Database : MEDLINE
Search on : exotropia [Words]
References found : 2394 [refine]
Displaying: 1 .. 10   in format [Detailed]

page 1 of 240 go to page                         

  1 / 2394 MEDLINE  
              next record last record
select
to print
Photocopy
Full text

[PMID]: 29499664
[Au] Autor:Kim WJ; Kim MM
[Ad] Address:Department of Ophthalmology, Yeungnam University College of Medicine, 170, Hyeonchung-ro, Nam-gu, Daegu, 42415, South Korea.
[Ti] Title:The fast exodrift after the first surgical treatment of exotropia and its correlation with surgical outcome of second surgery.
[So] Source:BMC Ophthalmol;18(1):67, 2018 Mar 02.
[Is] ISSN:1471-2415
[Cp] Country of publication:England
[La] Language:eng
[Ab] Abstract:BACKGROUND: To compare the rate of exodrift after a second surgery for recurrent exotropia, in patients grouped to fast versus slow exodrift after their first surgery. To determine whether there is a correlation with surgical outcome, and to evaluate the factors associated with fast exodrift. METHODS: Patients with recurrent intermittent exotropia, who underwent contralateral lateral rectus recession and medial rectus resection as the second surgery and were followed up for 24 months postoperatively between January 1991 and January 2013, were reviewed retrospectively. The patients were divided into two groups according to the rate of exodrift after the first surgery: Group F, patients exhibiting fast exodrift after the first surgery (> 10 prism diopters [PD] before postoperative month 6); and Group S, patients exhibiting slow exodrift after the first surgery (≤10 PD before postoperative month 6). The difference in the clinical course over the 24 months after the second surgery between the two groups and factors associated with fast exodrift were analyzed. RESULTS: In total, 106 patients with recurrent exotropia were enrolled in this study. Of these, 68 (64.2%) and 38 (35.8%) patients were included in group F and S, respectively. Group F showed more exodrift compared with groups S over the 24-month postoperative period; however, there was no significant difference in the clinical course between the two groups during that time (p = 0.54, repeated-measure ANOVA). In logistic analysis, immediate postoperative deviation after the first surgery was associated with fast exodrift (p <  0.001). CONCLUSION: Although patients with recurrent exotropia had shown fast exodrift after the first surgery, no significant difference in the surgical outcome was observed after the second surgery according to the rate of exodrift after the first surgery.
[Mh] MeSH terms primary: Exotropia/surgery
Oculomotor Muscles/surgery
[Mh] MeSH terms secundary: Adolescent
Adult
Child
Child, Preschool
Exotropia/diagnosis
Exotropia/physiopathology
Eye Movements/physiology
Female
Follow-Up Studies
Humans
Male
Oculomotor Muscles/physiopathology
Ophthalmologic Surgical Procedures
Prognosis
Recurrence
Reoperation
Retrospective Studies
Vision, Binocular/physiology
Visual Acuity
Young Adult
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1803
[Cu] Class update date: 180309
[Lr] Last revision date:180309
[Js] Journal subset:IM
[Da] Date of entry for processing:180304
[St] Status:MEDLINE
[do] DOI:10.1186/s12886-018-0722-5

  2 / 2394 MEDLINE  
              first record previous record next record last record
select
to print
Photocopy
Full text

