Archivos de la Sociedad Espanola de Oftalmologia · 2011
[Intermittent exotropia: bilateral lateral rectus recession treatment and long term results].
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Pérez-López M, Hurtado Ceña F J, Rodríguez Sánchez J M, Ruiz Guerrero M F, Muñoz-Negrete F J
Аннотация
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.
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.