Clipboard, Search History, and several other advanced features are temporarily unavailable. Send thanks to the doctor. The proportion of consecutive exotropias immediately caused by the surgery is small hopefully. Results: Table 1.
"Sensory exotropia" occurs in the presence of poor vision. Clinical and surgical risk factors for consecutive exotropia. Epub 2018 Oct 17. Graefes Arch Clin Exp Ophthalmol. 2013 Sep-Oct;50(5):268-73. doi: 10.3928/01913913-20130430-01. A post-operative deficit of adduction is reported by several authors as a predictive factor for consecutive exotropia.10,11,13,18 A significant limitation of adduction could be associated with an abnormal insertion of the medial rectus yielding to weakening of the duction forces. The early onset of ocular misalignment is related to a deep abnormality of the binocular vision, which leads to poorer stability of surgical outcome and higher incidence of relapses, either recurrence or consecutive deviations.14,15 The early-onset strabismus may also be associated with dissociated vertical deviations as well as dissociated horizontal deviations (DHD). A DHD is suspected if the angle of deviation changes with alternation of fixation from one eye to another.17. The aim of this study was to identify the risk factors for consecutive exotropia in the aftermath of surgical treatment of esotropia.

Binocul Vis Strabismus Q. Using linear mixed model analysis, the exotropic shift across time was higher in the consecutive exotropia group relative to the controls (P < 0.001).
In almost half of our cohort, the patients experienced a consecutive vertical deviation along with their consecutive exotropia.

Factors predisposing to consecutive esotropia after surgery to correct intermittent exotropia. Find out about Lean Library here, If you have access to journal via a society or associations, read the instructions below. This consists of visual exercises. Keywords: But if there is no useful vision in it, there is nothing to keep it straight over time.

With the software Ophtalmo Query (Corilus Sante, Belgium), the patients examined at the occasion of a strabismus follow-up or referred to our strabismus consultation were identified with the key word ‘consecutive exotropia’. Epub 2012 Mar 28. NIH Because of the risks of surgery, and because about 35% of people require at least one more surgery, many people try vision therapy first.

Exotropia refers to an outward deviation of the eyes. The postoperative changes of angle of deviation were calculated. Ganesh et al investigated consecutive exotropia after surgery for infantile esotropia, added multiple surgeries to the aforementioned risk factors and found that age at onset, age at surgery and the amount of surgery were not related significantly to the risk of consecutive exodeviation. NLM

With logistic regression analysis, the odds ratio of DVD was 5.27 (95 % CI 1.63-17.03; P = 0.006) and of amblyopia, 8.00 (95 % CI 2.94-21.80; P < 0.001). Seventy-four patients, 24 males and 50 females, were included, of mean (range) age of 33 years (3–66). COVID-19 is an emerging, rapidly evolving situation. It is also indicated if a child has significant exotropia when reading or viewing near objects or if evidence shows that the eyes are losing their ability to work as a single unit (binocular vision). As the disorder progresses, the eyes start to turn out when looking at close objects as well as those in the distance. Binocul Vis Strabismus Q. Consecutive exotropia is one of the complications of esotropia surgery. Amblyopia and hyperopia were the most important risk factors of consecutive exotropia in our series. Dr. Tim Conrad answered. View or download all content the institution has subscribed to. 0. This is easier for the child and gives the eyes a better chance to work together. 1997 Sep-Oct;34(5):275-8 The patients who experienced a consecutive exotropia after esotropia surgery or after botulinum toxin chemodenervation, or spontaneously, were retrospectively included.

