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ISSN 1561-3070 (Electronic)

2015, Number 1

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Rev Cub Oftal 2015; 28 (1)

Long term surgical results achieved in adults with large angle exotropia

Hernández SLR, Castro PPD, Ruban RE, Pons CL, Estévez MY

Language: Spanish
References: 37
Page: 34-43
PDF size: 166.29 Kb.


ABSTRACT

Objective: to determine the surgical alignment in adult patients aged over 18 years and operated on from exotropia with deviation angle over 50 dioptries.
Methods: a retrospective and descriptive study was conducted from September 2009 through December 2011. It assessed the long-term motor alignment after surgery (2 years) in a group of patients with large angle exotropia, who had been seen at the Pediatric Ophthalmology and Strabismus Service of "Ramon Pando Ferrer" Cuban Institute of Ophthalmology. Most of them had undergone single-staged threehorizontal muscles squint surgery and just one female patient underwent fourhorizontal muscle surgery.
Results: females prevailed in the group of 20 patients under study. The preoperative deviation was similar at near and far distances; only one patient presented a deviation bigger than 90 dioptries. It was observed that after two years, 14 (70 %) of the evaluated patients were surgically aligned.
Conclusions: after this surgery, great improvements of the psychosocial and functional subscales were noticed, which leads to remarkable rise of the quality of life in these patients. Almost all of them reached the right ocular alignment in a singlestaged surgery.


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