Initial overcorrection after surgery for intermittent exotropia in children less than 4 years old: Comparison with older children.

<h4>Purpose</h4>While initial overcorrection after exotropia-correcting surgery is widely accepted for a favorable long-term outcome, some have not advocated such overcorrection in younger children owing to concerns regarding rapid deterioration of bifixation ability. This study aimed to...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Jinju Choi, Dong Gyu Choi
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/c9939ddf500c427997f9b2d9c1ed83d5
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:c9939ddf500c427997f9b2d9c1ed83d5
record_format	dspace
spelling	oai:doaj.org-article:c9939ddf500c427997f9b2d9c1ed83d52021-12-02T20:08:02ZInitial overcorrection after surgery for intermittent exotropia in children less than 4 years old: Comparison with older children.1932-620310.1371/journal.pone.0257465https://doaj.org/article/c9939ddf500c427997f9b2d9c1ed83d52021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0257465https://doaj.org/toc/1932-6203<h4>Purpose</h4>While initial overcorrection after exotropia-correcting surgery is widely accepted for a favorable long-term outcome, some have not advocated such overcorrection in younger children owing to concerns regarding rapid deterioration of bifixation ability. This study aimed to evaluate the relationship between initial overcorrection after intermittent exotropia surgery and the surgical outcome in patients aged <4 years.<h4>Methods</h4>In this retrospective study, 391 patients who had undergone surgery for intermittent exotropia were classified into two groups according to the age at surgery: <4 years old (group Y [young], 130 patients) and 4-16 years old (group O [old], 261). The patients were subdivided into three groups according to the angle of deviation at postoperative 1 week: esophoria-tropia (ET) ≥10 prism diopters (PD) (subgroup I), ET 1-9 PD (II), and orthotropia or exophoria-tropia (XT) (III). We compared the surgical outcomes between the two groups and among subgroups; then, we analyzed consecutive esotropia patients.<h4>Results</h4>The mean exodeviation was smaller in the order of subgroup I, II, and III at every postoperative visit (p<0.05) in group Y but showed no difference among subgroups after 2 years in group O. Consecutive esotropia occurred at 1 month, postoperatively, in 6.9% and 2.6% of the patients in groups Y and O (p = 0.133), respectively. However, it persisted in two and one patient in groups Y and O, respectively, until the last visit.<h4>Conclusion</h4>Early overcorrection after intermittent exotropia surgery was a safe and desirable result in terms of motor outcome in children aged under 4 years, as well as for children aged between 4-16 years.Jinju ChoiDong Gyu ChoiPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 9, p e0257465 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Jinju Choi Dong Gyu Choi Initial overcorrection after surgery for intermittent exotropia in children less than 4 years old: Comparison with older children.
description	<h4>Purpose</h4>While initial overcorrection after exotropia-correcting surgery is widely accepted for a favorable long-term outcome, some have not advocated such overcorrection in younger children owing to concerns regarding rapid deterioration of bifixation ability. This study aimed to evaluate the relationship between initial overcorrection after intermittent exotropia surgery and the surgical outcome in patients aged <4 years.<h4>Methods</h4>In this retrospective study, 391 patients who had undergone surgery for intermittent exotropia were classified into two groups according to the age at surgery: <4 years old (group Y [young], 130 patients) and 4-16 years old (group O [old], 261). The patients were subdivided into three groups according to the angle of deviation at postoperative 1 week: esophoria-tropia (ET) ≥10 prism diopters (PD) (subgroup I), ET 1-9 PD (II), and orthotropia or exophoria-tropia (XT) (III). We compared the surgical outcomes between the two groups and among subgroups; then, we analyzed consecutive esotropia patients.<h4>Results</h4>The mean exodeviation was smaller in the order of subgroup I, II, and III at every postoperative visit (p<0.05) in group Y but showed no difference among subgroups after 2 years in group O. Consecutive esotropia occurred at 1 month, postoperatively, in 6.9% and 2.6% of the patients in groups Y and O (p = 0.133), respectively. However, it persisted in two and one patient in groups Y and O, respectively, until the last visit.<h4>Conclusion</h4>Early overcorrection after intermittent exotropia surgery was a safe and desirable result in terms of motor outcome in children aged under 4 years, as well as for children aged between 4-16 years.
format	article
author	Jinju Choi Dong Gyu Choi
author_facet	Jinju Choi Dong Gyu Choi
author_sort	Jinju Choi
title	Initial overcorrection after surgery for intermittent exotropia in children less than 4 years old: Comparison with older children.
title_short	Initial overcorrection after surgery for intermittent exotropia in children less than 4 years old: Comparison with older children.
title_full	Initial overcorrection after surgery for intermittent exotropia in children less than 4 years old: Comparison with older children.
title_fullStr	Initial overcorrection after surgery for intermittent exotropia in children less than 4 years old: Comparison with older children.
title_full_unstemmed	Initial overcorrection after surgery for intermittent exotropia in children less than 4 years old: Comparison with older children.
title_sort	initial overcorrection after surgery for intermittent exotropia in children less than 4 years old: comparison with older children.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/c9939ddf500c427997f9b2d9c1ed83d5
work_keys_str_mv	AT jinjuchoi initialovercorrectionaftersurgeryforintermittentexotropiainchildrenlessthan4yearsoldcomparisonwitholderchildren AT donggyuchoi initialovercorrectionaftersurgeryforintermittentexotropiainchildrenlessthan4yearsoldcomparisonwitholderchildren
_version_	1718375266915450880

Initial overcorrection after surgery for intermittent exotropia in children less than 4 years old: Comparison with older children.

Ejemplares similares