Intermittent exotropia surgery age 708132-Intermittent exotropia surgery success rate
The goal of surgery in intermittent exotropia is to preserve binocularity and stereopsis (depth perception) Surgery should be contemplated when (1) the angle of deviation is increasing, (2) there is deterioration in control (increase in frequency of manifest exotropia), (3) there is decrease in stereopsis (depthperception) for distance and near, and (4) there is anConclusions When indicated, patients with intermittent exotropia can be operated upon safely under 4 years of age, and may even present better motor results than older patients Postoperative stereoacuity in younger children revealed to be worse than in older children;Conclusions When indicated, patients with intermittent exotropia can be operated upon safely under 4 years of age, and may even present better motor results than older patients
Long Term Results Of Surgery For Intermittent Exotropia Semantic Scholar
Intermittent exotropia surgery success rate
Intermittent exotropia surgery success rate-What is Intermittent Exotropia?In pediatric adolescents with basic XT, the surgical success rates did not differ significantly according to age, but recovery of overcorrection after strabismus surgery took longer in patients ≥ 10 years of age Purpose To investigate the recovery period of overcorrection and related factors after surgery in pediatric patients with basic intermittent exotropia (XT)
Patients with intermittent exotropia have good near stereoacuity preoperatively and postoperatively Even if surgery is postponed until adolescence, distance stereopsis can still be recovered Surgical intervention can restore central fusion and stereoacuity in patients with intermittent exotropia J Pediatr Ophthalmol Strabismus 15;52(142 (11)1435–1439 Google Scholar While it could happen periodically (eg, intermittent exotropia), it could also be constant However, it is more typical to find exotropia developed while a child is 1 to 4 years old Parents may notice this form of strabismus, especially when the child is daydreaming, sick, or tired
However, this result is unlikely to be due to inadequate age for surgery, but rather, immaturity for performing theChildren with intermittent exotropia have a strong tendency to let the eye turn out, but it does not turn out all the time When the child does control the eye alignment, the eyes are straight and function normally together Exotropia occurs in about 1 out of 100 children The most common age of onset in children is between 2 and 5 years of ageDivergence excess type of exotropia (p=0036), amblyopia (p=0046), bilateral lateral rectus recession (p=0008), esodeviation of ≥ PD at postoperative day 1 (p=0000), younger age at diagnosis and surgery (p=0010, p=0003) and shorter duration from onset to surgery (p=0039) showed significant association with consecutive esotropia
These changes could be associated with a better surgical success rate 11 Most of the studies are at least 40 years old with relatively short followup; Effect of Age at Time of Surgery on the Surgical Outcome After Bilateral Lateral Rectus Muscle Recession in Intermittent Exotropia Estimated Study Start Date Estimated Primary Completion Date Estimated Study Completion Date Aim To investigate the relationship between myopic progression and intermittent exotropia, and the impact of surgery for exotropia on myopic progression in early schoolaged children (from 7 years to 12 years of age) Methods Medical records of early schoolaged patients with myopia were reviewed Patients were divided into three groups;
Many surgeons delay surgery in intermittent exotropia until 4 years of age or after, largely because of concerns that consecutive esotropia (even for a short period of time postoperatively) may lead to amblyopia and/or reduction of stereopsis in young patients In contrast, to those who underwent surgery for consecutive esotropia, in patients without reoperation, the mean age at exotropia surgery was Predictors of success following surgery for intermittent exotropia are less clear, although a small retrospective study suggested that performing surgery before a patient is 7 years old, or before the duration of the patient's exotropia has reached 5 years, may be associated with better longterm sensory outcome 31 Another retrospective study with longterm outcomes (10
Age and response to surgery in patients with intermittent exotropia and to identify change points in response to surgery Methods A retrospective analysis was conducted on 311 patients with intermittent exotropia who had bilateral lateral rectus recession using standard tables with minimum followup of 6 months Data were analyzedNone investigated the longterm effect of occlusion therapy on delaying or avoiding surgery, which could be useful, because intermittent exotropia often recurs postoperatively12, 13 Furthermore, surgery at an early age Abstract The surgical results of 111 consecutive patients with intermittent exotropia treated via bilateral rectus muscle recession and having at least 2 years of followup are reviewed These data are analyzed from a standpoint of three age groups at the time of surgery younger than 3 years (41 patients), 3 years to younger than 6 years (42
Intermittent Extropia with minus lenses CS/ST/DP/0419/v10 – review 0122 DGH/PIL/029 Page 2 Treatment options are No treatment indicated when the squint is rarely seen Minus lenses when the squint is seen more than 50 per cent of the Intermittent exotropia is the most common exodeviation of childhood, affecting almost 1 percent of the general population The usual onset occurs when the child is two to three years of age4 Strabismus surgery is performed for functional reasons, to create comfortable single binocular vision or, Intermittent exotropia Intermittent exotropia frequently begins around the age of two years A child with intermittent exotropia does not develop diplopia (double vision) due to bitemporal suppression, unlike acquired manifest exotropia in adults With progressive suppression, constant exotropia may develop
Jeon H, Jung J, Choi H Longterm surgical outcomes of early surgery for intermittent exotropia in children less than 4 years of age Curr Eye Res 17; CONCLUSIONSWhen indicated, patients with intermittent exotropia can be operated upon safely under 4 years of age, and may even present better motor results than older patients Postoperative stereoacuity in younger children revealed to be worse than in older children;Surgery for intermittent exotropia We investigated various clinical factors possibly associated with surgical outcomes, including gender, visual acuity, refractive errors, the presence of amblyopia and anisometropia age at onset, age at diagnosis, age at surgery, type of exotropia, associated strabismus (A and V pattern, vertical devia
