Ma Dae Joong, Yang Hee Kyung, Hwang Jeong-Min
Department of Ophthalmology, Seoul National University College of Medicine, Seoul National University Bundang Hospital, Seongnam, Korea.
Acta Ophthalmol. 2017 May;95(3):e179-e184. doi: 10.1111/aos.13158. Epub 2016 Jul 16.
To determine surgical responses and outcomes of bilateral lateral rectus (BLR) recession in exotropes with cerebral palsy (CP) and to compare the results with exotropes without CP.
Forty-one exotropes with CP and 82 age- and type (intermittent or constant)-matched exotropes without CP who underwent BLR recession by one surgeon (J-M.H.) were evaluated. Main outcome measures were surgical responses, factors affecting surgical response, success rates, cumulative probabilities of success and recurrence, and drifts of ocular alignment towards exodeviation after surgery (exodrift).
The surgical responses of BLR recession were not significantly different between both groups (p = 0.136). After a mean follow-up period of 2 years, success rates showed no significant difference between the two groups (p = 1.000). The cumulative probabilities of success and recurrence were not significantly different between the two groups (p = 0.770 and 0.754, respectively). The rate of recurrence per person-year during follow-up was 16.7% in patients with CP and 20.2% in patients without CP. The amount of exodrift showed no significant difference between both groups (p = 0.118).
Exotropes with CP showed a similar surgical response, an amount of exodrift, cumulative success and recurrence rates after BLR recession compared to exotropes without CP.
确定脑瘫（CP）患者外斜视行双侧外直肌（BLR）后徙术的手术反应及结果，并与非CP外斜视患者的结果进行比较。
对41例CP外斜视患者和82例年龄及类型（间歇性或恒定性）匹配的非CP外斜视患者进行评估，这些患者均由同一位外科医生（J-M.H.）实施BLR后徙术。主要观察指标为手术反应、影响手术反应的因素、成功率、成功和复发的累积概率，以及术后眼位向外斜视方向的漂移（外斜漂移）。
两组间BLR后徙术的手术反应无显著差异（p = 0.136）。平均随访2年后，两组成功率无显著差异（p = 1.000）。两组成功和复发的累积概率无显著差异（分别为p = 0.770和0.754）。随访期间CP患者的年复发率为16.7%，非CP患者为20.2%。两组外斜漂移量无显著差异（p = 0.118）。
与非CP外斜视患者相比，CP外斜视患者在BLR后徙术后的手术反应、外斜漂移量、累积成功率和复发率相似。
