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[PMID]:29499664
[Au] Autor:Kim WJ; Kim MM
[Ad] Endereço:Department of Ophthalmology, Yeungnam University College of Medicine, 170, Hyeonchung-ro, Nam-gu, Daegu, 42415, South Korea.
[Ti] Título: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] País de publicação:England
[La] Idioma:eng
[Ab] Resumo: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] Termos MeSH primário: Exotropia/cirurgia
Músculos Oculomotores/cirurgia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Criança
Pré-Escolar
Exotropia/diagnóstico
Exotropia/fisiopatologia
Movimentos Oculares/fisiologia
Feminino
Seguimentos
Seres Humanos
Masculino
Músculos Oculomotores/fisiopatologia
Procedimentos Cirúrgicos Oftalmológicos
Prognóstico
Recidiva
Reoperação
Estudos Retrospectivos
Visão Binocular/fisiologia
Acuidade Visual
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180309
[Lr] Data última revisão:
180309
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180304
[St] Status:MEDLINE
[do] DOI:10.1186/s12886-018-0722-5


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[PMID]:28463575
[Au] Autor:Hashemi H; Nabovati P; Yekta A; Ostadimoghaddam H; Behnia B; Khabazkhoob M
[Ad] Endereço:a Noor Research Center for Ophthalmic Epidemiology , Noor Eye Hospital , Tehran , Iran.
[Ti] Título:The Prevalence of Strabismus, Heterophorias, and Their Associated Factors in Underserved Rural Areas of Iran.
[So] Source:Strabismus;25(2):60-66, 2017 Jun.
[Is] ISSN:1744-5132
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:PURPOSE: To determine the prevalence of different types of strabismus and heterophoria and their associated factors in underserved rural areas of Iran. METHODS: Two rural areas in the north and southwest of Iran were randomly sampled using multistage cluster sampling. Individuals aged over 1 year, totaling 3851, were invited to participate in the study. In addition to collecting demographic data, optometric examinations were performed for each participant. Unilateral and alternating cover tests were performed at far (6 m) and near (40 cm) to detect tropia and phoria, respectively, and the magnitude of the deviation was measured using alternating cover test and prism bar. Tropia was defined as the presence of constant unilateral or alternating horizontal strabismus (exotropia or esotropia) at either far or near fixation distances. Far and near exophoria were defined as more than 3 prism diopters (PD) and 9 PD of exophoria at far and near fixation distances, respectively. Far esophoria was defined as more than 1 PD of esophoria at far. Near esophoria was defined as any amount of esophoria at near. RESULTS: Of 3851 selected individuals, 3314 (86.5%) participated in the study. After excluding those who met the exclusion criteria or had missing data, eventually there were 3248 subjects available for this analysis. The prevalence of tropia and phoria was 4.3% (95% CI: 3.28-5.33) and 28.37% (95% CI: 19.12 -37.61), respectively. The prevalence of exotropia and esotropia was 3.87% (95% CI: 2.77-4.98) and 0.43% (95% CI: 0.19-0.67), respectively. The prevalence of near exophoria, far exophoria, near esophoria, and far esophoria was 25.96 (95% CI: 16.71-35.2), 4.82% (95% CI: 0.23-9.41), 0.47% (95% CI: 0.2-0.75), and 0.34% (95% CI: 0.06-0.63), respectively. In this study, the prevalence of tropia had no significant association with age, sex, living place, and refractive errors (all P values >0.05), while the prevalence of phoria increased significantly with increasing age (P<0.001) and was also significantly associated with living place (P<0.001). CONCLUSION: The prevalence of tropia and phoria was high in our study. Moreover, the prevalence of exotropia and exophoria was higher than esotropia and esophoria. The prevalence of phoria was significantly higher in older age groups and in the participants living in the southern villages.
