Journal of American Association for Pediatric Ophthalmology and Strabismus
Surgical management of intermittent exotropia with high AC/A ratio☆
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Cited by (26)
Outcomes of intermittent exotropia surgery
2021, Journal Francais d'OphtalmologieCitation Excerpt :In fact, bilateral LRM recession has been reported to give better long-term outcomes than LRM recession with MRM resection with success rates close to 80% without any significant increase in overcorrection [18]. In case of high AC/A ratio, a faden procedure for MRM could be added to prevent postoperative overcorrection for near [19]. For the convergence insufficiency type, we performed a unilateral surgery of LRM recession with MRM plication, similar to the Kraft technique [20], which was more efficient than other procedures [21].
LACTOSE control scoring helps predict surgical outcomes for childhood intermittent exotropia
2019, Canadian Journal of OphthalmologyCitation Excerpt :However, despite this low rate, the number of patients who had 12-month follow-up was 169, which seemed to be enough to approve the significance of correlation between LACTOSE score and surgical outcome. Finally, we did not formally measure the ratio of accommodative convergence to accommodation in most of our patients, while this ratio could affect surgical outcome, especially at near.18 However, as mentioned above, only a third of failure group was overcorrection.
Intermittent exotropia
2019, Journal Francais d'OphtalmologieIntermittent exotropia
2016, Taylor and Hoyt's Pediatric Ophthalmology and Strabismus, Fifth EditionBilateral lateral rectus muscle recession with medial rectus pulley fixation for divergence excess intermittent exotropia with high AC/A ratio
2013, Journal of AAPOSCitation Excerpt :Rarely, intermittent exotropia can coexist with a high AC/A ratio, which does not change near deviation on the patch test, but after occlusion near deviation increases significantly when measured with +3.00 D lenses. This finding suggests that patients with a high AC/A ratio will be at high risk for postoperative esotropia at near fixation if the lateral rectus muscles are recessed adequately to correct the distance deviation, and subsequent bifocal treatment or further surgery may be necessary to correct consecutive esotropia at near.3,4 Brodsky and Fray4 have demonstrated successful correction in patients with divergence excess intermittent exotropia and a high AC/A ratio; posterior scleral fixation of the medial rectus muscle at the time of lateral rectus recession corrects the distance deviation and minimizes the risk of postoperative esotropia at near fixation.
Intermittent exotropia
2012, Pediatric Ophthalmology and Strabismus: Expert Consult - Online and Print
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Supported in part by a grant from Research to Prevent Blindness, Inc.