ArticleBMC research notes2013
Outcome of unilateral lateral rectus recession and medial rectus resection in primary exotropia.
Article in BMC research notes, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
16 citing papers in PubMed, 31 citations in OpenAlex.
- Risk Factors of Residual Exotropia After Surgery in Patients with Intermittent and Sensory Exotropia: A Systematic Review and Meta-Analysis.Clinical ophthalmology (Auckland, N.Z.) · 2026Review
- Nuances in visual rehabilitation after pituitary surgery.Neuro-oncology advances · 2025Article
- Bilateral lateral rectus muscle recession versus unilateral lateral rectus recession with medial rectus resection: a 12-month outcome analysis for intermittent exotropia.Frontiers in ophthalmology · 2025Article
- Augmented lateral rectus muscle recession for treatment of infantile exotropia.International ophthalmology · 2022Article
- Extraocular muscle resection, recession length and surgery outcome modelling in strabismus treatment: a pilot study.BMJ open ophthalmology · 2021Article
- Article
- Relation between early postoperative deviation and long-term outcome after unilateral lateral rectus recession and medial rectus resection for adult exotropia.International journal of ophthalmology · 2018Article
- Comparison of Long-term Surgical Outcomes of Two-muscle Surgery in Basic-type Intermittent Exotropia: Bilateral versus Unilateral.Korean journal of ophthalmology : KJO · 2017Article
- Clinical Characteristics and Surgical Outcomes in Patients With Intermittent Exotropia: A Large Sample Study in South China.Medicine · 2016Observational
- Observational
- Article
- Intermittent exotropia: Surgical treatment strategies.Indian journal of ophthalmology · 2015Review
- Long-term postoperative outcomes of bilateral lateral rectus recession vs unilateral recession-resection for intermittent exotropia.International journal of ophthalmology · 2014Article
- Preoperative factors associated with multiple strabismus surgeries in basic exotropia.Therapeutic advances in ophthalmologyArticle
- Supramaximal Recession and Resection Surgery in Large-Angle Strabismus: Outcomes of Large Interventional Case Series Exotropia and Esotropia.Journal of current ophthalmologyArticle
- Indications and results of exotropia surgical management.La Tunisie medicaleArticle
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe purpose of this study was to measure the success rate of unilateral lateral rectus recession and medial rectus resection in primary exotropia.
methodsThis is an interventional case series of 55 patients with primary exotropia (degree of deviation 15-85 PD), above the age of 5 years. Patients were treated in the Department of Ophthalmology, Jinnah Postgraduate Medical Center, Karachi, Pakistan, during the period of July 2009 to March 2010. All the patients underwent surgical procedure i.e., lateral rectus muscle recession (maximum up to 10 mm) and medial rectus muscle resection (up to 6 mm) of one eye, according to the Park's method. Surgery was done based on prism cover test measurements obtained at 6 m with appropriate optical correction in place. Patients were re evaluated at one day, one month, two months and six months post operatively. Final outcome was considered at the end of six months at which achievement of ≤10 PD of exotropia was the success. Data was analyzed on SPSS version 17.0.
resultsWe obtained success (≤10 PD) in 42 out of 55 patients (76.4%) and 13 out of 55 patients (23.6%) did not meet our criteria for surgical success (>10 PD). Analysis of success with the type of primary exotropia showed that success was achieved in 22 out of 24 cases of intermittent type (91.6%) and 20 out of 31 cases of constant type (64.5%)(P Value 0.019). The highest percentage of success was achieved in patients with the pre-operative deviation of ≤70 PD i.e., 93.3% (42 out of 45 cases), while none of the patients with the pre-operative deviation of >70 PD (10 out of 10 cases) achieved the criteria for success.
conclusionWe conclude that pre-operative deviation is one of the strongest predictor for favorable surgical outcome. Therefore, eliminating the factors causing error in the correct determination of pre-operative deviation should improve the success and predictability of the surgical outcome. Despite the obstacles in the surgical management of strabismus, our results are encouraging.
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