Factors influencing the surgical success in patients with intermittent exotropia İntermitan ekzotropyada cerrahi başarıyı etkileyen faktörler
Turk Oftalmoloiji Dergisi, cilt.43, sa.2, ss.107-112, 2013 (Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 43 Sayı: 2
- Basım Tarihi: 2013
- Doi Numarası: 10.4274/tjo.43.96729
- Dergi Adı: Turk Oftalmoloiji Dergisi
- Derginin Tarandığı İndeksler: Scopus, TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.107-112
- Anahtar Kelimeler: Strabismus, exodeviation, exotropia, intermittent exotropia
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Purpose: To determine the factors that influence surgical success in patients with intermittent exotropia. Material and Method: We retrospectively evaluated the records of patients with intermittent exotropia who were diagnosed, operated, and followed up. Successful outcome was defined as alignment ≤10 prism diopters (PD) esophoria or exophoria at the last follow-up visit. The clinical findings, exodeviation types, surgical ages, operation types, preoperative and postoperative deviation amounts, presence of anisometropia and amblyopia, presence of A- or V-pattern, and presence of binocular vision and stereoacuity of patients were evaluated. We investigated the independent variables that affected the surgical success in intermittent exotropia patients. Results: Among the 379 patients included in the study, 266 (70.18%) underwent surgery, and the success rate was 68.05% (181 patients). In this successful surgery group, mean deviation was 25.82±11.27 PD at near and 30.80±10.59 PD at distance versus 30.93±12.47 PD and 34.92±11.02 PD, respectively, in the unsuccessful surgery group. There was a statistically significant difference between the two groups. Preoperative factors, such as presence of binocular vision preoperatively, and postoperative factors, such as follow-up period and the patients' deviation amount in the 1st week and 6th month, were found to affect the surgical outcome. Discussion: The success rate of surgical treatment of intermittent exotropia increases in the patients with presence of fusion and low preoperative deviation amounts. Also, in the early postoperative period, orthophoric or ≤10 PD esophoric patients have a higher final surgical success rate.