Short-term Surgical Outcomes of Rectus Muscle Plication and Resection in Intermittent Exotropia
DC Field | Value | Language |
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dc.contributor.author | Lee, Jung Woo | - |
dc.contributor.author | Kim, Hoon Dong | - |
dc.contributor.author | Kim, So Young | - |
dc.date.accessioned | 2021-08-11T10:23:43Z | - |
dc.date.available | 2021-08-11T10:23:43Z | - |
dc.date.issued | 2019-02 | - |
dc.identifier.issn | 0378-6471 | - |
dc.identifier.issn | 2092-9374 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/4734 | - |
dc.description.abstract | Purpose: To evaluate the efficacy and safety of medial rectus muscle plication compared to resection, coupled with antagonist muscle recession, as treatments for intermittent exotropia (IXT). Methods: We retrospectively reviewed the charts of IXT patients treated by a single surgeon and followed-up for at least 6 months between September 2016 and February 2017. The patients were divided into three groups: a bilateral lateral rectus muscle recession (BLR) group, a unilateral lateral rectus recession with medial rectus plication (R&P) group, and a unilateral lateral rectus recession with medial rectus resection (R&R) group. Serial changes in ocular alignment at 4-24 weeks after surgery were compared among the groups. In addition, the operative times were assessed. Results: We included 119 patients (mean age 6.65 +/- 2.79 years). The preoperative exodeviation was 29.81 +/- 7.31 prism diopters (PDs) and did not differ among the groups. The R&P group exhibited significantly less postoperative deviation than the BLR group. The operative time was significantly less for the R&P group (25.77 +/- 9.29 minutes) than the R&R group (28.97 +/- 5.74 minutes). The success rates were identical among groups at 6 months; no severe adverse events were recorded apart from one case of dellen that improved after application of a topical agent. Conclusions: Plication may reduce the risk for anterior segment ischemia to a level lower than the risks associated with other procedures, and also facilitate reoperation if necessary. We found that R&P took less time but had success rate similar to BLR and R&R. Thus, medial rectus muscle plication for IXT patients is a valuable alternative procedure when the external rectus muscle requires strengthening. | - |
dc.format.extent | 7 | - |
dc.language | 한국어 | - |
dc.language.iso | KOR | - |
dc.publisher | 대한안과학회 | - |
dc.title | Short-term Surgical Outcomes of Rectus Muscle Plication and Resection in Intermittent Exotropia | - |
dc.type | Article | - |
dc.publisher.location | 대한민국 | - |
dc.identifier.doi | 10.3341/jkos.2019.60.2.169 | - |
dc.identifier.scopusid | 2-s2.0-85063272856 | - |
dc.identifier.wosid | 000471859600009 | - |
dc.identifier.bibliographicCitation | 대한안과학회지, v.60, no.2, pp 169 - 175 | - |
dc.citation.title | 대한안과학회지 | - |
dc.citation.volume | 60 | - |
dc.citation.number | 2 | - |
dc.citation.startPage | 169 | - |
dc.citation.endPage | 175 | - |
dc.type.docType | Article | - |
dc.identifier.kciid | ART002436874 | - |
dc.description.isOpenAccess | N | - |
dc.description.journalRegisteredClass | scopus | - |
dc.description.journalRegisteredClass | esci | - |
dc.description.journalRegisteredClass | kci | - |
dc.relation.journalResearchArea | Ophthalmology | - |
dc.relation.journalWebOfScienceCategory | Ophthalmology | - |
dc.subject.keywordPlus | ANGLE | - |
dc.subject.keywordAuthor | Exotropia | - |
dc.subject.keywordAuthor | Surgical outcomes | - |
dc.subject.keywordAuthor | Plication | - |
dc.subject.keywordAuthor | Resection | - |
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