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33367

Factors Influencing Surgical Outcome of Intermittent Exotropia

Article

Last updated: 30 Jan 2023

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Abstract

Purpose: The purpose of this study was to analyze the factors affecting surgical results of intermittent exotropia. Methods: A prospective interventional study included patients with basic type of intermittent exotropia who had undergone surgical treatment with a postoperative follow up period of 1 month or more. Surgical success was defined as an alignment between 10 prism diopters (PD) of exotropia or 10 PD of esotropia at 1 month. The factors investigated were: sex, age of patients, and age at initial surgery, family history, preoperative angle of deviation, type of surgery, the tendon width of lateral rectus muscle, refractive error, near binocular single vision, and postoperative alignment. After data collection, data were analyzed in SPSS version 25 software. Results: The study included 26 patients, 13 (50%) male and 13 (50%) female followed up for 3 months. All of patients achieved surgical success but patients with larger preoperative angle of deviation, older age and larger tendon muscle width showed exotropia with in (10PD) which showed slight improvement during period of follow up while those with smaller preoperative angle, younger age and smaller tendon muscle width showed esotropia with in (10) PD and associated with postoperative diplopia relieved during period of follow up with improvement of esotropia. Conclusion: In intermittent exotropia, age, tendon width, preoperative angle of deviation may predict the surgical success rate. Younger age, smaller preoperative angle, smaller tendon muscle width, early postoperative small angle esotropia were associated with a higher surgical success.

DOI

10.21608/ejhm.2019.33367

Keywords

Intermittent exotropia, surgical outcome, tendon muscle width

Authors

First Name

Hanan S.

Last Name

Hegazy

MiddleName

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Affiliation

Department of Ophthalmology, Faculty of Medicine (for Girls), Al-Azhar University, Cairo, Egypt.

Email

hanansaied27@yahoo.com

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Orcid

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Volume

75

Article Issue

5

Related Issue

5450

Issue Date

2019-04-01

Receive Date

2019-05-27

Publish Date

2019-04-01

Page Start

2,913

Page End

2,920

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_33367.html

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https://ejhm.journals.ekb.eg/service?article_code=33367

Order

26

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

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Details

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Article

Created At

22 Jan 2023