[Mh] Termos MeSH primário: População Rural/estatística & dados numéricos
Estrabismo/epidemiologia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Distribuição por Idade
Idoso
Idoso de 80 Anos ou mais
Criança
Pré-Escolar
Estudos Transversais
Esotropia/diagnóstico
Esotropia/epidemiologia
Exotropia/diagnóstico
Exotropia/epidemiologia
Feminino
Seres Humanos
Irã (Geográfico)/epidemiologia
Masculino
Meia-Idade
Prevalência
Fatores de Risco
Estrabismo/diagnóstico
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180202
[Lr] Data última revisão:
180202
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170503
[St] Status:MEDLINE
[do] DOI:10.1080/09273972.2017.1317820


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[PMID]:29217031
[Au] Autor:Ha SG; Kim SH
[Ad] Endereço:Department of Ophthalmology, Korea University College of Medicine, Seoul, Korea.
[Ti] Título:Early postoperative overcorrection in recurrent exotropia.
[So] Source:Can J Ophthalmol;52(6):611-615, 2017 Dec.
[Is] ISSN:1715-3360
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To investigate the surgical outcome according to the angle of deviation at postoperative day 1 in patients with recurrent exotropia DESIGN: Retrospective case series METHODS: Surgical outcome in patients with recurrent exotropia for at least 1 year was analyzed retrospectively. Patients were divided into 3 subgroups according to the angle of deviation at postoperative day 1: overcorrection group (≥2 prism diopter [PD] of esodeviation), orthotropic group (orthotropia or <5 PD of exodeviation), and undercorrection group (≥5 PD of exodeviation). Success was defined as ≤5 PD of esodeviation or ≤10 PD of exodeviation at the final visit. RESULTS: One hundred and six patients were included in this study. Age at surgery was 11.8 ± 6.9 years, and preoperative angle of deviation was 22.9 ± 6.3 PD at distant. Patients were followed-up for 24.4 ± 12.8 months. There were 20 (18.9%), 82 (77.4%), and 4 (3.8%) patients in overcorrection, orthotropic, and undercorrection groups at postoperative day 1 (p = 0.001). The surgical success rate at the final visit in the overcorrection group (95%) was higher than that in orthotropic and undercorrection groups (76.8% and 25%, respectively, p = 0.004). In univariate regression analysis, overcorrection at postoperative day 1 was the only reliable factor for long-term success (odds ratio [OR] = 24.101, p = 0.01). CONCLUSION: Overcorrection at postoperative day 1 is a good surgical predictor of successful outcome in surgery for recurrent exotropia.
[Mh] Termos MeSH primário: Exotropia/cirurgia
Músculos Oculomotores/cirurgia
Procedimentos Cirúrgicos Oftalmológicos
[Mh] Termos MeSH secundário: Adolescente
Adulto
Criança
Pré-Escolar
Exotropia/diagnóstico
Feminino
Seguimentos
Seres Humanos
Masculino
Meia-Idade
Músculos Oculomotores/patologia
Período Pós-Operatório
Recidiva
Estudos Retrospectivos
Resultado do Tratamento
Visão Binocular/fisiologia
Acuidade Visual/fisiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171226
[Lr] Data última revisão:
171226
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171209
[St] Status:MEDLINE


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[PMID]:29197374
[Au] Autor:Fieß A; Kölb-Keerl R; Schuster AK; Knuf M; Kirchhof B; Muether PS; Bauer J
[Ad] Endereço:Department of Ophthalmology, Helios Dr. Horst Schmidt Klinik, Ludwig-Erhard-Straße 100, 65199, Wiesbaden, Germany. Achim.Fiess@gmail.com.
[Ti] Título:Prevalence and associated factors of strabismus in former preterm and full-term infants between 4 and 10 Years of age.
[So] Source:BMC Ophthalmol;17(1):228, 2017 Dec 02.
