Advances in surgical management of convergence insufficiency intermittent exotropia
10.3760/cma.j.cn115989-20230403-00116
- VernacularTitle:集合不足型间歇性外斜视手术治疗研究进展
- Author:
Desheng SONG
1
;
Lu ZHOU
1
;
Jiaqi YAO
1
Author Information
1. 南京医科大学附属儿童医院眼科，南京 210008
- Publication Type:Journal Article
- Keywords:
Exotropia;
Convergence insufficiency;
Ocular surgery;
Review
- From:
Chinese Journal of Experimental Ophthalmology
2025;43(6):563-566
- CountryChina
- Language:Chinese
-
Abstract:
Convergence insufficiency intermittent exotropia (CI-IXT) is a subtype of intermittent exotropia.Surgery remains the most commonly used treatment.Improved unilateral lateral rectus recession-medial rectus resection (I-RR), slanted or nonslanted bilateral medial rectus resection (BMRs) and bilateral slanted lateral rectus recession (S-BLRc) are the commonly used modalities for surgical treatment.These treatment modalities have been able to correct distance and near exotropia and simultaneously reduce the near-distance difference.The clinical application of slanted or nonslanted BMRs is limited due to exodrift over time.I-RR and S-BLRc are widely used in clinics for patients with CI-IXT because of better long-term outcomes.A good knowledge of the different indications of each procedure and its appropriate application can lead to good clinical results.This article reviews recent advances in the surgical management of CI-IXT.
