Cited 2 times in
Risk factors associated with poor outcome after medial rectus resection for recurrent intermittent exotropia
DC Field | Value | Language |
---|---|---|
dc.contributor.author | 한승한 | - |
dc.contributor.author | 한진우 | - |
dc.date.accessioned | 2020-04-13T17:00:36Z | - |
dc.date.available | 2020-04-13T17:00:36Z | - |
dc.date.issued | 2020 | - |
dc.identifier.issn | 0721-832X | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/175614 | - |
dc.description.abstract | PURPOSE: To describe characteristics of recurrent intermittent exotropia after bilateral lateral rectus (BLR) recession, and identify factors associated with poor outcome after unilateral medial rectus (MR) resection for recurrent intermittent exotropia. METHODS: We retrospectively reviewed 124 patients who have undergone unilateral MR resection for recurrent intermittent exotropia after BLR recession. Patients were followed for at least 2 years after MR resection. Clinical characteristics and risk factors associated with poor outcome after unilateral MR resection were evaluated. Successful outcome was defined as distant deviation within the range of 4 prism diopters (PD) esotropia and 10 PD exotropia at last visit after MR resection. RESULTS: Among 124 patients, 50 patients (41.1%) were male, and the mean age at the time of MR resection was 9.5 ± 3.1 years. The average follow-up period after MR resection was 43.8 ± 23.7 months. Forty-seven patients (37.9%) were classified to have poor outcome at last visit, and 29 patients (23.4%) underwent third operation. None of the patients was overcorrected after MR resection. Multiple logistic regression analyses showed that distant deviation at post-operative 3 months and male gender were associated with poor outcome (OR 1.49; 95% CI 1.27-1.73; P < 0.001, and OR 5.19; 95% CI 1.42-18.98; P = 0.013, respectively). CONCLUSION: Ocular deviation at 3 months after unilateral MR resection for recurrent intermittent exotropia may play a valuable role in anticipating poor outcome. Patients whose exotropia exceeded 9 PD at distance at 3 months' follow-up tended to recur while those whose exotropia remained below 9 PD at distance showed a stable disease course. | - |
dc.description.statementOfResponsibility | restriction | - |
dc.language | English, German | - |
dc.publisher | Springer-Verlag | - |
dc.relation.isPartOf | GRAEFES ARCHIVE FOR CLINICAL AND EXPERIMENTAL OPHTHALMOLOGY | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.title | Risk factors associated with poor outcome after medial rectus resection for recurrent intermittent exotropia | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Ophthalmology (안과학교실) | - |
dc.contributor.googleauthor | Jihei Sara Lee | - |
dc.contributor.googleauthor | Jinu Han | - |
dc.contributor.googleauthor | Sueng-Han Han | - |
dc.identifier.doi | 10.1007/s00417-019-04510-z | - |
dc.contributor.localId | A04303 | - |
dc.contributor.localId | A04329 | - |
dc.relation.journalcode | J00951 | - |
dc.identifier.eissn | 1435-702X | - |
dc.identifier.pmid | 31741045 | - |
dc.identifier.url | https://link.springer.com/article/10.1007/s00417-019-04510-z | - |
dc.subject.keyword | BLR recession | - |
dc.subject.keyword | Intermittent exotropia | - |
dc.subject.keyword | Recurrence | - |
dc.subject.keyword | Unilateral MR resection | - |
dc.contributor.alternativeName | Han, Seung Han | - |
dc.contributor.affiliatedAuthor | 한승한 | - |
dc.contributor.affiliatedAuthor | 한진우 | - |
dc.citation.volume | 258 | - |
dc.citation.number | 2 | - |
dc.citation.startPage | 445 | - |
dc.citation.endPage | 450 | - |
dc.identifier.bibliographicCitation | GRAEFES ARCHIVE FOR CLINICAL AND EXPERIMENTAL OPHTHALMOLOGY, Vol.258(2) : 445-450, 2020 | - |
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.