How to Better Treat Patients with Intermittent Exotropia: A Review of Surgical Treatment of Intermittent Exotropia
How to Better Treat Patients with Intermittent Exotropia: A Review of Surgical Treatment of Intermittent Exotropia
- 대한안과학회
- The Korean Journal of Ophthalmology
- Vol.36 No.6
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2022.12550 - 564 (15 pages)
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DOI : 10.3341/kjo.2022.0043
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Intermittent exotropia (X(T)) is the most common form of strabismus, especially in Asians. Treatment of X(T) includes occlusion, overminus lens, and surgery, of which, surgery is the mainstay of treatment. Commonly performed surgical procedures for X(T) are bilateral lateral rectus muscle recession or unilateral lateral rectus recession with medial rectus resection; however, it is unclear which of the two surgeries is more effective. The purpose of this review is to provide an insight on the surgical treatment of X(T). Randomized controlled trials, comparative observational studies, and case series with a large number of patients as well as a long follow-up period of over a year were included.
Introduction
Determination of Target Angles for Surgery
Classification of X(T) Based on Near-Distance Difference
Surgical Treatment in Basic Type X(T)
Surgical Treatment in Divergence Excess and Simulated Divergence Excess Type X(T)
Surgical Treatment in Convergence Insufficiency Type X(T)
Surgical Treatment in X(T) with High AC/A Ratio
Surgical Treatment of X(T) with Dissociated Horizontal Deviation
Surgical Treatment of X(T) with All Oblique Muscle Overaction
Surgical Treatment in Small-Angle X(T)
Surgical Outcomes of Augmented Surgeries
Factors Affecting Surgical Outcomes
Management of Postoperative Strabismus
Conclusion
References
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