Many researchers 2,5 have reported that surgery for intermittent exotropia is easy and attain satisfying results for surgeons and patients during the early postoperative period, but the surgical Surgical management of convergence insufficiencytype intermittent exotropia is still highly controversial 2 The variable success rate of MR resection, either uniIntermittent exotropia may progress to constant exotropia If surgery is performed, possible complications can include bleeding, surgical wound infections, swelling of the eyelid, and repeat surgeries for recurring exotropia Exotropia can sometimes recur after surgery Talk with your doctor about the risks and benefits of eye muscle surgery
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Intermittent exotropia surgery success rate- INTRODUCTION Intermittent exotropia (IXT) is a common form of childhood exotropia, which accounts for ~50%90% of all exotropia cases and affects ~1% of the general population –It is characterized by the intermittent outward deviation of either eye that, if untreated, can gradually become constant in about onethird of the casesThe age of onset forIntermittent exotropia is a condition in which there are times when one eye has drifted outwards, and other times when the eyes are straight Some patients or family members notice the exotropia more when the patient is tired or daydreaming
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Purpose To investigate the effect of initial postoperative minimal overcorrection on the result of the surgical management of intermittent exotropia based on longterm followup results Methods 111 patients who underwent surgery for intermittent exotropia and were followed up for at least 5 years after surgery were retrospectively reviewedThe results of patients with intermittent exotropia treated with surgery over a 4year period were reviewed Patients were divided into two groups based on age at first surgery (The angle of exotropia (PD) before and after surgery and the success rate were documented Results Mean age at surgery was 64 ± 19 (range ) years Exotropia improved from a preoperative angle of 214 ± 40 PD to 35 ± 59 PD postoperatively (p < 0001) Success rate, defined as deviation of ≤ 10 PD, was achieved in 862%
Exotropia is a common condition It comprises 25% of all ocular misalignment cases in young childrenWhile it could happen periodically (eg, intermittent exotropia), it could also be constant However, it is more typical to find exotropia developed while a child is 1 to 4 years old Predictors of success following surgery for intermittent exotropia are less clear, although a small retrospective study suggested that performing surgery before a patient is 7 years old, or before the duration of the patient's exotropia has reached 5 years, may be associated with better longterm sensory outcome 31 Another retrospective study with longterm outcomes (10Simulated divergence excess and basic deviations should be treated with a recess/resect procedure
Aim To investigate the relationship between myopic progression and intermittent exotropia, and the impact of surgery for exotropia on myopic progression in early schoolaged children (from 7 years to 12 years of age) Methods Medical records of early schoolaged patients with myopia were reviewed Patients were divided into three groups; Using older measurement techniques, some authors have reported an improvement in distance stereoacuity following surgery for intermittent exotropia3, 4, 5 Distance stereoacuity, in these studies, was measured using the Baylor Visual Acuity Tester (BVAT) and Binocular Visual System (Mentor, Norwell, MA), equipment that is no longer widely availableWhat is intermittent exotropia?
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Intermittent exotropia is a very common type of eye misalignment One or both eyes turn out toward the ear occasionally Only one eye turns out at a time while the other eye points straight forward Cause of intermittent exotropia The cause of this condition is not known Most experts believe that the brain of affected patients has troubleWhat is intermittent exotropia? Background Classic teaching suggests that surgery for intermittent exotropia should be based on distance/near differences Divergence excess, according to tradition, should be treated with symmetric lateral rectus recessions;
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Surgical realignment of the eye muscles will ultimately be necessary in over 90% of patients with intermittent exotropia Click the following links for additional information Exotropia Strabismus Surgery AnesthesiaExotropia is a type of strabismus (misaligned eyes) in which one or both of the eyes turn outward The condition can begin as early as the first few months of life or any time during childhood Exotropia often begins as an intermittent problem, noticed only when the child is tired, sick, just waking up, excited, or stressed Strabismus (eye muscle) surgery can be performed as well Although surgery may provide immediate cosmetic improvement, it may not improve depth perception Below is a summary on the strabismus surgical outcomes for those with intermittent exotropia
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We compare the surgical outcomes of intermittent exotropia of the basic, pseudodivergence excess (pseudoDE) and true divergence excess (true DE) types A study was performed with 342 patients who had undergone surgery for intermittent exotropia of the basic, pseudoDE or true DE type with a postoperative followup period of 6 months or moreIntermittent esotropia eye turns inward but not all the time Surgery may be an option for severe cases However, this treatment plan is mostly used for infants Exotropia is the oppositeThe treatment of intermittent exotropia is challenging In fact, there is a compromise between the sensory sequelae of a late surgery, the difficulty of the motor preoperative assessment, and the poor predictability of surgical results
