Sunday, May 19, 2013

Outcomes of surgery in children with early-onset exotropia

Outcomes of surgery in children with early-onset exotropia

.....[this study's purpose was to]....evaluate the clinical characteristics and surgical outcomes of early-onset exotropia and to compare differences between constant and intermittent exotropia......The mean age of onset of exodeviation in 45 patients was 9.3±3.8 months. Mean age at surgery was 4.5±2.4 years, and the mean postoperative follow-up period was 17.3 months .... 23% showed non-alignment of more than±10 prism diopters (PD).....bifixation developed in 10 patients (29%). .....

Comments: Once again post strabismus surgical outcomes show a high percentage of children with poor outcomes. Please note that this study put a positive spin on its outcomes ....but no matter how you tell the story of strabismus surgery, it always has up to 1/3 not being helped. Use caution when recommending surgery, especially if you do not do vision therapy first. DM

1 comment:

  1. I'll bet that more than 29% bi-fixated pre-surgery :)


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