[Is] ISSN:1471-2415
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Limited data exist collating most of the associated factors for strabismus in one analysis. The aim of this study was to assess the prevalence of strabismus and to analyse associated factors in former preterm and full-term infants. METHODS: In this cross-sectional study, 239 former preterm infants with gestational age (GA) ≤ 32 weeks and 264 former full-term born infants with GA ≥ 37 weeks underwent detailed ophthalmologic examination in the age of 4-10 years and perinatal data assessment for risk factor analysis. Ophthalmologic examinations included cover testing, best corrected visual acuity, cycloplegic objective refraction, slit lamp as well as fundus examinations. For association analysis with strabismus, the following data was collected and included in multivariable analysis: sex, age at examination, anisometropia, myopic and hyperopic refractive error (≥ 3 dioptres), astigmatism, birth weight percentile, gestational age, retinopathy of prematurity occurrence, maternal age at childbirth, mother smoking, breastfeeding < 3 months, artificial ventilation, intraventricular bleeding, and other perinatal adverse events. RESULTS: Overall, 4/264 (2%) full-term infants, 15/125 (12%) preterm-infants with GA 29-32 weeks without ROP, 13/59 (22%) preterm infants with GA ≤ 28 weeks without ROP and 14/55 (26%) with GA ≤ 32 weeks with retinopathy of prematurity were affected by strabismus. In the multivariable regression model strabismus was associated with GA (OR = 0.84 per week; p = 0.001), hyperopic refractive error (OR = 4.22; p = 0.002) and astigmatism (OR = 1.68; p = 0.02). CONCLUSION: This investigation highlights that low gestational age and refraction of the eye are independent risk factors for strabismus, while the other factors show less independent influence.
[Mh] Termos MeSH primário: Recém-Nascido Prematuro
Estrabismo/epidemiologia
[Mh] Termos MeSH secundário: Criança
Pré-Escolar
Estudos Transversais
Esotropia/fisiopatologia
Exotropia/fisiopatologia
Feminino
Idade Gestacional
Seres Humanos
Recém-Nascido
Masculino
Análise Multivariada
Prevalência
Estudos Prospectivos
Retinopatia da Prematuridade/complicações
Fatores de Risco
Estrabismo/etiologia
Estrabismo/fisiopatologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171220
[Lr] Data última revisão:
171220
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171204
[St] Status:MEDLINE
[do] DOI:10.1186/s12886-017-0605-1


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[PMID]:28985221
[Au] Autor:Kim JS; Yang HK; Hwang JM
[Ad] Endereço:Department of Ophthalmology, Seoul National University College of Medicine, Seoul National University Bundang Hospital, Seongnam, South Korea.
[Ti] Título:Long-term outcomes of augmented unilateral recess-resect procedure in children with intermittent exotropia.
[So] Source:PLoS One;12(10):e0184863, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Initial overcorrection after exotropia surgery has been considered as a desirable result. Recently, there had been several studies that reported better surgical results of augmented bilateral lateral rectus muscle recession procedure over the conventional procedure. OBJECTIVES: To compare the long-term results of augmented unilateral lateral rectus recession-medial rectus resection procedure (RR) with the original surgery in exotropic children. DATA EXTRACTION: A retrospective cohort study was performed on a total of 121 children with exotropia who underwent RR from February 2005 to December 2012 and were followed-up for at least 24 months. In 64 patients, RR was performed based on the original surgical table (original RR group). In 57 patients, the amount of medial rectus muscle resection was increased by 1 mm (augmented RR group). RESULTS: In the original RR group, 47 of 64 patients (73.4%) had a successful outcome, 13 patients (20.3%) had recurrence, and 4 patients (6.3%) had overcorrection at 2 years after surgery. In the augmented RR group, 45 of 57 patients (79.0%) were successful, 4 patients (7.0%) had recurrence and 8 patients (14.0%) had overcorrection at 2 years after surgery. The recurrence rate was significantly lower in the augmented RR group than the original RR group, whereas the overcorrection rate was not significantly different between two groups at 2 years after surgery (P = 0.036 and P = 0.153, respectively). The cumulative probability of recurrence was lower in the augmented group at 36 months after surgery (P = 0.046, log rank test). CONCLUSIONS: The long-term success rate of augmented RR in exotropic children was 79.0% and the recurrence rate was significantly lower than original RR with comparable overcorrection rates. Augmented RR can be considered as an alternative procedure in children with basic and convergence insufficiency type exotropia.
