Acta Medica Okayama volume74 issue3
2020-06 発行
Shibata, Kiyo
Department of Ophthalmology, Okayama University Hospital
Hamasaki, Ichiro
Department of Ophthalmology, Okayama University Hospital
Toshima, Shinji
Department of Ophthalmology, Kurashiki Medical Center
Shimizu, Takehiro
Department of Ophthalmology, Okayama University Hospital
Morisawa, Shin
Department of Ophthalmology, Kawasaki Medical School General Medical Center
Furuse, Takashi
Department of Ophthalmology, Okayama Saiseikai General Hospital
Hasebe, Satoshi
Department of Ophthalmology, Okayama Saiseikai General Hospital
Ohtsuki, Hiroshi
Department of Ophthalmology, Okayama Saiseikai General Hospital
Morizane, Yuki
Department of Ophthalmology, Okayama University Hospital
Kaken ID
publons
The purpose of this study was to derive new formulas to provide an optimal surgical procedure and optimal amount of recession-resection (RR) surgery in intermittent exotropia (IXT) with a disparity in angle of deviation depending on the fixation distance. The records of 117 consecutive patients with IXT who underwent RR surgery between March 2008 and December 2011 at Okayama University Hospital were retrospectively examined. Multivariable linear regression analysis was performed using the observed corrective angle of deviation at distance or near fixation as the dependent variable, and amounts of lateral rectus muscle (LR) recession (mm) and medial rectus muscle (MR) resection, and age at surgery (years) as independent variables. Two simultaneous formulas were derived: corrective angle of deviation at distance fixation (°)=1.8×recession (mm)+1.6× resection (mm)+0.15×age (years)–6.6, and corrective angle at near fixation (°)=1.5×recession (mm)+1.7× resection (mm)+0.18×age (years)–3.8. Comparisons of coefficient values of the formulas between distance and near fixation revealed that LR recession was more affected by the corrective angle in distance than near fixation. MR resection was more affected at near than distance fixation. We found that our new formulas estimated the appropriate amount of unilateral RR surgery.
surgical amount
intermittent exotropia
recession and resection procedure
strabismus surgery
recurrent exotropia