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Risk factors associated with poor outcome after medial rectus resection for recurrent intermittent exotropia

DC FieldValueLanguage
dc.contributor.author한승한-
dc.contributor.author한진우-
dc.contributor.author한진우-
dc.date.accessioned2020-04-13T17:00:36Z-
dc.date.available2020-04-13T17:00:36Z-
dc.date.issued2020-
dc.identifier.issn0721-832X-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/175614-
dc.description.abstractPURPOSE: 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.statementOfResponsibilityrestriction-
dc.languageEnglish, German-
dc.publisherSpringer-Verlag-
dc.relation.isPartOfGRAEFES ARCHIVE FOR CLINICAL AND EXPERIMENTAL OPHTHALMOLOGY-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.titleRisk factors associated with poor outcome after medial rectus resection for recurrent intermittent exotropia-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Ophthalmology (안과학교실)-
dc.contributor.googleauthorJihei Sara Lee-
dc.contributor.googleauthorJinu Han-
dc.contributor.googleauthorSueng-Han Han-
dc.identifier.doi10.1007/s00417-019-04510-z-
dc.contributor.localIdA04303-
dc.contributor.localIdA04329-
dc.contributor.localIdA04329-
dc.contributor.localIdA04329-
dc.contributor.localIdA04329-
dc.relation.journalcodeJ00951-
dc.identifier.eissn1435-702X-
dc.identifier.pmid31741045-
dc.identifier.urlhttps://link.springer.com/article/10.1007/s00417-019-04510-z-
dc.subject.keywordBLR recession-
dc.subject.keywordIntermittent exotropia-
dc.subject.keywordRecurrence-
dc.subject.keywordUnilateral MR resection-
dc.contributor.alternativeNameHan, Seung Han-
dc.contributor.affiliatedAuthor한승한-
dc.contributor.affiliatedAuthor한진우-
dc.contributor.affiliatedAuthor한진우-
dc.contributor.affiliatedAuthor한진우-
dc.contributor.affiliatedAuthor한진우-
dc.citation.volume258-
dc.citation.number2-
dc.citation.startPage445-
dc.citation.endPage450-
dc.identifier.bibliographicCitationGRAEFES ARCHIVE FOR CLINICAL AND EXPERIMENTAL OPHTHALMOLOGY, Vol.258(2) : 445-450, 2020-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Ophthalmology (안과학교실) > 1. Journal Papers

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