What question did this study set out to answer?

To assess the cosmetic success and postoperative incomitance associated with limiting surgery for large angle exotropia to a single, two-muscle procedure.

November 1, 1980Journal of Pediatric Ophthalmology & Strabismus

Surgery of Large Angle Exotropia

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Authors

RSRay Schwartz JCJoseph H. Calhoun

Discussion

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Overview

Surgical case series reveals high cosmetic alignment after two-muscle surgery in large angle exotropia, indicating that limiting correction to two muscles reduces surgical morbidity.

Key Points

To assess the cosmetic success and postoperative incomitance associated with limiting surgery for large angle exotropia to a single, two-muscle procedure.
Reviewed outcomes in 22 patients undergoing lateral rectus recessions ranging from 8 to 14 millimeters.
Identified 8 patients who underwent unilateral recession-resection procedures, restricting intervention to two horizontal muscles.
Overall cosmetic success (within plus or minus 15 diopters of orthophoria) was achieved in 77% of patients.
Surgically created incomitance ranged from 3 mm to 6 mm, correlated poorly with the surgical amount performed, and caused no cosmetic or symptomatic complaints.

Cite This Study

Schwartz et al. (1980) studied this question.

synapsesocial.com/papers/6a822eacf62b5cfb5ab4aaa4 https://doi.org/10.3928/0191-3913-19801101-03

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November 1, 1980Journal of Pediatric Ophthalmology & Strabismus

Surgery of Large Angle Exotropia

View Full Paper

Ask AI

Bookmark

Authors

RSRay Schwartz JCJoseph H. Calhoun

Discussion

Member takes

Overview

Surgical case series reveals high cosmetic alignment after two-muscle surgery in large angle exotropia, indicating that limiting correction to two muscles reduces surgical morbidity.

Key Points

To assess the cosmetic success and postoperative incomitance associated with limiting surgery for large angle exotropia to a single, two-muscle procedure.
Reviewed outcomes in 22 patients undergoing lateral rectus recessions ranging from 8 to 14 millimeters.
Identified 8 patients who underwent unilateral recession-resection procedures, restricting intervention to two horizontal muscles.
Overall cosmetic success (within plus or minus 15 diopters of orthophoria) was achieved in 77% of patients.
Surgically created incomitance ranged from 3 mm to 6 mm, correlated poorly with the surgical amount performed, and caused no cosmetic or symptomatic complaints.

Cite This Study

Schwartz et al. (1980) studied this question.

synapsesocial.com/papers/6a822eacf62b5cfb5ab4aaa4 https://doi.org/10.3928/0191-3913-19801101-03

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