measured, BiS may be a useful indicator for subjective outcomes like stereopsis in strabismus. This study aims to investigate the relationship between BiS and measures of control of intermittent exotropia (IXT). METHODS: Patients with IXT were recruited before undergoing strabismus surgery and underwent tests of binocular and monocular high- and low-contrast visual acuity, stereopsis at distance and near, and Newcastle Control Score (NCS), a score developed by incorporating home control and clinic control criteria into a control rating scale...
May 8, 2017: Strabismus
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