Clinical factors affecting the rate of exodrift after surgery in patients with basic intermittent exotropia

Abstract We investigated the period of postoperative exodrift during follow-up and clinical factors that affect the rate of exodrift after surgery in the patients with intermittent exotropia (IXT). A retrospective review of medical records of patients with exodrift who underwent bilateral rectus rec...

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Autores principales:	Seungheon Kim, Suk-Gyu Ha, Young-Woo Suh, Seung-Hyun Kim
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/abfa3a5a7d1447af9c9f1d69d1af8681
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spelling	oai:doaj.org-article:abfa3a5a7d1447af9c9f1d69d1af86812021-12-02T16:36:13ZClinical factors affecting the rate of exodrift after surgery in patients with basic intermittent exotropia10.1038/s41598-021-86004-92045-2322https://doaj.org/article/abfa3a5a7d1447af9c9f1d69d1af86812021-03-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-86004-9https://doaj.org/toc/2045-2322Abstract We investigated the period of postoperative exodrift during follow-up and clinical factors that affect the rate of exodrift after surgery in the patients with intermittent exotropia (IXT). A retrospective review of medical records of patients with exodrift who underwent bilateral rectus recession for IXT was performed. Exodrift was defined as angle of deviation greater than 10 prism diopters (PD) at distance and near. The median survival period of postoperative exodrift was analyzed using Kaplan Meier survival analysis. The patients were divided into two groups according to the median period of postoperative exodrift (early and late group). The weighted Cox’s proportional hazards regression analysis to investigate the risk factors that affect rate of postoperative exodrift was performed. A total of 108 patients was included. The preoperative angle of deviation at distance and near were 30.3 ± 7.2 PD and 29.5 ± 8.6 PD, respectively. The median survival period of postoperative exodrift was 24 months (range, 6–48 months).The angle of deviation at postoperative day 1 in early and late group were − 3.8 ± 5.5 PD (range, − 16–8 PD) and − 7.7 ± 4.6 PD (range, − 16–4 PD) (p < 0.01). Minus value means esodeviation. In regression analysis, the angle of deviation at postoperative day 1 was the significantly related with rate of exodrift (p < 0.01). The median period of exodrift after surgery was 24 months, angle of deviation at postoperative day 1 could affect the rate of exodrift in patients with IXT.Seungheon KimSuk-Gyu HaYoung-Woo SuhSeung-Hyun KimNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-5 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Seungheon Kim Suk-Gyu Ha Young-Woo Suh Seung-Hyun Kim Clinical factors affecting the rate of exodrift after surgery in patients with basic intermittent exotropia
description	Abstract We investigated the period of postoperative exodrift during follow-up and clinical factors that affect the rate of exodrift after surgery in the patients with intermittent exotropia (IXT). A retrospective review of medical records of patients with exodrift who underwent bilateral rectus recession for IXT was performed. Exodrift was defined as angle of deviation greater than 10 prism diopters (PD) at distance and near. The median survival period of postoperative exodrift was analyzed using Kaplan Meier survival analysis. The patients were divided into two groups according to the median period of postoperative exodrift (early and late group). The weighted Cox’s proportional hazards regression analysis to investigate the risk factors that affect rate of postoperative exodrift was performed. A total of 108 patients was included. The preoperative angle of deviation at distance and near were 30.3 ± 7.2 PD and 29.5 ± 8.6 PD, respectively. The median survival period of postoperative exodrift was 24 months (range, 6–48 months).The angle of deviation at postoperative day 1 in early and late group were − 3.8 ± 5.5 PD (range, − 16–8 PD) and − 7.7 ± 4.6 PD (range, − 16–4 PD) (p < 0.01). Minus value means esodeviation. In regression analysis, the angle of deviation at postoperative day 1 was the significantly related with rate of exodrift (p < 0.01). The median period of exodrift after surgery was 24 months, angle of deviation at postoperative day 1 could affect the rate of exodrift in patients with IXT.
format	article
author	Seungheon Kim Suk-Gyu Ha Young-Woo Suh Seung-Hyun Kim
author_facet	Seungheon Kim Suk-Gyu Ha Young-Woo Suh Seung-Hyun Kim
author_sort	Seungheon Kim
title	Clinical factors affecting the rate of exodrift after surgery in patients with basic intermittent exotropia
title_short	Clinical factors affecting the rate of exodrift after surgery in patients with basic intermittent exotropia
title_full	Clinical factors affecting the rate of exodrift after surgery in patients with basic intermittent exotropia
title_fullStr	Clinical factors affecting the rate of exodrift after surgery in patients with basic intermittent exotropia
title_full_unstemmed	Clinical factors affecting the rate of exodrift after surgery in patients with basic intermittent exotropia
title_sort	clinical factors affecting the rate of exodrift after surgery in patients with basic intermittent exotropia
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/abfa3a5a7d1447af9c9f1d69d1af8681
work_keys_str_mv	AT seungheonkim clinicalfactorsaffectingtherateofexodriftaftersurgeryinpatientswithbasicintermittentexotropia AT sukgyuha clinicalfactorsaffectingtherateofexodriftaftersurgeryinpatientswithbasicintermittentexotropia AT youngwoosuh clinicalfactorsaffectingtherateofexodriftaftersurgeryinpatientswithbasicintermittentexotropia AT seunghyunkim clinicalfactorsaffectingtherateofexodriftaftersurgeryinpatientswithbasicintermittentexotropia
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Clinical factors affecting the rate of exodrift after surgery in patients with basic intermittent exotropia

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