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Research article
Zhijun Chen
children's hospital of nanjing medical university
Corresponding Author
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Background: Long-term surgical outcomes were compared between bilateral lateral rectus recession (BLR) and unilateral lateral rectus recession combined with medial rectus resection in the same eye (R&R) for therapy of basic type intermittent exotropia (IXT) with equal dominance.
Methods: Eighty-six subjects(3–11 years old) with the basic IXT with equal dominance who underwent surgery were reviewed retrospectively, at least 18-month follow-up. including 48 patients underwent R&R surgery and 38 underwent BLR surgery at a single center. Surgical outcomes between groups were compared.
Results: No statistical difference was detected between BLR group and R&R group at all intervals with the exception of the last examination, demonstrating a higher success rate and a lower undercorrection rate in the BLR group than R&R group at the last visit (76.3% vs 60.4%, P =0.04; 15.8% vs 35.4%, P =0.04 ). Postoperative recurrence continued in the R&R group, and it was lower in the BLR group. Stereoacuity and control showed overall improvement following both surgeries for basic intermittent exotropia. but this improvement had no statistical difference between groups(P>0.05). Cumulative probability of survival was lower in the R&R group than in the BLR group (P =0.027, log-rank test).
Conclusions: The BLR group had a better outcome than R&R group at final visit, which may be due to the difference in the recurrence rate over time.
Keywords
Intermittent exotropia, Unilateral lateral rectus recession-medial rectus resection(R&R), Bilateral lateral rectus recession(BLR)
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This is a preprint. It has not completed peer review.
Research article
Zhijun Chen
children's hospital of nanjing medical university
Corresponding Author
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
History
CURRENT STATUS: Posted
Version 1
Posted 17 Mar, 2020
No community comments so far
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
Subject Areas
Ophthalmology
License:
This work is licensed under a CC BY 4.0 License. Read Full License
Background: Long-term surgical outcomes were compared between bilateral lateral rectus recession (BLR) and unilateral lateral rectus recession combined with medial rectus resection in the same eye (R&R) for therapy of basic type intermittent exotropia (IXT) with equal dominance.
Methods: Eighty-six subjects(3–11 years old) with the basic IXT with equal dominance who underwent surgery were reviewed retrospectively, at least 18-month follow-up. including 48 patients underwent R&R surgery and 38 underwent BLR surgery at a single center. Surgical outcomes between groups were compared.
Results: No statistical difference was detected between BLR group and R&R group at all intervals with the exception of the last examination, demonstrating a higher success rate and a lower undercorrection rate in the BLR group than R&R group at the last visit (76.3% vs 60.4%, P =0.04; 15.8% vs 35.4%, P =0.04 ). Postoperative recurrence continued in the R&R group, and it was lower in the BLR group. Stereoacuity and control showed overall improvement following both surgeries for basic intermittent exotropia. but this improvement had no statistical difference between groups(P>0.05). Cumulative probability of survival was lower in the R&R group than in the BLR group (P =0.027, log-rank test).
Conclusions: The BLR group had a better outcome than R&R group at final visit, which may be due to the difference in the recurrence rate over time.
Figure 1
Figure 2
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