ArticlePloS one2025
Early postoperative alignment and preoperative stereopsis as determinants of success in intermittent exotropia surgery.
Article in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.
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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
4 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Pooled it
- Long-Term Outcomes of Intermittent Exotropia: A Real-World Longitudinal Cohort Study of 415 Patients.Medicina (Kaunas, Lithuania) · 2026Article
- Effects of Home-Based Antisuppression and Binocular Integration Training in Patients with Intermittent Exotropia: A Retrospective Study.Clinical ophthalmology (Auckland, N.Z.) · 2026Article
- Article
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
To assess the surgical outcomes of patients with intermittent exotropia (IXT) and identify factors influencing surgical success in a tertiary hospital setting. This retrospective study included 150 patients who underwent surgical correction for IXT of less than 50 prism diopters between 2013 and 2024. Stereopsis was evaluated using the Randot stereo test. Surgical success was defined as residual exotropia <10 prism diopters without diplopia symptoms. Preoperative variables were analyzed to determine predictors of surgical success. Surgical success was achieved in 74% (111/150) of patients. The sensory status at one year was 83.46% (111/133). The procedures performed were bilateral lateral rectus recession (56%) and unilateral recess-resection (44%). Preoperative stereopsis and postoperative overcorrection at one week were significantly associated with successful outcomes, with adjusted odds ratios of 2.81 (95% CI, 1.14-6.93) and 4.56 (95% CI, 1.60-12.96), respectively. Reoperations were required in 7.3% (11/150) of cases. Favorable ocular alignment was sustained postoperatively during the first six months but gradually declined over time. Surgical management of IXT demonstrated good motor outcomes, with preoperative stereopsis and postoperative at 1 week overcorrection identified as key factors for success. Further prospective studies are warranted to validate these findings and explore additional predictive factors.
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