[PMID]: 29383541
[Au] Autor:Jung EH; Kim SJ; Yu YS
[Ad] Address:Department of Ophthalmology, Seoul National University College of Medicine, 101 Daehak-Ro, Jongno-Gu, Seoul, 110-744, Korea.
[Ti] Title:Comparison of the characteristics of patients with intermittent exotropia according to response to diagnostic monocular occlusion.
[So] Source:Jpn J Ophthalmol;62(2):243-248, 2018 Mar.
[Is] ISSN:1613-2246
[Cp] Country of publication:Japan
[La] Language:eng
[Ab] Abstract:PURPOSE: To compare the characteristics of intermittent exotropia patients according to their response to the diagnostic monocular occlusion test. STUDY DESIGN: Retrospective study. METHODS: A retrospective review was performed of 141 patients with intermittent exotropia who had taken a monocular occlusion test before surgery. We classified the patients into 3 groups based on the response to monocular occlusion. The increase group was defined as those patients having an increase in deviation of ≥ 5 prism diopters (PD) after monocular occlusion as compared with the maximum measured angle. The decrease group was defined as those patients having a decrease in deviation of ≥ 5 PD. Otherwise, patients were classified as having no change. The patients' characteristics were compared among the groups. RESULTS: At distance fixation, 9 patients (6.5%) were classified as increase, 92 patients (66.7%) as no change, and 37 patients (26.8%) as decrease after monocular occlusion. At near fixation, 50 patients (35.5%) were classified as increase, 65 patients (46.1%) as no change, and 26 patients (18.4%) as decrease. At distance fixation, no significant differences were found between the parameters of the patients in the increase group and those of the patients in the other 2 groups. In patients with a small maximum angle of exodeviation at near fixation and with few visits, the deviation at near fixation significantly increased after diagnostic occlusion. CONCLUSION: Fifty-two patients (36.8%) showed an increase of ≥ 5 PD during distance or near fixation after monocular occlusion. In patients with a small maximum angle at near fixation and with few visits, it would be beneficial to perform the monocular occlusion test before surgery to reveal the maximal deviation angle, regardless of exotropia type.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1802
[Cu] Class update date: 180308
[Lr] Last revision date:180308
[St] Status:In-Process
[do] DOI:10.1007/s10384-018-0567-8

  3 / 2394 MEDLINE  
              first record previous record next record last record
select
to print
Photocopy
Full text

[PMID]: 29376227
[Au] Autor:Kim MH; Chung H; Kim WJ; Kim MM
[Ad] Address:Department of Ophthalmology, Yeungnam University College of Medicine, Daegu, Korea.
[Ti] Title:Effects of Surgical Assistant's Level of Resident Training on Surgical Treatment of Intermittent Exotropia: Operation Time and Surgical Outcomes.
[So] Source:Korean J Ophthalmol;32(1):59-64, 2018 Feb.
[Is] ISSN:2092-9382
[Cp] Country of publication:Korea (South)
[La] Language:eng
[Ab] Abstract:PURPOSE: To evaluate the effects of the surgical assistant's level of resident training on operation time and surgical outcome in the surgical treatment of intermittent exotropia. METHODS: This study included 456 patients with intermittent exotropia who underwent lateral rectus recession and medial rectus resection and were followed up for 24 months after surgery. The patients were divided into two groups according to the surgical assistant's level of resident training: group F (surgery assisted by a first-year resident [n = 198]) and group S (surgery assisted by a second-, third-, or fourth-year resident [n = 258]). The operation time and surgical outcomes (postoperative exodeviation and the number of patients who underwent a second operation) were compared between the two groups. RESULTS: The average operation times in groups F and S were 36.54 ± 7.4 and 37.34 ± 9.94 minutes, respectively (p = 0.33). Immediate postoperative exodeviation was higher in group F (0.79 ± 3.82 prism diopters) than in group S (0.38 ± 3.75 prism diopters). However, repeated-measures analysis of variance revealed no significant difference in exodeviation between the two groups during the 24-month follow-up period (p = 0.45). A second operation was performed in 29.3% (58 / 198) of the patients in group F, and in 32.2% (83 / 258) of those in group S (p = 0.51). CONCLUSIONS: No significant difference in operation time was observed when we compared the effects of the level of resident training in the surgical treatment of intermittent exotropia. Although the immediate postoperative exodeviation was higher in patients who had undergone surgery assisted by a first-year resident, the surgical outcome during the 24-month follow-up was not significantly different.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1801
[Cu] Class update date: 180308
[Lr] Last revision date:180308
[St] Status:In-Data-Review
[do] DOI:10.3341/kjo.2017.0059

