Dadeya Subhash
Guru Nanak Eye Center, Maulana Azad Medical College, New Delhi 110002, India.
J Pediatr Ophthalmol Strabismus. 2003 Sep-Oct;40(5):283-7. doi: 10.3928/0191-3913-20030901-09.
Unilateral lateral rectus recession is an alternative procedure in the treatment of moderate angle intermittent exotropia. However, long-term results of unilateral lateral rectus recession have not yet been studied. The aim of this study was to determine the long-term stability of alignment following unilateral lateral rectus recession in patients with intermittent exotropia with a deviation of 25 to 30 PD.
Thirty-two patients with intermittent exotropia with a deviation of 25 to 30 PD were included in this study. All patients underwent 8-mm unilateral lateral rectus recession by conventional techniques.
Satisfactory results (+/- 5 PD of orthophoria) were obtained in 77.7% of the patients after a 3-year follow-up period. The mean correction achieved was 22.9 PD.
Our results indicate that 8-mm unilateral lateral rectus recession is an attractive alternative procedure in the treatment of intermittent exotropia with a deviation of 25 to 30 PD.
单侧外直肌后徙术是治疗中度间歇性外斜视的一种替代手术方法。然而,单侧外直肌后徙术的长期效果尚未得到研究。本研究的目的是确定间歇性外斜视且斜视度为25至30三棱镜度(PD)的患者在接受单侧外直肌后徙术后眼位的长期稳定性。
本研究纳入了32例间歇性外斜视且斜视度为25至30 PD的患者。所有患者均采用传统技术进行8毫米单侧外直肌后徙术。
经过3年的随访期,77.7%的患者获得了满意的结果(正位视偏差在±5 PD以内)。平均矫正量为22.9 PD。
我们的结果表明,8毫米单侧外直肌后徙术是治疗斜视度为25至30 PD的间歇性外斜视的一种有吸引力的替代手术方法。