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Surgery should be used as a last resort, only when the eye turn is significant, as in cases of large angle intermittent exotropia, and only after inoffice vision therapy not been as successful as expected In those cases, surgery will probably only yield cosmetic benefits Can intermittent strabismus be a symptom of another vision condition?The control group underwent surgery for the initial angleBackground To analyse the incidence and factors associated with the onset of consecutive esotropia after surgery for intermittent exotropia, and to investigate its clinical course Methods We retrospectively reviewed the medical records of 526 patients who had undergone exotropia surgery We evaluated the risk factors for consecutive esotropia, defined as esodeviation ≥ 10
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Treatment for exotropia depends on how often you have symptoms and on how severe they are Prism in your glasses may be prescribed to help with double vision Eye muscle surgery is also an option, especially if your exotropia is Kellogg Eye Center Exotropia 2!!Intermittent exotropia (X(T)) is one of the most common form of strabismus with surgery being the mainstay of treatment The main goal of surgery is to preserve binocular vision and stereopsis and to prevent its further loss The decision to operate is mainly based on four aspects increasing angle of exodeviation, deteriorating Keywords Metaanalysis, intermittent exotropia, surgery, timing INTRODUCTION Intermittent exotropia (IXT) is a common form of childhood exotropia, which accounts for ∼50%90% of all exotropia cases and affects ∼1% of the general population1–3
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Constant or is causing double vision If your exotropia has been present since intermittent exotropia surgery include age at onset, the timing of surgery, preoperative angle of deviation, A and V pattern, and amblyopia However, noUndergone intermittent exotropia surgery and had had at least 2 years of followup Surgical outcomes were grouped, according to the angle of deviation at postoperative 2 years, as success (esophoria/tropia ≤ 5 prism dioptres (PD) to exophoria/tropia ≤ 10PD), recurrence (exotropia > 10PD or reoperation within
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Methods A prospective, clinical trial was conducted of patients with intermittent exotropia in whom the angle of misalignment in the distance increased after 1 hour of monocular occlusion or while the patients fixated on an outdoor target The study group underwent surgery for the largest deviation measured; Intermittent exotropia (X (T)) is one of the most common form of strabismus with surgery being the mainstay of treatment The main goal of surgery is to preserve binocular vision and stereopsis and to prevent its further loss The decision to operate is mainly based on four aspects increasing angle of exodeviation, deteriorating control of X (T), The present study sought to investigate the efficiency and safety of slanted bilateral lateral rectus recession for the treatment of convergence insufficiencytype intermittent exotropia This retrospective study included 34 patients who underwent slanted bilateral lateral rectus recession for convergence insufficiencytype intermittent exotropia in Shandong
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Goal of Surgery The goal of strabismus surgery for intermittent exotropia is to restore alignment and to preserve or restore binocular function It is believed that longterm success requires deliberate shortterm overcorrection, since eyes tend to drift out over time The effects of strabismus surgery on QOL, however, has not been well studied except for a few studies conducted in adults 10,11,12 and children 13, 14 There is a particular paucity of data regarding the influence of strabismus surgery for intermittent exotropia (IXT) onThe surgery in patients with intermittent exotropia should be planned based on the maximum deviation documented consistently for the patient Complications The complications associated with surgical correction are similar as related to any squint surgery
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The goal of surgery in intermittent exotropia is to preserve binocularity and stereopsis (depth perception) Surgery should be contemplated when (1) the angle of deviation is increasing, (2) there is deterioration in control (increase in frequency of manifest exotropia), (3) there is decrease in stereopsis (depthperception) for distance and near, and (4) there is an Intermittent distance exotropia (X(T)) is a form of childhood squint (strabismus) with an estimated prevalence of 1 % in children under 11 years The strabismus is exacerbated when the child focuses on distant objects, is tired or daydreaming, and may be accompanied by monocular eyelid closure in bright sunlight Intermittent exotropia is the most common form of exodeviation in childhood 1, 2, and often requires surgical intervention Surgery is considered when there is a progressively increasing angle of
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24 Maruo T, Kubota N, Sakaue T, Usui C Intermittent exotropia surgery in children Long term outcome regarding changes in binocular alignment A study ofDownload PDF Surgical correction of intermittent exotropia is a breadandbutter procedure for many pediatric ophthalmologists But a recent study in the British Journal of Ophthalmology (BJO) 1 and an accompanying editorial 2 call into question the notion that intermittent exotropia is straightforward or fully understood These articles challenge some of the dogma that has guidedIntermittent exotropia (X (T)), the most common form of divergent strabismus, is seen in 60–70% of normal infants, is transient, and usually resolves in the first few months of life as the attention required to maintain binocularity improves 1 Small exophorias are found in
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Vision loss Untreated exotropia can give rise to blurred vision and further increase the risk of permanent loss of vision Constant Exotropia Untreated intermittent Exotropia can change into permanent Exotropia which finally results in vision loss Other complications There is possibility of complications after surgery as well Sometimes, Exotropia is not completelyIntermittent exotropia This is the most common form of exotropia The surgery is done under general anesthesia for a child and with a local numbing
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