  4 / 2394 MEDLINE  
              first record previous record next record last record
select
to print
Photocopy
Full text

[PMID]: 28471101
[Au] Autor:Kim BH; Yu YS; Kim SJ
[Ad] Address:Department of Ophthalmology, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea.
[Ti] Title:Ophthalmologic Features of Lennox-Gastaut Syndrome.
[So] Source:Korean J Ophthalmol;31(3):263-267, 2017 Jun.
[Is] ISSN:2092-9382
[Cp] Country of publication:Korea (South)
[La] Language:eng
[Ab] Abstract:PURPOSE: To describe the characteristics and frequency of ophthalmologic findings in patients with Lennox-Gastaut syndrome (LGS). METHODS: The medical records of patients diagnosed with LGS at Seoul National University Children's Hospital from January 2004 to August 2014 were retrospectively reviewed. The records of 34 patients (mean age ± standard deviation, 2.66 ± 3.51 years; male, 58.8%) were reviewed. The primary measure was the incidence of ophthalmologic manifestations. RESULTS: Of the 34 patients, 88.2% had at least one ocular abnormality. Refractive error (52.9%) was the most frequently observed ophthalmologic manifestation in patients with LGS, followed by strabismus (32.4%), cortical visual impairment (23.5%), and retinopathy of prematurity (8.8%). Among these cases, seven patients had exotropia and three had esotropia. CONCLUSIONS: LGS is a childhood-onset epileptic encephalopathy with variable ophthalmologic manifestations, the most frequent being refractive errors. Patients with suspected LGS should be examined regularly because ophthalmological features can change during their disease course.
[Mh] MeSH terms primary: Eye Movements/physiology
Lennox Gastaut Syndrome/complications
Refraction, Ocular/physiology
Refractive Errors/etiology
Strabismus/etiology
[Mh] MeSH terms secundary: Adolescent
Brain/pathology
Child
Child, Preschool
Female
Humans
Infant
Infant, Newborn
Lennox Gastaut Syndrome/diagnosis
Magnetic Resonance Imaging
Male
Refractive Errors/diagnosis
Refractive Errors/physiopathology
Strabismus/diagnosis
Strabismus/physiopathology
Vision Tests
Visual Acuity
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1710
[Cu] Class update date: 180308
[Lr] Last revision date:180308
[Js] Journal subset:IM
[Da] Date of entry for processing:170505
[St] Status:MEDLINE
[do] DOI:10.3341/kjo.2015.0161

  5 / 2394 MEDLINE  
              first record previous record next record last record
select
to print
Photocopy
Full text

[PMID]: 29239920
[Au] Autor:Günay C; Altin G; Kersin B; Odabasi M
[Ad] Address:Department of Otolaryngology, Head and Neck Surgery.
[Ti] Title:A Rare Complication After Septoplasty: Visual Loss Due to Right Retinal Artery Spasm.
[So] Source:J Craniofac Surg;29(2):466-468, 2018 Mar.
[Is] ISSN:1536-3732
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:Septoplasty is a commonly used procedure for correcting septal cartilage deformities. Hemorrhage, abscesses, scaling, adhesions, and scar tissue are often seen after the operation of the septoplasty, but temporary or permanent visual loss due to local anesthetic use has been reported very rarely in the literature. The authors also aimed to present a female patient with retinal artery spasm in the right eye after septoplasty in this article. A 27-year-old female patient was admitted to the authors' clinic with long-standing nasal obstruction and postnasal drip. There was no feature in her history and also no sign other than nasal septal deviation on physical examination. The patient was informed about the operation and the operation was planned. Emergency eye consultation was requested after the patient said that the right eye of the patient had never seen in the postoperative wake-up hall. Examination by an ophthalmologist; mild exotropia and total loss of vision in the right eye (including loss of light reflex) was detected. The light reaction in the affected eye was negative and indirect reaction was positive. After enlargement of the pupil, fundus examination revealed that the right posterior pole region (inside of the macula and vessel arches) was pale and no central retinal artery pulsation was observed. The patient was diagnosed with central retinal artery occlusion and emergency intervention was performed. The right eye massage, paracentesis, and hyperbaric oxygen therapy returned to the patient's visual function.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1712
[Cu] Class update date: 180306
[Lr] Last revision date:180306
[St] Status:In-Process
[do] DOI:10.1097/SCS.0000000000004202