Most of the times, it occurs after surgical management of an esotropia but can rarely occur spontaneously or with optical correction.1,2 Its incidence is estimated to 4%–27%.3 The mechanisms underlying the consecutive exotropia are unknown.  |  Factors associated with atypical postoperative drift following surgery for consecutive exotropia. A 56-year-old member asked: What should I know about exotropia surgery? Strabismus surgery is sometimes recommended if the exotropia is present for more than half of each day or if the frequency is increasing over time. “The surgery rate of 17 percent was lower than what most of us think of as the number of kids who need surgery. Why am i having trouble reading after exotropia surgery? WHAT ARE THE SIGNS OF EXOTROPIA? There were no significant differences between the two groups with regards to the pre-operative deviation, follow up periods, degree of hyperopia, presence of anisometropia or inferior oblique overaction, and history of multiple surgery. When one or more of these muscles does not work properly, some form of strabismus may occur. When a child requires surgery, the procedure is usually performed before the child attains school age. Taylan Sekeroglu, H, Erkan Turan, K, Karakaya, J. 108 patients who underwent BMR recession for esotropia between November 1996 and July 2010 were enrolled. Declaration of conflicting interestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship and/or publication of this article.

To evaluate the risk factors in development of postoperative exotropia following bilateral medial rectus (BMR) recession for esotropia. 0 thank. Conclusions: Top answers from doctors based on your search: Connect by text or video with a U.S. board-certified doctor now — wait time is less than 1 minute! Visual disorder where eyes work independently, For the similar condition, where the eyes deviate inward (rather than outward), see. Outcomes of bilateral lateral rectus recession in treatment of recurrent exotropia after bilate... Postoperative Esotropia: Initial Overcorrection or Consecutive Esotropia?

It is perceived as a failure of the procedure to the patient and the surgeon, and most frequently requires an additional corrective surgery. Factors associated with atypical postoperative drift following surgery for consecutive exotropia. Although Exotropia commonly begins around age 2 to 4 years, it can appear at any age. Medicine (Baltimore).

Epub 2013 May 7. Exotropia is a type of strabimus or eye misalignment. Some of us advocate early surgery, whereas others advocate waiting as long as possible. The postoperative changes of angle of deviation were calculated. Statistical analyses were performed with use of Fisher’s exact test and Student’s test with significance threshold of 5%. This site needs JavaScript to work properly. HHS 2020 Sep 4;99(36):e21401. Exotropia is a form of strabismus where the eyes are deviated outward.

This is called amblyopia, or lazy eye, and results in a loss of binocular vision, impairing depth perception. 0 thank.

Epub 2018 Apr 18. One study has found that children with exotropia are three times more likely to develop a psychiatric disorder in comparison with the general population.[2][3][4]. -. In very mild cases, a chance exists that the exotropia will diminish with time. However, strabismus surgery is usually a safe and effective treatment. The email address and/or password entered does not match our records, please check and try again. Two peaks of incidence for consecutive exotropia appeared in our series: at 1–5 years and at more than 20 years (Figure 1). Age of onset of esotropia, refractive errors and prevalence of amblyopia in the patients of the cohort. The stereoscopic vision was absent in 19 of the 20 tested patients. Although glasses and/or patching therapy, exercises, or prisms may reduce or help control the outward-turning eye in some children, surgery is often required. If you have access to a journal via a society or association membership, please browse to your society journal, select an article to view, and follow the instructions in this box.

Instead of the eyes focusing together on the near object, one deviates outward.

The postoperative changes of angle of deviation were calculated. Outcome of a surgical treatment protocol for late consecutive exotropia following bilateral medial rectus recession for esotropia. 2012 Oct;250(10):1485-90. doi: 10.1007/s00417-012-1991-y. It can occur at any moment from 1 to more than 20 years after the initial surgery and seems hardly predictable.

Consecutive exotropia is a complication of the surgery of esotropia which might concern as many as one-fourth of our patients.

However, the lack of available data prevented us in analysing some potential risk factors, as the angle of esotropia deviation11 or a dissociated vertical deviation.7 In including any patient with consecutive exotropia, our cohort showed a high heterogeneity regarding the characteristics of the initial squint (different age of onset, age of surgery, sensory adaptation, stereopsis, etc.).

The amblyopia is the cause of poorer fusion forces and of an increased post-operative instability.

A common form of exotropia is known as "convergence insufficiency" that responds well to orthoptic vision therapy including exercises. Find NCBI SARS-CoV-2 literature, sequence, and clinical content: https://www.ncbi.nlm.nih.gov/sars-cov-2/.


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