SURGICAL OUTCOMES OF STRABISMUS CORRECTION IN LARGE ANGLE EXOTROPIA
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large angle exotropia, Exodeviation, recession, resection., strabismus
Abstract
Introduction and Objective: Surgery is one of the treatment options for strabismus. The success rates of surgical interventions, as reported in a number of different studies, vary widely. There is no database of surgical outcome in large angle exotropia patient undergoing surgery in Semarang, Central Java.
This study aims to evaluate the surgical outcome of strabismus correction in large angle exotropia in Dr. Kariadi General Hospital.
Methods: A retrospective study held from the medical record of patients with diagnosis large angle (>50?) exotropia undergoing strabismus correction surgery from January 2020-December 2022 in Dr. Kariadi General Hospital, Semarang. The clinical characteristics: sex, age, angle of exodeviation, amblyopia condition, sensory deprivation, and postoperative alignment were obtained. Surgical outcome measured with follow up of angle deviation in one month dan three months follow up after surgery.
Result: Totally 59 large angle exotropia patients were obtained with 31 (53%) were woman and 28 (47%) were man, range aged 1 year to 53 years old had preoperative angle of exodeviation 51->85 ?, 6 (10%) had amblyopia, 11(18.6%) had sensory deprivation. By the 3 months post-operative visit, 100% of all patients reported orthophoria.
Conclusion: This study found the outcome of strabismus correction for large angle exotropia is satisfactory. Two- or three-muscle surgery provides an effective means for treatment of large angle exotropia.
Keywords: large angle exotropia, exodeviation, strabismus
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References
Khan AO, Ta Chen Peter Chang C, El-Dairi MA, Lee KA, Miraldi Utz V, Mireskandari K, et al. Pediatric Ophthalmology and Strabismus. BCSC ® Basic and Clinical Science Course TM Editorial Committee. 2022.
Asafali F, Rajamani M, Periannan C, Michael S, Dandapani R. Outcome of large angle exotropia treated by single stage adjustable strabismus surgery with monitored conscious anesthesia. Indian J Ophthalmol. 2021 Dec 1;69(12):3592–7.
Wang Z, Fu L, Shen T, Qiu X, Yu X, Shen H, et al. Supramaximal Horizontal Rectus Recession–Resection Surgery for Complete Unilateral Abducens Nerve Palsy. Front Med (Lausanne). 2022 Feb 22;8.
Shafik HM, Eldesouky MA, Elbakary MA, Elbedewy HA. Unilateral surgery for pediatric sensory exotropia: clinical characteristics and surgical results. BMC Ophthalmol. 2022 Dec 1;22(1).
Jin KW, Choi DG. Outcome of two-muscle surgery for large-angle intermittent exotropia in children. British Journal of Ophthalmology. 2017 Apr 1;101(4):462–6.
Yang M, Chen J, Shen T, Kang Y, Deng D, Lin X, et al. Single stage surgical outcomes for large angle intermittent exotropia. PLoS One. 2016 Feb 1;11(2).
Choi YS, Chun BY. Comparison of Surgical Outcomes of Two-muscle Surgery in Children with Large-angle Intermittent Exotropia. Journal of Korean Ophthalmological Society. 2022 Oct 1;63(10):859–64.
Authors
Copyright (c) 2024 Rahmah Sadida, Liana Ekowati, Arnila Novitasari Saubig
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