[Mh] Termos MeSH primário: Exotropia/cirurgia
Músculos Oculomotores/cirurgia
Procedimentos Cirúrgicos Oftalmológicos/métodos
[Mh] Termos MeSH secundário: Adolescente
Criança
Pré-Escolar
Feminino
Seguimentos
Seres Humanos
Masculino
Recidiva
Estudos Retrospectivos
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171022
[Lr] Data última revisão:
171022
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171007
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0184863


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[PMID]:28813578
[Au] Autor:Adams DL; Economides JR; Horton JC
[Ad] Endereço:Department of Ophthalmology, University of California, San Francisco, San Francisco, California, United States.
[Ti] Título:Incomitance and Eye Dominance in Intermittent Exotropia.
[So] Source:Invest Ophthalmol Vis Sci;58(10):4049-4055, 2017 Aug 01.
[Is] ISSN:1552-5783
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Purpose: To determine if the deviation angle changes in subjects with intermittent exotropia as they alternate fixation between the right and left eye in primary gaze. Methods: In this prospective observational cohort study, 37 subjects with intermittent exotropia were tested for evidence of incomitance. The position of each eye was recorded with a video tracker during fixation on a small central target. A cover-uncover test was performed by occluding one eye with a shutter that passed infrared light, allowing continuous tracking of both eyes. The deviation angle was measured during periods of right eye and left eye fixation. Incomitance was assessed as a function of eye preference, fixation stability, and exotropia variability. Results: The mean exotropia was 18.2° ± 8.1°. A difference between right exotropia and left exotropia was detectable in 16/37 subjects. Allowing for potential tracking error, the incomitance had a mean amplitude of 1.7°. It was not related to a difference in accommodative effort, eye preference, fixation stability, or variability in deviation. Conclusions: Comitance is regarded as a feature that distinguishes strabismus from paralytic or restrictive processes. Unexpectedly, eye tracking during the cover-uncover test showed that incomitance is present in approximately 40% of subjects with intermittent exotropia. It averages 10% of the exotropia, and can equal up to 5°. When substantial, it may be worth considering when planning surgical correction.
[Mh] Termos MeSH primário: Dominância Ocular/fisiologia
Exotropia/fisiopatologia
Músculos Oculomotores/fisiopatologia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Criança
Movimentos Oculares/fisiologia
Feminino
Fixação Ocular/fisiologia
Seres Humanos
Masculino
Meia-Idade
Estudos Prospectivos
Visão Binocular/fisiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE; OBSERVATIONAL STUDY
[Em] Mês de entrada:1708
[Cu] Atualização por classe:171107
[Lr] Data última revisão:
171107
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170817
[St] Status:MEDLINE
[do] DOI:10.1167/iovs.17-22155


  7 / 1413 MEDLINE  
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[PMID]:28719330
[Au] Autor:Santos VS; Oliveira SJG; Gurgel RQ; Lima DRR; Dos Santos CA; Martins-Filho PRS
[Ad] Endereço:Federal University of Sergipe, Aracaju, Brazil.
[Ti] Título:Case Report: Microcephaly in Twins due to the Zika Virus.
[So] Source:Am J Trop Med Hyg;97(1):151-154, 2017 Jul.
[Is] ISSN:1476-1645
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Recent studies have demonstrated an association between congenital Zika virus (ZIKV) infection and microcephaly; however, to date, there have been no reports on the consequences of ZIKV infection on fetuses in twin pregnancies. Herein, we reported on the first case of a monochorionic diamniotic (MCDA) twin pregnancy having ZIKV-related microcephaly. Our findings suggested that, in an MCDA twin pregnancy, the ZIKV may cause infection in both fetuses, resulting in severe abnormalities in the central nervous system due to neural cell destruction and the disruption of the normal development processes of the brain. This case report and other similar twin cases may help to understand the pathogenesis and to confirm the etiology of ZIKV as a teratogenic microorganism.
[Mh] Termos MeSH primário: Doenças em Gêmeos/virologia
Microcefalia/virologia
Complicações Infecciosas na Gravidez/virologia
Infecção pelo Zika virus/complicações
[Mh] Termos MeSH secundário: Adolescente
Exotropia/congênito
Exotropia/etiologia
Exotropia/patologia
Feminino
Seres Humanos
Recém-Nascido
Gravidez
Infecção pelo Zika virus/congênito
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170926
[Lr] Data última revisão:
170926
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170719
[St] Status:MEDLINE
[do] DOI:10.4269/ajtmh.16-1021


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[PMID]:28682015
[Au] Autor:Bang SP; Cho SY; Lee SY
[Ad] Endereço:Department of Ophthalmology, Keimyung University Dongsan Medical Center, Keimyung University School of Medicine, Daegu, Korea.
