The Comparision of Outcomes Between Lateral Rectus Muscles Rerecession and Medial Rectus Muscles Resection in Recurrent Exotropia
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Purpose: To compare the surgical outcomes between bilateral lateral rectus muscles (BLR) re-recession and bilateral medial rectus muscles (BMR) resection in recurrent exotropia. Methods: The medical records of patients with recurrent exotropia who underwent surgery for intermittent exotropia during the 6 years from January 2001 to December 2006 and followed up for more than 6 months were reviewed retrospectively. Results: In group A, BLR recessions was performed at the first surgery and BLR re-recession was performed at the second surgery. In group B, BLR recession was performed at the first surgery and BMR resection at the second surgery. Success rates at the last follow-up after the second operation were 81.9% in Group A and 83.3% in Group B, showing no statical difference between the two groups. In group A, no significant underaction of the BLR was noted. Success rates were not statistically different between the 2 mm re-recessed subgroup and 3 mm re-recessed subgroup. Conclusions: The results support the notion that BLR re-recession successfully corrects recurrent exotropia without producing significant limitation of abduction.
Abstract
Purpose: To compare the surgical outcomes between bilateral lateral rectus muscles (BLR) re-recession and bilateral medial rectus muscles (BMR) resection in recurrent exotropia. Methods: The medical records of patients with recurrent exotropia who underwent surgery for intermittent exotropia during the 6 years from January 2001 to December 2006 and followed up for more than 6 months were reviewed retrospectively. Results: In group A, BLR recessions was performed at the first surgery and BLR re-recession was performed at the second surgery. In group B, BLR recession was performed at the first surgery and BMR resection at the second surgery. Success rates at the last follow-up after the second operation were 81.9% in Group A and 83.3% in Group B, showing no statical difference between the two groups. In group A, no significant underaction of the BLR was noted. Success rates were not statistically different between the 2 mm re-recessed subgroup and 3 mm re-recessed subgroup. Conclusions: The results support the notion that BLR re-recession successfully corrects recurrent exotropia without producing significant limitation of abduction.
참고문헌 (11)
- Howard ME, "Management of reoperations in strabismus surgery", Ann Ophthalmol, 18, pp.70~3 (1986)
- 박혜영, "재발된 외사시에서 한 눈 외직근 후전 및 내직근 절제술과 두 눈 내직근 절제술의 비교", 대한안과학회지, 47(1), pp.148~153 (2006), 대한안과학회
- Burian HM, "The surgical management of exodeviations", Am J Ophthalmol, 59, pp.603~20 (1965)
- 김상진, "재발된 간헐외사시로 재수술한 환자의 임상분석", 대한안과학회지, 48(2), pp.321~327 (2007), 대한안과학회
- Choi DG, "The surgical outcome of intermittent exotropia and the prognostic factors", J Korean Ophthalmol Soc, 39, pp.1255~63 (1998)
- Kim MM, "Long‐term surgical results of intermittent exotropia", J Korean Ophthalmol Soc, 35, pp.1321~6 (1994)
- Stoller HS, "Bilateral lateral rectus recession for exotropia; A survival analysis", J Pediatr Ophthalmol Strabismus, 31, pp.89~92 (1994)
- Richard JM, "Intermittent exotropia‐surgical results in different age groups", Ophthalmology, 90, pp.1172~7 (1983)
- Chang BL, "Operative results in exotropia", J Korean Ophthalmol Soc, 24, pp.729~34 (1983)
- Hardesty HH, "Treatment of intermittent exotropia", Arch Ophthalmol, 96, pp.268~74 (1978)
- Yazdian Z, "Re‐recession of the lateral rectus muscles in patients with recurrent exotropia", J AAPOS, 10, pp.164~7 (2006)