Management of large V-pattern exotropia with minimal or no inferior oblique overaction

Purpose To compare the outcomes of patients with large V-pattern exotropia and minimal inferior overaction who underwent bilateral lateral rectus recession combined with full-tendon-width upward transposition of the lateral rectus muscles or bilateral inferior oblique myectomy. Methods The medical r...

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Bibliographic Details
Published in:	Journal of AAPOS 2013-12, Vol.17 (6), p.588-593
Main Authors:	Awadein, Ahmed, MD, Fouad, Heba M., MD
Format:	Article
Language:	eng
Subjects:	Adolescent Child Exotropia - physiopathology Exotropia - surgery Eye Movements - physiology Female Follow-Up Studies Humans Male Oculomotor Muscles - surgery Ophthalmologic Surgical Procedures Ophthalmology Retrospective Studies Tendon Transfer Vision, Binocular - physiology
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Summary:	Purpose To compare the outcomes of patients with large V-pattern exotropia and minimal inferior overaction who underwent bilateral lateral rectus recession combined with full-tendon-width upward transposition of the lateral rectus muscles or bilateral inferior oblique myectomy. Methods The medical records of consecutive patients with V-pattern exotropia (at least 20Δ greater in upgaze than in downgaze) with minimal inferior oblique overaction who underwent either of the above procedures and who had at least 6 months' follow-up were retrospectively reviewed. Pre- and postoperative ductions, versions, pattern strabismus, stereoacuity and fundus torsion were analyzed. Success was defined as esophoria
ISSN:	1091-8531 1528-3933