How to Better Treat Patients with Intermittent Exotropia: A Review of Surgical Treatment of Intermittent Exotropia

• 영문명: How to Better Treat Patients with Intermittent Exotropia: A Review of Surgical Treatment of Intermittent Exotropia
• 발행기관: 대한안과학회
• 저자명: Jeong-Min Hwang
• 간행물 정보: 『The Korean Journal of Ophthalmology』Vol.36 No.6, 550~564쪽, 전체 15쪽
• 주제분류: 의약학 > 의학일반
• 파일형태: PDF
• 발행일자: 2022.12.31

영문 초록

Intermittent exotropia (X(T)) is the most common form of strabismus, especially in Asians. Treatment of X(T) includes occlusion, overminus lens, and surgery, of which, surgery is the mainstay of treatment. Commonly performed surgical procedures for X(T) are bilateral lateral rectus muscle recession or unilateral lateral rectus recession with medial rectus resection; however, it is unclear which of the two surgeries is more effective. The purpose of this review is to provide an insight on the surgical treatment of X(T). Randomized controlled trials, comparative observational studies, and case series with a large number of patients as well as a long follow-up period of over a year were included.

목차

Introduction

Determination of Target Angles for Surgery

Classification of X(T) Based on Near-Distance Difference

Surgical Treatment in Basic Type X(T)

Surgical Treatment in Divergence Excess and Simulated Divergence Excess Type X(T)

Surgical Treatment in Convergence Insufficiency Type X(T)

Surgical Treatment in X(T) with High AC/A Ratio

Surgical Treatment of X(T) with Dissociated Horizontal Deviation

Surgical Treatment of X(T) with All Oblique Muscle Overaction

Surgical Treatment in Small-Angle X(T)

Surgical Outcomes of Augmented Surgeries

Factors Affecting Surgical Outcomes

Management of Postoperative Strabismus

Conclusion

References

키워드

Bilateral lateral rectus muscle recession Exotropia Medial rectus resection Surgery Unilateral lateral rectus recession