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KMID : 0352419950140040340
Keimyung Medical Journal
1995 Volume.14 No. 4 p.340 ~ p.348
The Clinical Study on the Surgical Management of Intermittent Exotropia

Abstract
To evluate the preoperative characteristics and the results of surgically treated intermittent exotropia, I analyzed consecutive 30 patients who underwent surgery at ophthalmology department from March 1994 to July 1995 (follow up period: over than 3 month). I examined visual acuity and deviation angle preoperatively, 1 day, 1 week, 3 week, 6 week, 3 months, 6months, 12 months postoperatively. The following preoperative characteristics and surgical results were obtained.
Of 30 patients, the mean onset of age was 3.1 years, male occupied 50%, female occupied 50%. The basic type which was shown in 76.7% was the most frequent one, divergence excess type was in 16.7%,convergence insufficiency type was in 6.7%. The preoperative distant deviation angle ranged from 16PD to 70PD(mean, 33PD). The incidence of operative method for monocular lateral rectus recession, Monocular lateral rectus recession and medial rectus resection, bilateral lateral rectus recession, Bilateral lateral rectus recession and monocular medial medial rectus resection, monocular lateral rectus ression and bimedial resection were 10%, 53.3%, 23.4%, 10%,3.3% respectively. The surgical results at postoperative 3 and 6 months were obtained in 76.7%(23/30), 73.7%(14/19) of the patients within 10PD angle of deviation. The incidence of undercorrection over 10PD was 26.3%(5/19), consecutive esotropia over 10PD did not developed in any of our patients at 6 months postoperatively
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