Postoperative minimal overcorrection in the surgical management of intermittent exotropia
- Authors
- Cho, Yoonae A.; Kim, Seung-Hyun
- Issue Date
- 7월-2013
- Publisher
- BMJ PUBLISHING GROUP
- Citation
- BRITISH JOURNAL OF OPHTHALMOLOGY, v.97, no.7, pp.866 - 869
- Indexed
- SCIE
SCOPUS
- Journal Title
- BRITISH JOURNAL OF OPHTHALMOLOGY
- Volume
- 97
- Number
- 7
- Start Page
- 866
- End Page
- 869
- URI
- https://scholar.korea.ac.kr/handle/2021.sw.korea/102796
- DOI
- 10.1136/bjophthalmol-2013-303253
- ISSN
- 0007-1161
- Abstract
- Purpose To investigate the effect of initial postoperative minimal overcorrection on the result of the surgical management of intermittent exotropia based on long-term follow-up results. Methods 111 patients who underwent surgery for intermittent exotropia and were followed up for at least 5 years after surgery were retrospectively reviewed. The outcome was judged to be successful when there was 10 prism dioptres (PD) or less of exodeviation and less than 5 PD of esodeviation without any reoperation at the final follow-up visit. We evaluated the success, recurrence, overcorrection rate and the duration of diplopia according to their initial deviation. Results We divided patients into four groups based on their initial deviation: orthophoria or undercorrection (Ortho group, 31 patients), minimally overcorrected at 5 PD or less (MO group, 20 patients), usually overcorrected between 6 PD and 10 PD (UO group, 35 patients), and highly overcorrected at more than 10 PD (HO group, 25 patients). The success rate was 43-60% between the four groups (p=0.52). The recurrence rate was 28-57% (p=0.105), but post hoc analysis showed borderline p values between the Ortho and HO group (p=0.024). No overcorrection was noted in the Ortho and MO groups (p=0.04). The duration of diplopia was 0-2.5 weeks, showing statistically significant difference among groups (p<0.001). Conclusions The amount of initial postoperative overcorrection may not predict the long-term success rate. However, the MO group showed a lower recurrence rate than the Ortho group and also showed no overcorrection and a shorter duration of postoperative diplopia than the UO and HO groups.
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