Exotropia worse immediately after surgery Had my surgery at around 1pm today (9/16) My doctor performed surgery on just my right eye to address the intermittent exotropia I was discharged at around 3pm As soon as I looked at myself in the mirror I knew my eye was drifting outwards even more so than beforeWhat age is best for exotropia surgery?However, this result is unlikely to be due to inadequate age for surgery, but rather, immaturity for
In multivariable analysis, younger age of onset ≤ 4 years of age, younger age at surgery < 6 years of age, preoperative hyperopia > 0 D, larger exodeviation at near than at distance by > 5 In older children and adults who develop intermittent exotropia after age 10 years, diplopia is usually present with little or no suppression In these patients, the surgical goal should be orthotropia on the first postoperative day, not intentional overcorrection (42,43) Strabismus surgery for intermittent exotropia is often indicated in children This study suggests that surgery at a younger age of 3 to 5 years may result in better surgical outcomes and fewer reoperations
Age is seldom the main determining factor for exotropia surgery Surgery is appropriate when exotropia is present for the majority of the patient's waking hours, regardless of ageYour child has been diagnosed with Intermittent Exotropia (Divergent Squint) This is a common type of squint that usually develops in the preschool age group A squint, sometimes called Strabismus, is a condition in which the eyes are misaligned (one eye looks straight and the other eye looks outwards)Outcome of twomuscle surgery for largeangle intermittent exotropiims To evaluate the surgical outcomes of twomuscle surgery for childhood intermittent exotropia comparing large angles with moderate angles Methods We retrospectively reviewed the medical
These include patients' age at onset of deviation, patients' age at surgery, interval between onset and surgery, refractive error, degree of anisometropia, visual acuity, presence of amblyopia, presence of an A or a Vpattern, type of exotropia, and existence of binocular single vision before surgery8–17 Studies on the relationship between age at surgery and surgical response had A randomized trial evaluating shortterm effectiveness of overminus lenses in children 3 to 6 years of age with intermittent exotropia Ophthalmology 16;123(10) doi /jophtha2 PubMed Google Scholar Crossref We compare the surgical outcomes of intermittent exotropia of the basic, pseudodivergence excess (pseudoDE) and true divergence excess (true DE) types A study was performed with 342 patients who had undergone surgery for intermittent exotropia of the basic, pseudoDE or true DE type with a postoperative followup period of 6 months or more
Surgery for intermittent exotropia at younger ages may develop better postoperative binocular vision 10 However, in more than 50% of patients who experience exotropia, deviation increases 10 or more diopters within few years from diagnosis, which means that half of patients with intermittent exotropia, shall undergo surgical treatment 11Exotropia is the misaligned state of the visual axes wherein the eyes have a tendency to drift outwards Intermittent exotropia, the most common exodeviation affects 1% of the population less than 11 years of age 1 Intermittent exodeviation usually begins in the first year of life Amblyopia is rare, as the patient maintains binocularPURPOSE To report the outcomes in patients undergoing surgical correction of intermittent exotropia and to compare the age at surgery to motor and sensory success METHODS This was a retrospective cohort study The results of patients with intermittent exotropia treated with surgery over a 4year period were reviewed Patients were divided into two groups based on
Conclusion Early overcorrection after intermittent exotropia surgery was a safe and desirable result in terms of motor outcome in children aged under 4 years, as well as for children aged betweenLarge residual exotropia (15 to 18 prism diopters) Patients with a large residual exotropia in the first postoperative week will probably require additional surgery It is better to wait for 8 to 12 weeks before reoperating for the residual exotropiaIntermittent exotropia and to compare the age at surgery to motor and sensory success Methods This was aretrospective cohort study The results of patients with intermittent exotropia treated with surgery over a 4year period were reviewed Patients were divided into two groups based on age at first surgery (
Abstract Aim To investigate the relationship between myopic progression and intermittent exotropia, and the impact of surgery for exotropia on myopic progression in early schoolaged children (from 7 years to 12 years of age) Methods Medical records of early schoolaged patients with myopia were reviewedPurpose To report the outcomes in patients undergoing surgical correction of intermittent exotropia and to compare the age at surgery to motor and sensory success Methods This was a retrospective cohort study The results of patients with intermittent exotropia treated with surgery over a 4year period were reviewed Patients were divided into two groups based on The age of onset for IXT coincides with the age of the visual maturation in children, which is between 3 and 6y5 This condition may lead to poor binocular functions, such as poor stereopsis, vision suppression and/or amblyopia6
PDF Purpose To report the outcomes in patients undergoing surgical correction of intermittent exotropia and to compare the age at surgery to motor Find, read Purpose To assess the general healthrelated quality of life (QOL) in children with intermittent exotropia (IXT) before and 3 months after surgery, by interviewing individual patients and their parents Study design Prospective, interventional case series Methods Twentyone patients undergoing IXT surgery and their parents were included Using the Pediatric Quality of cility on patients with intermittent exotropia It focused on patients with intermittent exotropia who manifested an increase in their deviation when looking out a window, or at 6 m after 1 hour of monocular occlusion They were randomized to surgery either for the initial deviation at6mor forthelargerdeviation17 Patientsinthatstudywhohadsimu
The exotropia being intermittent, allows for development of binocular fusion and stereopsis58 59 Therefore, delaying the surgery should not influence the sensory and visual outcomes to a great extent,60 61 and many studies have advocated for a delayed approach as it may also allow for more accurate measurements and better results,58 62 63 However, multiple
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