  6 / 2394 MEDLINE  
              first record previous record next record last record
select
to print
Photocopy
Full text

[PMID]: 29502213
[Au] Autor:Giannaccare G; Primavera L; Fresina M
[Ad] Address:Ophthalmology Unit, S.Orsola-Malpighi Teaching Hospital Head Prof. EC Campos, DIMES, University of Bologna, Via Pelagio Palagi 9, 40138, Bologna, Italy. giuseppe.giannaccare@gmail.com.
[Ti] Title:Photorefractive keratectomy influences the angle of ocular deviation in strabismus patients with hyperopia.
[So] Source:Int Ophthalmol;, 2018 Mar 03.
[Is] ISSN:1573-2630
[Cp] Country of publication:Netherlands
[La] Language:eng
[Ab] Abstract:PURPOSE: To evaluate refractive, binocular vision and ocular alignment outcomes of photorefractive keratectomy (PRK) for the treatment of hyperopia in esotropic patients. METHODS: Medical charts of hyperopic patients with full or partial accommodative esotropia (FAE or PAE) or consecutive exotropia (CE) undergone PRK from 2011 to 2014 were reviewed. The primary outcome was to assess the efficacy of PRK in improving ocular alignment. The secondary outcomes were the assessments of uncorrected visual acuity (UCVA), best-corrected visual acuity (BCVA), spherical equivalent (SE) and stereoacuity. RESULTS: Sixty-four eyes of 32 hyperopic patients were included. Three patients were affected by FAE, 24 by PAE and 5 by CE. All FAE patients and 4 PAE patients underwent only PRK; the remaining 25 patients underwent PRK plus strabismus surgery. After PRK, the mean corrected esodeviation decreased significantly in the overall esotropic population [7.15 ± 9.42 prism diopters (PD) vs. 5.04 ± 8.83 PD; p = 0.03] and in particular in the group with small-angle esodeviation (< 20 PD). Conversely, the only 2 patients with an angle of strabismus ≥ 20 PD as well as all CE patients did not show any postoperative variation of the deviation angle. Mean preoperative BCVA did not differ from postoperative UCVA (p = 0.19), while the mean postoperative SE decreased significantly after PRK (p < 0.0001). CONCLUSIONS: Our study confirmed that PRK eliminates the accommodative component of the deviation. In addition, this procedure seems to reduce or eliminate also the non-accommodative component of esodeviation (especially in small-angle deviation), thus suggesting to postpone strabismus surgery after PRK when esotropia and hyperopia coexist.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1803
[Cu] Class update date: 180304
[Lr] Last revision date:180304
[St] Status:Publisher
[do] DOI:10.1007/s10792-018-0867-5

  7 / 2394 MEDLINE  
              first record previous record next record last record
select
to print
Photocopy
Full text

