Evidence map›Paper›PMID 35614414›Full record

ArticleBMC ophthalmology2022

Surgical outcomes of adjustment on recessed lateral rectus muscle versus resected medial rectus muscle for intermittent exotropia.

Donghun Lee, So Hyung Lee, Sook Young Kim

Abstract read
In one paragraph

Article in BMC ophthalmology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Donghun LeeDepartment of Ophthalmology, Daegu Catholic University School of Medicine, 33 Duryugonwon-ro 17 gil, Nam-gu, 42472, Daegu, Korea.
So Hyung LeeDepartment of Ophthalmology, Daegu Catholic University School of Medicine, 33 Duryugonwon-ro 17 gil, Nam-gu, 42472, Daegu, Korea.
Sook Young KimDepartment of Ophthalmology, Daegu Catholic University School of Medicine, 33 Duryugonwon-ro 17 gil, Nam-gu, 42472, Daegu, Korea. kimsy@cu.ac.kr.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo evaluate the effectiveness of resected muscle adjustment compared with the recessed muscle adjustment in patients with intermittent exotropia.

methodsThis retrospective clinical investigation analyzed the data of patients who underwent strabismus surgery with adjustment. Patients who were followed-up for at least one and half year after adjustment were enrolled. They were divided into two groups; patients who underwent adjustment on recessed lateral rectus muscle (LR-Adj group) and adjustment on resected medial rectus muscle (MR-Adj group). Postoperative changes were compared. Surgical success was defined as horizontal deviation < 5 prism diopters (PD) esodeviation and < 10 PD exodeviation on distance measurement at 1.5 years postoperatively.

resultsForty patients were included; LR-Adj group included 21 and MR-Adj group included 19 patients. The mean esodeviation at distance fixation immediately after adjustment was 8.1 ± 5.4 PD in the LR-Adj group and 8.4 ± 4.7 PD in the MR-Adj group (P = 0.843). Postoperative exodrift occurred in both groups, and amount of exodeviation after 1.5 year were not significantly different. For the comparison of the amount of exodrift at near measurement, the amount of exodrift within 1 month after surgery was smaller in the MR-Adj group than that in the LR-Adj group (P = 0.01). Surgical success rates were 81.0% in the LR-Adj group and 84.2% in the MR-Adj group (P = 0.559).

conclusionsThe smaller amount of exodrift in the MR-Adj group may mean that the positional stability of the resected muscle is favorable in the early post-adjustment period. However, there was no significant difference groups in the final exodeviation and surgical success rate between the groups. Resected muscle adjustment was as effective as the conventional recessed muscle adjustment.

Indexed as

EsotropiaExotropiaChronic DiseaseFollow-Up StudiesHumansOculomotor MusclesOphthalmologic Surgical ProceduresRetrospective StudiesTreatment OutcomeVision, BinocularAdjustable strabismus surgeryIntermittent exotropiaLateral rectus recessionRecess-resect

Identifiers

PMID35614414
PMCPMC9131625

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.