[Ti] Título:Comparison of Long-term Surgical Outcomes of Two-muscle Surgery in Basic-type Intermittent Exotropia: Bilateral versus Unilateral.
[So] Source:Korean J Ophthalmol;31(4):351-359, 2017 Aug.
[Is] ISSN:2092-9382
[Cp] País de publicação:Korea (South)
[La] Idioma:eng
[Ab] Resumo:PURPOSE: To compare long-term surgical outcomes after bilateral lateral rectus recession (BLR) and unilateral lateral rectus recession-medial rectus resection (RR) for the treatment of basic-type intermittent exotropia. METHODS: Consecutive patients who underwent BLR or RR for treatment of intermittent exotropia between 1999 and 2010 and underwent ≥5 years of follow-up were recruited for this study. Surgical outcomes were grouped according to postoperative angle of deviation: overcorrection (esophoria/tropia >8 prism diopters [Δ]), success (esophoria/tropia ≤8Δ to exophoria/tropia ≤8Δ), and undercorrection/recurrence (exophoria/tropia >8Δ). Outcomes were compared between the BLR group and the RR group at postoperative week 1, months 1 and 6, and years 1, 2, 3, 4, and 5. RESULTS: Of 99 patients, 37 underwent BLR and 62 underwent RR. At postoperative month 6 (97.3% vs. 82.3%, p = 0.045) and year 1 (91.9% vs. 74.2%, p = 0.040), the surgical success rates in the BLR group were significantly higher than in the RR group. Recurrence of exophoria/tropia most commonly occurred between 2 and 3 years after surgery in the BLR group, but continuous recurrences were found in the RR group. At postoperative year 5, the surgical success rate was 54.1% in the BLR group and 41.9% in the RR group (p = 0.403). The reoperation rate was 24.3% in the BLR group and 33.9% in the RR group (p = 0.317). CONCLUSIONS: Surgical outcomes 5 years after surgery for intermittent exotropia were comparable between the BLR and RR groups. The surgical success rate and the reoperation rate were not significantly different between the BLR and RR groups.
[Mh] Termos MeSH primário: Exotropia/cirurgia
Movimentos Oculares/fisiologia
Músculos Oculomotores/cirurgia
Procedimentos Cirúrgicos Oftalmológicos/métodos
Visão Binocular/fisiologia
[Mh] Termos MeSH secundário: Pré-Escolar
Exotropia/fisiopatologia
Feminino
Seguimentos
Seres Humanos
Masculino
Músculos Oculomotores/fisiopatologia
Estudos Retrospectivos
Fatores de Tempo
Resultado do Tratamento
Acuidade Visual/fisiologia
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171102
[Lr] Data última revisão:
171102
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170707
[St] Status:MEDLINE
[do] DOI:10.3341/kjo.2016.0071


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[PMID]:28679404
[Au] Autor:Lee YB; Choi DG
[Ad] Endereço:Department of Ophthalmology, Hallym University College of Medicine, Kangnam Sacred Heart Hospital, 948-1 Daerim1-dong, Youngdeungpo-gu, Seoul, 150-950, Korea.
[Ti] Título:Comparison of outcomes of unilateral recession-resection as primary surgery and reoperation for intermittent Exotropia.
[So] Source:BMC Ophthalmol;17(1):117, 2017 Jul 05.