[PMID]: 29497134
[Au] Autor:Voide N; Robert MP
[Ad] Address:AP-HP, Department of Ophthalmology, Hôpital Universitaire Necker-Enfants malades, 149, rue de Sèvres, Paris, 75015, France. nathalie.voide@fa2.ch.
[Ti] Title:Spontaneous consecutive esotropia.
[So] Source:Eye (Lond);, 2018 Mar 02.
[Is] ISSN:1476-5454
[Cp] Country of publication:England
[La] Language:eng
[Ab] Abstract:PURPOSE: Although less frequent than consecutive exotropia, consecutive esotropia is a well-known type of strabismus when it follows the surgical correction of an exotropia. Spontaneous conversion from initial constant, large-angle exotropia beyond the age of 3 months to esotropia or orthophoria, however, is not common. We describe a series of infants who presented a spontaneous evolution from a large-angle infantile exotropia to either an orthophoria or a spontaneously consecutive esotropia. METHODS: Cases of infants examined in the pediatric neuro-ophthalmology clinic of a tertiary ophthalmology department between 2009 and 2015, and having presented an early large-angle exotropia that spontaneously converted into an esotropia or orthophoria-i.e., without any previous surgery or botulinum toxin injection-were studied. RESULTS: Ten cases (6 M:4 F) were followed up. Median age at first exotropia assessment was 3.88 months (SD = 6.35). Median age at spontaneous conversion to esotropia or orthophoria was 7.23 months (SD = 14.73). Six patients suffered from severe neurologic or metabolic diseases, three had neonatal respiratory distress syndrome, and one was healthy. CONCLUSION: Spontaneous conversion from initial large-angle exotropia to esotropia or orthophoria can be encountered. The cerebral maturation of visual structures probably accounts for this uncommon strabismus sequence.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1803
[Cu] Class update date: 180302
[Lr] Last revision date:180302
[St] Status:Publisher
[do] DOI:10.1038/s41433-018-0060-0

  8 / 2394 MEDLINE  
              first record previous record next record last record
select
to print
Photocopy
Full text

[PMID]: 29494263
[Au] Autor:Akbari MR; Hassanpoor N; Aghsaei Fard M; Nozarian Z; Yaseri M; Mirmohammadsadeghi A
[Ad] Address:a Eye Research Center, Farabi Eye Hospital , Tehran University of Medical Sciences , Tehran , Iran.
[Ti] Title:Clinical and Histopathologic Features of Consecutive Exotropia.
[So] Source:Strabismus;:1-6, 2018 Mar 01.
[Is] ISSN:1744-5132
[Cp] Country of publication:England
[La] Language:eng
[Ab] Abstract:PURPOSE: The purpose of this study is to investigate clinical and histopathologic features of consecutive exotropia. METHODS: Thirty patients with consecutive exotropia and negative forced duction testing underwent unilateral medial rectus resection and advancement. Abnormal scleral attachment (appearance of stretched scar or slipped muscle) was documented and compared with histopathology results. The term "stretched scar" is used when tendon-like scar appears between muscle fibers and scleral attachment. The term "slipped muscle" is used when a thin capsule is attached to the sclera and the muscle fibers retracted posteriorly in the capsule. Histopathologic results of resected medial rectus muscles of 11 control patients were compared with cases of consecutive exotropia. Surgical success was defined as <10 PD deviation at both distance and near, 6 months after the surgery. Dose-response and risk factors for abnormal scleral attachment were also evaluated. RESULTS: Forty percent of the cases had abnormal scleral attachment. Nineteen patients (63%) showed successful results. The mean dose-responses were for near 4.7 and for distance 4.2 prism diopters per millimeters of resection plus advancement. Preoperative medial rectus underaction was a risk factor for abnormal scleral attachment. The mean muscle percentage in pathology was 10 ± 18.7 in patients with abnormal scleral attachment, 28.3 ± 27.9 in other consecutive exotropia patients, and 26.5 ± 30.6 in 11 control eyes. CONCLUSION: This study showed surgical success of 63% with one-muscle surgery in consecutive exotropia. Calculated dose-responses could be helpful in surgical planning. In the cases with preoperative medial rectus underaction, risk of abnormal scleral attachment is increased.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1803
[Cu] Class update date: 180301
[Lr] Last revision date:180301
[St] Status:Publisher
[do] DOI:10.1080/09273972.2018.1444064

