Kasi Sundeep K, Tamhankar Madhura A, Pistilli Maxwell, Volpe Nicholas J
Department of Ophthalmology, University of California San Francisco, San Francisco, California.
J AAPOS. 2013 Oct;17(5):465-70. doi: 10.1016/j.jaapos.2013.06.016.
To prospectively determine the long-term success of medial rectus advancement alone or in combination with other procedures in the management of consecutive exotropia.
All patients with consecutive exotropia who underwent medial rectus advancement alone or in combination with medial rectus resection or lateral rectus recession or both, performed by a single surgeon between 1999 and 2010, were included. Initially, a retrospective review was performed. Patients were then recalled and examined by a masked observer. Good results were defined as final alignment within 10(Δ) of orthotropia.
A total of 46 patients were enrolled in the study with a mean age of 43 ± 15.5 years (range, 14-76) and a mean exotropia of 32 ± 18(Δ) (range, 10-90). Good results were achieved in 33 patients (72%) at a mean follow-up time of 2.5 years. Of the 21 patients returning for prospective examination, 15 (71%) had good alignment at an average follow-up of 4.2 years (range, 6.9 months to 8.6 years). Adduction deficits were improved in 30 of 33 (91%) patients at final follow-up.
In patients with consecutive exotropia, surgery including medial rectus advancement alone or in combination with resection or lateral rectus recession or both usually is effective.
前瞻性地确定单纯内直肌徙前术或联合其他手术治疗连续性外斜视的长期成功率。
纳入1999年至2010年间由同一位外科医生实施单纯内直肌徙前术或联合内直肌切除术、外直肌后徙术或两者的连续性外斜视患者。最初进行回顾性分析。然后召回患者并由一位不知情的观察者进行检查。良好结果定义为最终眼位在正位视10（Δ）以内。
共46例患者纳入研究，平均年龄43±15.5岁（范围14 - 76岁），平均外斜度32±18（Δ）（范围10 - 90）。平均随访2.5年时，33例患者（72%）取得良好结果。在21例接受前瞻性检查的患者中，15例（71%）在平均随访4.2年（范围6.9个月至8.6年）时眼位良好。末次随访时，33例患者中有30例（91%）内收不足得到改善。
对于连续性外斜视患者，包括单纯内直肌徙前术或联合切除术、外直肌后徙术或两者的手术通常是有效的。
