Surgical Outcome of Exotropic Patients' Management; One Year Follow-up
Mohammad Reza Besharati
Geriateric Ophthalmology Research Center, Faculty of Medicine, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
Masoud Reza Manaviat *
Geriateric Ophthalmology Research Center, Faculty of Medicine, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
Mohammad Hassan Lotfi
Department of Epidemiology, Faculty of Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
Mohammad Reza Shoja
Geriateric Ophthalmology Research Center, Faculty of Medicine, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
Maryam Forouhari
Research Development Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
Elahe Abbasi Shavazi
Geriateric Ophthalmology Research Center, Faculty of Medicine, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
Samira Salimpur
Shahid Sadoughi UNIVERSITY of Medical Sciences, Yazd, Iran
*Author to whom correspondence should be addressed.
Abstract
Purpose: To find the surgical success rate and frequency of complications among patients with exotropia.
Methods: This is a case series study on 102 exotropic patients who were managed surgically. They were followed up for 1 year post operation. Surgical techniques consisted one of the following bilateral rectus (BLR) recession, bimedial rectus (BMR) resection, Recession & resection (R&R), MR advancement and lateral rectus (LR) recession. Deviation measured by Alt. Prism- cover test at far and near. Data was analyzed by SPSS (ver. 16) using descriptive statistics and chi square test.
Results: Mean age of the patients was 18.2±11.4 years. Most cases were infants. Myopic astigmatism was the most frequent refractive error. The most frequent method of surgery was BLR recession in 75 cases (61.5%). Overall Post-operative success rate was 67.6%. The most frequent complication after surgery was misalignment.
Conclusion: BLR recession is a surgical method with acceptable success rate for treatment of exotropia and misalignment is most frequent complication.
Keywords: Strabismus, exotropia, management, surgical complication