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Late consecutive exodeviations.

T B Kerkhof1, W A Houtman

  • 1Eye Clinic, University Hospital, Groningen, The Netherlands.

Documenta Ophthalmologica. Advances in Ophthalmology
|January 1, 1992
PubMed
Summary
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Late consecutive exodeviations can occur after surgery for primary convergent squint. Despite attempts to correct

Area of Science:

  • Ophthalmology
  • Strabismus Surgery
  • Binocular Vision

Background:

  • Late consecutive exodeviations are a potential complication following surgical correction of primary convergent squint.
  • Understanding the factors contributing to these deviations is crucial for improving surgical outcomes.

Purpose of the Study:

  • To investigate the occurrence and potential predisposing factors of late consecutive exodeviations after surgical treatment of primary convergent squint.
  • To analyze the effectiveness of secondary surgical interventions for 'exodrift' in these patients.

Main Methods:

  • Retrospective case-series analysis of 48 patients.
  • Review of case histories detailing surgical treatment for primary convergent squint and subsequent exodeviations.

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Main Results:

  • No clear predisposition for the late onset of exodeviation was identified.
  • Slight overcorrection, within acceptable limits, was observed in some cases.
  • Recurrence of exodeviation was frequent even after secondary surgical correction for 'exodrift'.

Conclusions:

  • Late consecutive exodeviations following primary convergent squint surgery can occur without a demonstrable predisposition.
  • Surgical overcorrection may play a role in some instances.
  • Secondary surgical attempts to correct 'exodrift' often result in recurrence of the exodeviation, highlighting challenges in long-term management.