  9 / 2394 MEDLINE  
              first record previous record next record last record
select
to print
Photocopy
Full text

[PMID]: 29482420
[Au] Autor:Wang JC; Elliott AT
[Ad] Address:a Department of Ophthalmology, Massachusetts Eye and Ear , Harvard Medical School , Boston , MA , USA.
[Ti] Title:Acute transient large-angle exotropia caused by traumatic orbital contusion.
[So] Source:Orbit;:1-3, 2018 Feb 26.
[Is] ISSN:1744-5108
[Cp] Country of publication:England
[La] Language:eng
[Ab] Abstract:We report an unusual case of acute large-angle left exotropia associated with blunt orbital trauma in a healthy 8-year-old boy. Examination revealed a large-angle left exotropia with limitation in adduction of the left eye. Microhyphema and commotio retinae of the left eye were also present. High-resolution orbital magnetic resonance imaging (MRI) demonstrated perimuscular and intramuscular edema mostly involving the left medial rectus muscle but also involving the left lateral rectus muscle. The extraocular muscle insertions were intact. Complete resolution of the strabismus and adduction limitation occurred within 24 hours of starting systemic steroid therapy. This case highlights the utility of high-resolution imaging to assess for injury to the extraocular muscles. If disinsertion, transection, or rupture of the muscle is not present on imaging, resolution may occur with systemic steroid therapy and surgical intervention is not needed.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1802
[Cu] Class update date: 180227
[Lr] Last revision date:180227
[St] Status:Publisher
[do] DOI:10.1080/01676830.2018.1435696

  10 / 2394 MEDLINE  
              first record previous record
select
to print
Photocopy
Full text

[PMID]: 29368040
[Au] Autor:Sun Y; Zhang T; Chen J
[Ad] Address:State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou, 510060, China.
[Ti] Title:Bilateral lateral rectus recession versus unilateral recession resection for basic intermittent exotropia: a meta-analysis.
[So] Source:Graefes Arch Clin Exp Ophthalmol;256(3):451-458, 2018 Mar.
[Is] ISSN:1435-702X
[Cp] Country of publication:Germany
[La] Language:eng
[Ab] Abstract:OBJECTIVE: To compare the outcomes between bilateral lateral rectus recession (BLR) and unilateral recession resection (R&R) procedures in the treatment of basic intermittent exotropia. METHODS: Databases from Medline, Embase, Web of Science and the Cochrane Register of Controlled Trials were searched prior to June 2, 2017. From these searches, three eligible randomized studies and three retrospective cohort trials, which compared conventional BLR versus R&R procedure were identified. Differences observed between these two interventions (BLR versus R&R) were expressed as odds ratio (OR) and 95% confidence intervals (CI). The data on rates of success, recurrence, and overcorrection were pooled and analyzed using a random-effects model. RESULTS: Our findings, as generated from the pooled estimates, suggested that success rates for the R&R procedure were significantly greater than that of BLR (OR, 0.50; 95% CI, 0.31-0.79; P = 0.003) and patients subjected to the BLR procedure were more likely to be recurrent (OR, 2.44; 95% CI, 1.17-5.10; P = 0.02). No statistically significant differences in the combined results for overcorrection rates were present between the BLR and R&R procedures (OR, 0.85; 95% CI, 0.32-2.28; P = 0.75). CONCLUSION: The overall findings from this meta-analysis indicated that the conventional R&R procedure is associated with higher success rates and lower recurrence rates in patients with basic intermittent exotropia.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1801
[Cu] Class update date: 180225
[Lr] Last revision date:180225
[St] Status:In-Process
[do] DOI:10.1007/s00417-018-3912-1


page 1 of 240 go to page                         
   


Refine the search
  Database : MEDLINE Advanced form   

    Search in field  
1  
2
3
 
           



Search engine: iAH v2.6 powered by WWWISIS

BIREME/PAHO/WHO - Latin American and Caribbean Center on Health Sciences Information