[Is] ISSN:1471-2415
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: The aim of this study was to compare the primary surgery and reoperation outcomes of unilateral lateral rectus recession and medial rectus resection (R&R) for intermittent exotropia. METHODS: We retrospectively reviewed the medical records of 80 patients, all of whom had undergone unilateral R&R for intermittent exotropia as a primary surgery or reoperation and been followed-up on postoperatively for 6 months or more. The patients were divided into two groups: unilateral R&R as primary surgery (group A, 44 patients) and unilateral R&R as reoperation (group B, 36 patients). The outcome measures were postoperative angle of deviation, surgical success rate, and mean dose-effect ratio (PD/mm, corrected angle of deviation / sum of amount of recession of lateral rectus and of resection of medial rectus). Surgical success was defined as exo- or esodeviation within 8 PD. RESULTS: The mean postoperative follow-up duration was 49.91 ± 14.83 months in group A and 43.17 ± 26.91 months in group B (p = 0.160). The mean angles of deviation at postoperative 1 day were -5.18 PD (overcorrection) in group A and -5.28 PD in group B (p = 0.932). However, there was a significant difference in the mean angle of deviation between the two groups at each visit from postoperative 3 months to final follow-up (p < 0.05): in short, group A had become more exotropic than group B. And the surgical success rate was higher in group B than in group A at each visit from postoperative 12 months to final follow-up (47.7% in group A and 83.3% in group B at final follow-up) (p < 0.05). The mean dose-effect ratio at 6 months after surgery was 1.89 ± 0.58 PD/mm in group A and 2.26 ± 0.32 PD/mm in group B (p = 0.001). CONCLUSIONS: Unilateral R&R as reoperation presented better results for the surgical treatment of recurrent exotropia, showing a smaller exodrift pattern and higher surgical success rates compared with R&R as a primary surgery. The mean effect per millimeter (the mean dose-effect ratio, PD/mm) of R&R as reoperation was significantly greater than that of R&R as primary surgery at postoperative 6 months. These results could serve as useful guidelines in the planning of surgical correction for primary and recurrent exotropia.
[Mh] Termos MeSH primário: Exotropia/cirurgia
Movimentos Oculares/fisiologia
Músculos Oculomotores/cirurgia
Procedimentos Cirúrgicos Oftalmológicos/métodos
Visão Binocular
[Mh] Termos MeSH secundário: Pré-Escolar
Doença Crônica
Exotropia/fisiopatologia
Feminino
Seguimentos
Seres Humanos
Masculino
Músculos Oculomotores/fisiopatologia
Período Pós-Operatório
Recidiva
Reoperação
Estudos Retrospectivos
Fatores de Tempo
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171004
[Lr] Data última revisão:
171004
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170707
[St] Status:MEDLINE
[do] DOI:10.1186/s12886-017-0512-5


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[PMID]:28643726
[Au] Autor:Kim WJ; Kim S; Kim MM
[Ad] Endereço:Department of Ophthalmology, Yeungnam University College of Medicine, Daegu, South Korea.
[Ti] Título:Exotropia in a pediatric patient with rhabdomyolysis caused by an insect sting.
[So] Source:Indian J Ophthalmol;65(6):535-537, 2017 Jun.
[Is] ISSN:1998-3689
[Cp] País de publicação:India
[La] Idioma:eng
[Ab] Resumo:Various ocular and systemic reactions have been associated with insect sting. However, insect stings have been rarely reported to cause exotropia and diplopia. We encountered exotropia in a 6-year-old child with rhabdomyolysis of the left lower extremities caused by an insect sting. Exotropia and diplopia developed within 1 day after the sting and improved completely 1 week after the onset of symptoms. Clinicians should be aware of the potential for the development of exotropia in patients with insect stings, which requires careful follow-up.
[Mh] Termos MeSH primário: Exotropia/etiologia
Movimentos Oculares/fisiologia
Mordeduras e Picadas de Insetos/complicações
Rabdomiólise/complicações
[Mh] Termos MeSH secundário: Criança
Diagnóstico Diferencial
Exotropia/diagnóstico
Exotropia/fisiopatologia
Seguimentos
Seres Humanos
Imagem Tridimensional
Mordeduras e Picadas de Insetos/diagnóstico
Extremidade Inferior/lesões
Masculino
Rabdomiólise/diagnóstico
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171012
[Lr] Data última revisão:
171012
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170624
[St] Status:MEDLINE
[do] DOI:10.4103/ijo.IJO_600_16



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