‘Largest angle to target’ in surgery for intermittent exotropia

The distance angle to target in surgery for intermittent exotropia.

BACKGROUND Patients with intermittent exotropia may have an increase in their angle of strabismus in the distance when the angle is measured either after 1 hour of monocular occlusion or while the patients fixate on a distant target outdoors. The hypothesis that surgery should be performed for this larger deviation has been suggested but not tested. OBJECTIVES To test the hypothesis that surg...

Consecutive esotropia following surgery for intermittent exotropia.

Improvement in distance stereoacuity following surgery for intermittent exotropia.

PURPOSE To evaluate whether distance stereoacuity improves following surgery for intermittent exotropia using the Frisby Davis Distance (FD2) and Distance Randot stereotests. METHODS Eighteen patients (median age, 24 years; range, 5 to 68 years) with intermittent exotropia were prospectively enrolled. Stereoacuity was measured pre- and 6 weeks postoperatively using the FD2 and Frisby near tes...

Postoperative Stabilization of the Strabismic Angle in Intermittent Exotropia

PURPOSE To analyze the postoperative strabismic angle for five years or more and to investigate when the angle stabilized in intermittent exotropia. METHODS We retrospectively reviewed the clinical records of 89 patients who had undergone surgery for intermittent exotropia. The postoperative strabismic angles measured were analyzed at one-year intervals up to five years postoperatively. We di...

Selective surgery for intermittent exotropia based on distance/near differences.

BACKGROUND Classic teaching suggests that surgery for intermittent exotropia should be based on distance/near differences. Divergence excess, according to tradition, should be treated with symmetric lateral rectus recessions; simulated divergence excess and basic deviations should be treated with a recess/resect procedure. This teaching, to our knowledge, has not been systematically tested. O...