Journal of American Association for Pediatric Ophthalmology and Strabismus
Major ArticleLong-term results of the surgical management of intermittent exotropia
Section snippets
Methods
This study was approved by the University of California Los Angeles Institutional Review Board and conformed to the requirements of the United States Health Insurance Portability and Accountability act; all subjects gave written informed consent before participation in conformity with the Declaration of Helsinki.
The surgical records of all cases from 1970 to 1998 of one surgeon (ALR) were reviewed. An attempt was made to contact all patients who underwent surgery for intermittent exotropia
Patient Characteristics
A total of 197 patients met the inclusion criteria. Of these, 60 could be reached via telephone. Fifty patients were able to return for an examination. The remaining 10 patients did not reside in the area and therefore were unable to participate. In the 50 subjects, the mean age at the time of the study examination was 28.6 ± 17.6 years (range, 11-75 years). The mean age at the time of the first surgery was 14.3 ± 17.7 years (range, 2-65 years). The mean number of years since the first surgery
Discussion
This study represents the largest single-surgeon series of patients with intermittent exotropia, with a minimum of 10 years' follow-up from the first procedure. In our cohort, patients were almost evenly distributed amongst excellent, fair, and poor outcomes when stringent sensory and motor criteria were used. When we eliminated the sensory criteria from the analysis, the number of patients with an excellent result increased, and the percentage of patients with a poor result decreased. Within
Literature Search
The authors performed a MEDLINE search without date restrictions for the following terms: intermittent exotropia, alternating exotropia, strabismus, and strabismus surgery. Additionally, articles not initially found on MEDLINE but referenced in review papers were also included.
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Cited by (0)
Dr. Pineles is the recipient of the Heed Fellowship and The Leonard Apt Fellowship; Dr. Rosenbaum was the recipient of Research to Prevent Blindness Physician-Scientist Merit Award.
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Deceased