Hardesty H H, Boynton J R, Keenan J P
Arch Ophthalmol. 1978 Feb;96(2):268-74. doi: 10.1001/archopht.1978.03910050136006.
To study the long-range results of surgically treated intermittent exotropia, 100 consecutive patients have been followed up for an average of 6.1 years. In all cases, the initial procedure was bilateral recession of the lateral rectus muscles. The overall functional cure rate was 78%. To accomplish this result, 27 patients were operated on a second time, 21 for undercorrection and six for overcorrection. A number of patients cooperated very poorly or were lost to follow-up while still under treatment. Had these patients been eliminated from the series, the cure rate would have been greater than 90%. In this study, bilateral recession of the lateral rectus muscles corrected the distant measurement more than the near measurement only with the divergence excess type of deviation. Also, this procedure was not notably more effective with divergence excess than with basic-type intermittent exotropia.
为研究手术治疗间歇性外斜视的远期效果，对100例连续患者进行了平均6.1年的随访。所有病例最初的手术均为双侧外直肌后徙术。总体功能治愈率为78%。为达到这一结果，27例患者接受了二次手术，其中21例因矫正不足，6例因矫正过度。一些患者配合度很差或在仍在接受治疗时失访。如果将这些患者排除在该系列之外，治愈率将超过90%。在本研究中，仅在散开过强型斜视中，双侧外直肌后徙术对远距离测量的矫正效果优于近距离测量。此外，该手术在散开过强型斜视中的效果并不比基本型间歇性外斜视显著更有效。
