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Characteristics of Patients Who Are Not Responsive to Alternate Patching for Overcorrected Intermittent Exotropia
PURPOSE: To compare the characteristics of patients with surgically overcorrected intermittent exotropia treated with alternate patching. METHODS: The medical records of 51 patients who underwent bilateral lateral rectus muscle recession for intermittent exotropia and required alternate patching to...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The Korean Ophthalmological Society
2018
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6085190/ https://www.ncbi.nlm.nih.gov/pubmed/30091311 http://dx.doi.org/10.3341/kjo.2017.0086 |
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author | Kim, Jung Yup Kim, Hae Rang Lee, Soo Jung |
author_facet | Kim, Jung Yup Kim, Hae Rang Lee, Soo Jung |
author_sort | Kim, Jung Yup |
collection | PubMed |
description | PURPOSE: To compare the characteristics of patients with surgically overcorrected intermittent exotropia treated with alternate patching. METHODS: The medical records of 51 patients who underwent bilateral lateral rectus muscle recession for intermittent exotropia and required alternate patching to correct postoperative overcorrection were retrospectively reviewed. Patients with postoperative esodeviation ≥18 prism diopters (PD) were started on alternate patching on postoperative day 1, whereas those with postoperative esodeviation of 10 to 17 PD were started after 2 weeks. Postoperative esodeviation <10 PD was considered as slight intentional overcorrection after exotropia surgery. Patients not responsive to alternate patching treatment were defined as those with postoperative esodeviation ≥10 PD after 3 months of treatment. Sex, family history, age, refractive error, amblyopia, stereopsis, suppression, type of exotropia, surgical method, preoperative and postoperative angle of deviation, and start time of alternate patching were compared. RESULTS: Among 51 patients, 29 patients responded to alternate patching and 22 patients did not respond. Female sex (p = 0.04), larger preoperative exodeviation at distance (p = 0.04), late onset of postoperative maximal esodeviation (p < 0.01), larger postoperative maximal esodeviation at near (p = 0.02), and late initiation of alternate patching (p = 0.01) were associated with patients in the non-responsive group. Although postoperative angle of deviation was similar for 2 weeks, the angle of postoperative esodeviation was significantly larger in the non-responsive group than in the responsive group, beginning at 1 month postoperatively. CONCLUSIONS: Female sex, large preoperative exodeviation, late initiation of alternate patching, and large esodeviation 1-month postoperative predisposed patients to be resistant to alternate patching for postoperative overcorrection. |
format | Online Article Text |
id | pubmed-6085190 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | The Korean Ophthalmological Society |
record_format | MEDLINE/PubMed |
spelling | pubmed-60851902018-08-14 Characteristics of Patients Who Are Not Responsive to Alternate Patching for Overcorrected Intermittent Exotropia Kim, Jung Yup Kim, Hae Rang Lee, Soo Jung Korean J Ophthalmol Original Article PURPOSE: To compare the characteristics of patients with surgically overcorrected intermittent exotropia treated with alternate patching. METHODS: The medical records of 51 patients who underwent bilateral lateral rectus muscle recession for intermittent exotropia and required alternate patching to correct postoperative overcorrection were retrospectively reviewed. Patients with postoperative esodeviation ≥18 prism diopters (PD) were started on alternate patching on postoperative day 1, whereas those with postoperative esodeviation of 10 to 17 PD were started after 2 weeks. Postoperative esodeviation <10 PD was considered as slight intentional overcorrection after exotropia surgery. Patients not responsive to alternate patching treatment were defined as those with postoperative esodeviation ≥10 PD after 3 months of treatment. Sex, family history, age, refractive error, amblyopia, stereopsis, suppression, type of exotropia, surgical method, preoperative and postoperative angle of deviation, and start time of alternate patching were compared. RESULTS: Among 51 patients, 29 patients responded to alternate patching and 22 patients did not respond. Female sex (p = 0.04), larger preoperative exodeviation at distance (p = 0.04), late onset of postoperative maximal esodeviation (p < 0.01), larger postoperative maximal esodeviation at near (p = 0.02), and late initiation of alternate patching (p = 0.01) were associated with patients in the non-responsive group. Although postoperative angle of deviation was similar for 2 weeks, the angle of postoperative esodeviation was significantly larger in the non-responsive group than in the responsive group, beginning at 1 month postoperatively. CONCLUSIONS: Female sex, large preoperative exodeviation, late initiation of alternate patching, and large esodeviation 1-month postoperative predisposed patients to be resistant to alternate patching for postoperative overcorrection. The Korean Ophthalmological Society 2018-08 2018-07-23 /pmc/articles/PMC6085190/ /pubmed/30091311 http://dx.doi.org/10.3341/kjo.2017.0086 Text en © 2018 The Korean Ophthalmological Society http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Kim, Jung Yup Kim, Hae Rang Lee, Soo Jung Characteristics of Patients Who Are Not Responsive to Alternate Patching for Overcorrected Intermittent Exotropia |
title | Characteristics of Patients Who Are Not Responsive to Alternate Patching for Overcorrected Intermittent Exotropia |
title_full | Characteristics of Patients Who Are Not Responsive to Alternate Patching for Overcorrected Intermittent Exotropia |
title_fullStr | Characteristics of Patients Who Are Not Responsive to Alternate Patching for Overcorrected Intermittent Exotropia |
title_full_unstemmed | Characteristics of Patients Who Are Not Responsive to Alternate Patching for Overcorrected Intermittent Exotropia |
title_short | Characteristics of Patients Who Are Not Responsive to Alternate Patching for Overcorrected Intermittent Exotropia |
title_sort | characteristics of patients who are not responsive to alternate patching for overcorrected intermittent exotropia |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6085190/ https://www.ncbi.nlm.nih.gov/pubmed/30091311 http://dx.doi.org/10.3341/kjo.2017.0086 |
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