Korean J Ophthalmol.  2005 Jun;19(2):140-144. 10.3341/kjo.2005.19.2.140.

The Clinical Course of Recurrent Exotropia after Reoperation for Exodeviation

Affiliations
  • 1Myung-Gok Eye Research Institute, Department of Ophthalmology, Kim's Eye Hospital, Konyang University College of Medicine, Seoul, Korea. sheebaek@yahoo. com

Abstract

PURPOSE
To determine the clinical course of recurrent exotropia after a secondary operation for exotropia. METHODS: The surgical results in 58 patients who had undergone reoperation for recurrent exotropia (reoperation group) were retrospectively investigated and compared with those of 100 patients who had undergone primary strabismus surgery only (primary operation group) using survival analysis. RESULTS: In the reoperation group, recurrence occurred in 19 of the 58 patients (33%). Survival analysis revealed that the recurrence rates in the reoperation group were significantly lower than those in the primary operation group at the same follow-up period after the corresponding strabismus surgery (p=0.018). The distant esodeviation at the postoperative 1st week after reoperation was the only significant factor associated with the recurrence after reoperation (p=0.01). CONCLUSIONS: Exotropia did recur after a secondary operation, although the recurrence rate was lower than that after a primary operation only.

Keyword

Recurrence Rate; Recurrent Exotropia; Secondary operation; Survival Curve

MeSH Terms

Child
Comparative Study
Exotropia/*physiopathology/*surgery
Female
Humans
Male
Postoperative Period
Recurrence
Reoperation
Retrospective Studies
Survival Analysis

Figure

  • Fig. 1. Comparison of survival curves between the primary operation group (1°Op Group) and the reoperation group (Reop Group) (p=0.018 by Log-rank test).


Cited by  5 articles

Factors Associated with the Prognosis after Operation in Children with Recurrent Intermittent Exotropia
Ji-Ah Kim, Young Suk Yu, Seong-Joon Kim
J Korean Med Sci. 2019;34(38):.    doi: 10.3346/jkms.2019.34.e252.

Unilateral Recession-Resection Versus Re-resection of Medial Rectus in Recurrent Intermittent Exotropia
Won Jae Kim, Myung Mi Kim
J Korean Ophthalmol Soc. 2009;50(7):1088-1092.    doi: 10.3341/jkos.2009.50.7.1088.

The Clinical Course of Recurrent Intermittent Exotropia After Previous Unilateral Recess-Resection Surgery
Won Jae Kim, Myung Mi Kim
J Korean Ophthalmol Soc. 2009;50(9):1386-1391.    doi: 10.3341/jkos.2009.50.9.1386.

Surgical Outcomes of Intermittent Exotropia According to the Constancy
Jae Hyung Lee, Nam Yeo Kang
J Korean Ophthalmol Soc. 2013;54(2):310-316.    doi: 10.3341/jkos.2013.54.2.310.

The Minimal Postoperative Follow-Up Period to Determine Secondary Surgery in Patients with Intermittent Exotropia
Dae Heon Han, Hae Jung Paik
J Korean Ophthalmol Soc. 2014;55(5):711-718.    doi: 10.3341/jkos.2014.55.5.711.


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