Observation on the curative effects of two surgical methods for basic intermittent exotropia
10.3980/j.issn.1672-5123.2017.8.54
- VernacularTitle:两种不同术式治疗基本型间歇性外斜视的疗效比较
- Author:
Su-Ying, QIN
;
Tong-Lu, MU
;
Dong, ZHU
;
Fang, LAN
- Keywords:
intermittent exotropia;
basic type;
unilateral recess-resection;
bilateral lateral rectus recession;
clinical efficacy
- From:
International Eye Science
2017;17(8):1602-1604
- CountryChina
- Language:Chinese
-
Abstract:
AIM:To explore the differences between unilateral recess-resection (R & R) and bilateral lateral rectus recession (BLR-rec) in the treatment of basic intermittent exotropia.METHODS: A retrospective analysis of treatment of basic intermittent exotropia in 89 patients,in which 49 cases underwent unilateral recess-resection,40 cases underwent bilateral lateral rectus recession of external rectus retroperitoneal surgery January 2013 to January 2015 in our hospital.The stereopsis and strabismus were observed in 1d,1,6mo,1 and 2a after operation.RESULTS: There was no significant difference in the success rate and oblique degree between the two groups after 1d,1,6mo,1 and 2a (all P>0.05),but the success rate of the operation was reducing as time passed.After 2d of the operation,the drift of the R & R group was 12.10±5.74PD and the drift of the BLR-rec group was 7.78±4.21PD,the difference was statistically significant (P=0.021).The R & R group was more likely to cause lateral slanting than BLR-rec group.Two groups of patients with nearly stereopsis were both significantly improved,there was no significant difference between the two groups in the two groups (x2=4.530,P=0.210).CONCLUSION: The long-term stability of BLR-rec is superior to R & R.
