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Ocular alignment after bilateral lateral rectus recession in exotropic children with cerebral palsy

Authors
 So Young Han  ;  Jinu Han  ;  Sueng-Han Han  ;  Jong Bok Lee  ;  Soolienah Rhiu 
Citation
 British Journal of Ophthalmology, Vol.99(6) : 757-761, 2015 
Journal Title
 British Journal of Ophthalmology 
ISSN
 0007-1161 
Issue Date
2015
MeSH
Cerebral Palsy/complications* ; Child ; Exotropia/complications ; Exotropia/physiopathology ; Exotropia/surgery* ; Female ; Follow-Up Studies ; Humans ; Male ; Oculomotor Muscles/physiopathology ; Oculomotor Muscles/surgery* ; Ophthalmologic Surgical Procedures* ; Refraction, Ocular/physiology ; Reoperation ; Retrospective Studies ; Vision, Binocular/physiology* ; Visual Acuity/physiology
Abstract
AIMS: To compare the surgical outcomes of exotropia patients with cerebral palsy (CP) and controls without CP. METHODS: 30 patients with exotropia and CP and 60 age-matched controls without CP who underwent bilateral lateral rectus (BLR) recession were retrospectively enrolled. All patients underwent BLR recession according to Parks' method. Surgical success was defined by esotropia deviation ≤5 PD (prism diopters) and exotropia deviation ≤10 PD. Success rate, cumulative probabilities of success, and postoperative change of angle deviations using a linear mixed model were evaluated. RESULTS: Mean postoperative follow-up times were 21.60±8.62 months for the CP group and 25.60±10.82 months for the control group (p=0.081). Mean preoperative deviation was 30.97±10.54 PD in the CP group and 29.75±7.52 PD in the control group (p=0.530), which was reduced to 4.44±7.13 PD and 7.43±7.59 PD, respectively (p=0.093) after BLR recession. Using linear mixed model analysis, the estimated mean postoperative deviation of both groups was in the success range at all times tested. At the final visit, successful surgical outcomes were achieved in 76.7% of the CP group and 56.7% of the control group (p=0.179). Differences in the cumulative probability of surgical success were not statistically significant between the two groups (p=0.106, log rank test). CONCLUSIONS: CP patients with exotropia showed successful ocular alignment comparable to that of controls after BLR recession of at least 2 years.
Full Text
http://bjo.bmj.com/content/99/6/757.long
DOI
10.1136/bjophthalmol-2014-305758
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Ophthalmology (안과학교실) > 1. Journal Papers
Yonsei Authors
Lee, Jong Bok(이종복)
Han, So Young(한소영)
Han, Seung Han(한승한) ORCID logo https://orcid.org/0000-0001-8972-4790
Han, Jinu(한진우) ORCID logo https://orcid.org/0000-0002-8607-6625
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/141291
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