Factors Affecting the Surgical Outcome of Primary Exotropia in Children
Journal Title: Journal of Advances in Medicine and Medical Research - Year 2016, Vol 16, Issue 10
Abstract
Objective: The objective of current study to evaluate the outcome results of the surgical correction and as well as the effects of some factors on the outcome and surgical response of primary exotropia. Study Design: Retrospective Clinical Study. Place and Duration of Study: Hamad Medical Corporation –Tertiary Hospital in Qatar, study done over six months. Methods: Medical records of patients who underwent surgical correction of primary exotropia procedures between the years 2008 and 2013 were retrospectively reviewed. Patients less than 15 years of age were included in the study and the following data were collected: onset age of squint, age at surgery, type of exotropia, visual acuity, presence of amblyopia, anisometropia, refractive error (spherical equivalent), preoperative deviation, AV pattern, stereopsis, type of surgery and analysis using descriptive statistics, unpaired t- and chi-square statistical tests. Results: Of 74 patients we studied, 30 Male (40.5%), 44 Female (59.5%), 46 patients (62.2%) had successful surgical outcome, and 28 patients (37.8%) had unsuccessful outcome (all under correction). The response to surgery correlated mainly to with the preoperative angle. A higher response resulted from larger preoperative deviation and it this was better with lateral plus medial rectus muscle recessions than with bilateral lateral rectus recession. Conclusions: Preoperative deviation was the most important factor in determining better response to surgical correction of primary exotropia, and accurate measurement of the angle of deviation can improve the outcome and response to surgery.
Authors and Affiliations
S. Al Mahdi Huda, Tajummal Asim, Bener Abdulbari
Keywords
Related Articles
- EP ID EP341185
- DOI 10.9734/BJMMR/2016/25792
- Views 58
- Downloads 0
Role of Adiponectin and Serotonin in Development of Obesity and Therapeutic Implications
Obesity is a major health concern worldwide as it provokes other health issues. The rise of obesity cases has started public concern as chronic obesity incidences are closely related to significantly shortened life expec...
Stabilization of Prostate Cancer with Amanita phalloides: Intervals with 5-Alpha-Reductase Inhibitors and Melatonin to Circumvent Resistance: Case Report
Aims: Amanita phalloides contains alpha-amanitin, inhibiting RNApolymeraseII. Due to overexpression of switch genes in tumor cells, RNApolymeraseII is used to full extent there. Partial inhibition with amanitin influence...
Knowledge and Attitude of Diabetic Patients towards the Oral Complications of Diabetes Mellitus and Factors Associated with Their Knowledge in Khartoum State, Sudan
Background: Diabetes Mellitus is a chronic long term condition, affecting all age groups. Uncontrolled diabetes can lead to serious oral complications ranging from acute to chronic, which manifest in several ways and can...
Disseminated Histoplasmosis in an Immunocompetent Patient from a Non Endemic Region, North India: Pointers to Potential Endemicity
Progressive Disseminated Histoplasmosis (PDH) reported worldwide is yet a rare entity in India. Although, usually associated with an underlying immunocompromised state but few reports of this disease in non- immunocompet...
The Glutathione S-Transferase Activities in the Evaluation Acute Viral Hepatitis B and Chronic Alcoholic Liver Disease
Glutathione S-Transferase is an important hepatic detoxifying enzyme. Half-life of GST alpha in plasma is about1hr; its concentration follows the changes in the hepatocellular damage more rapidly than aspartate amino tra...