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Surgical Correction for Pediatric Epiblepharon and Trichiasis

Surgical Correction for Pediatric Epiblepharon and Trichiasis

Published on: July 8, 2025

Post-operative strabismus control and motor alignment for basic intermittent exotropia.

Fiona Lee Min Chew¹, Bhambi Uellyn Gesite-de Leon¹, Boon Long Quah¹

¹Department of Ophthalmology, Singapore National Eye Centre, 11, Third Hospital Avenue 168751, Singapore.

International Journal of Ophthalmology

|August 9, 2016

Summary

This summary is machine-generated.

Long-term success in basic exotropia surgery is linked to early post-operative alignment and strabismus control. Pre-operative patching also shows a positive association with successful outcomes at five years.

Keywords:

exotropia intermittent exotropia ocular motor alignment patching strabismus control strabismus surgery

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Area of Science:

Ophthalmology
Strabismus Surgery
Pediatric Ophthalmology

Background:

Basic exotropia is a common form of strabismus.
Surgical outcomes for basic exotropia require long-term evaluation.
Assessing factors influencing sustained surgical success is crucial.

Purpose of the Study:

To evaluate strabismus control and ocular alignment after basic exotropia surgery.
To determine factors associated with successful outcomes at a 5-year follow-up.

Main Methods:

Retrospective review of 80 patients under 17 undergoing basic exotropia surgery.
Data collected at 1 week, 6 months, and 1, 3, and 5 years post-operatively.
Success defined by post-operative deviation and strabismus control at 5 years.

Main Results:

Initial post-operative success was 75%, declining to 41% at 5 years.
Pre-operative patching duration was significantly higher in the success group.
Surgical success at 1 and 3 years predicted 5-year success.

Conclusions:

Sustained motor alignment and strabismus control at 1 year and beyond correlate with 5-year success.
Pre-operative patching is associated with improved long-term surgical success in basic intermittent exotropia.