Exotropías intermitentestratamiento mediante retroinserción bilateral de rectos laterales y resultado a largo plazo
- M. Pérez-López
- F.J. Hurtado Ceña
- J.M. Rodríguez Sánchez
- M.F. Ruiz Guerrero
- F.J. Muñoz-Negrete
ISSN: 0365-6691
Year of publication: 2011
Volume: 86
Issue: 12
Pages: 402-406
Type: Article
More publications in: Archivos de la Sociedad Española de Oftalmologia
Abstract
Purpose: To describe the long-term surgical outcomes of bilateral lateral rectus recession in patients with intermittent exotropia. Methods: Retrospective review of 18 patients diagnosed with intermittent exotropia between 1995 and 2005 who underwent surgical treatment in the Ramon y Cajal Hospital. Results: Of the 18 patients with intermittent exotropia, 50% were basic subtype. All of them underwent bilateral lateral rectus recession, associated with a previous failed botulinum toxin injection in 8 of them. Satisfactory results (less than 10 PD orthophoria) were obtained in 68.2% of the patients after a 4.5-year follow-up period. Conclusions: Bilateral lateral rectus recession is an effective and stable surgical procedure in the long-term motor control of intermittent exotropia, especially in basic subtype. Previous injection of botulinum toxin did not affect the results.
Bibliographic References
- Mohney, BG, Huffaker, RK. (2003). Common forms of childhood exotropia. Ophthalmology. 110. 2093
- Govindan, M, Mohney, BG, Diehl, NN, Burke, JP. (2005). Incidence and types of childhood exotropia: a population-based study. Ophthalmology. 112. 104
- Clarke, M. (2007). Intermittent Exotropia. J Pediatr Ophthalmol Strabismus. 44. 153
- Ekdawi, N, Nusz, K, Dile, N, Mohney, B. (2009). Post-operative outcomes in children with intermittent exotropia from a population-based cohort. J AAPOS. 13. 4-7
- Romanchuk, KG, Dotchin, SA, Zurevinsky, J. (2006). The natural history of surgically untreated intermittent exotropia-looking into the distant future. J AAPOS. 10. 225
- Nusz, KJ, Mohney, BG, Diehl, NN. (2006). The course of intermittent exotropia in a population-based cohort. Ophthalmology. 113. 1154
- Rutstein, RP, Corliss, DA. (2003). The clinical course of intermittent exotropia. Optom Vis Sci.. 80. 644
- Chia, A, Seenyen, L, Long, QB. (2005). A retrospective review of 287 consecutive children in Singapore presenting with intermittent exotropia. J AAPOS. 9. 257
- Hunter, DG, Ellis, FJ. (1999). Prevalence of systemic and ocular disease in infantile exotropia: comparison with infantile esotropia. Ophthalmology. 106. 1951
- Hatt, S, Gnanaraj, L. (2006). Interventions for intermittent exotropia. Cochrane Database Syst Rev.. 3.
- Gürlü, VP, Erda, N. (2008). Diagnostic occlusion test in intermittent exotropia. J AAPOS. 12. 504
- Kushner, B. (1998). Selective surgery for intermittent exotropia based on distance/near differences. Arch Ophthalmol.. 116. 478
- Baker, JD. (2008). Twenty-year follow-up of surgery for intermittent exotropia. J AAPOS. 12. 227
- Hunter, DG, Kelly, JB, Buffenn, AN, Ellis, FJ. (2001). Long-term outcome of uncomplicated infantile exotropia. J AAPOS. 5. 352
- Adams, WE, Leske, DA, Hatt, SR, Mohney, BG, Birch, EE, Weakley, DR, Holmes, JM. (2008). Improvement in distance stereoacuity following surgery for intermittent exotropia. J AAPOS. 12. 141
- Hatt, SR, Haggerty, H, Buck, D, Adams, W, Strong, NP, Clarke, MP. (2007). Distance stereoacuity in intermittent exotropia. Br J Ophthalmol.. 91. 219
- Hatt, SR, Mohney, BG, Leske, DA, Holmes, JM. (2008). Variability of stereoacuity in intermittent exotropia. Am J Ophthalmol.. 145. 556
- Livir-Rallatos, G, Gunton, KB, Calhoun, JH. (2002). Surgical results in large-angle exotropia. J AAPOS. 6. 77-80
- Gnanaraj, L, Richardson, SR. (2005). Interventions for intermittent distance exotropia: review. Eye. 19. 617
- Maruo, T, Kubota, N, Sakaue, T, Usui, C. (1994). Intermittent exotropia surgery in children: long term outcome regarding changes in binocular alignment. A study of 666 cases. Binocul Vis Strabismus. 31. 89-92