Surgical intervention in childhood intermittent exotropia: current practice and clinical outcomes from an observational cohort study
| العنوان: | Surgical intervention in childhood intermittent exotropia: current practice and clinical outcomes from an observational cohort study |
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| المؤلفون: | Christine Powell, Robert W. Taylor, Peter Tiffin, Michael P. Clarke, John J. Sloper, Deborah Buck |
| المصدر: | British Journal of Ophthalmology. 96:1291-1295 |
| بيانات النشر: | BMJ, 2012. |
| سنة النشر: | 2012 |
| مصطلحات موضوعية: | medicine.medical_specialty, Pediatrics, Neurology, business.industry, Sensory Systems, Surgery, law.invention, Cellular and Molecular Neuroscience, Ophthalmology, Randomized controlled trial, Current practice, law, Intervention (counseling), Epidemiology, medicine, Prism dioptres, business, Intermittent exotropia, Cohort study |
| الوصف: | Purpose To describe surgical outcomes in intermittent exotropia (X(T)), and to relate these to preoperative and surgical characteristics. Methods 87 children (aged Results 35% of patients had excellent, 28% had fair and 37% had poor primary outcome. Preoperative and surgical characteristics did not influence primary outcome. Satisfactory control was achieved in 65% of patients, while X(T) remained/recurred in 20%. Persistent over-correction occurred in 15% of children. There was no relationship between over-correction and preoperative characteristics or surgical dose/type. Median angle improved by 12 prism dioptres (PD) at near and 19 PD at distance (p Conclusions Whilst excellent motor/sensory outcome was achieved in one-third and satisfactory control in two-thirds of patients, the 37% poor outcome and 15% persistent over-correction rate is of concern. Surgical dose was similar in those under- and over-corrected, suggesting that over-corrections cannot be avoided merely by getting the dosage right: a randomised controlled trial (RCT) would shed light on this issue. Initial over-correction did not improve the chance of a good outcome, supporting the growing literature on this topic and further highlighting the need for randomised controlled trials of X(T) surgery. |
| تدمد: | 1468-2079 0007-1161 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_________::5f38d50b113653d32757dca068b7a6bb https://doi.org/10.1136/bjophthalmol-2012-301981 |
| رقم الأكسشن: | edsair.doi...........5f38d50b113653d32757dca068b7a6bb |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 14682079 00071161 |
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