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Updated: Mar 12, 2026
Surgical Correction for Pediatric Epiblepharon and Trichiasis
Published on: July 8, 2025
Factors associated with surgical success in adult patients with exotropia
Eun Hye Jung1, Seong-Joon Kim2, Young Suk Yu2
1Department of Ophthalmology, Seoul National University College of Medicine, Seoul, Korea.
Purpose:
To report the results of surgical treatment for intermittent or constant comitant exotropia in adults and to examine the factors associated with the surgical outcome.
Methods:
The medical records of consecutive patients older than 18 years of age at the time of surgery for intermittent or constant comitant exotropia and with at least 1 year's follow-up were retrospectively reviewed. Surgical success was defined as postoperative esodeviation of <5Δ, orthotropia, or exodeviation of <10Δ. Overcorrection (defined as esodeviation >5Δ) and recurrence (exodeviation of >10Δ) were considered surgical failure. Preoperative patient characteristics, surgical procedures performed, and early postoperative ocular alignment were evaluated as potential factors associated with the surgical outcome.
Results:
A total of 39 patients were included, of whom 28 (72%) achieved surgical success, 7 (18%) showed overcorrection, and 4 (10%) had recurrence. Alignment at postoperative week 1 was the only significant factor correlated with surgical results. Surgical outcome was best with early postoperative alignment of <10Δ of esotropia.
Conclusions:
Early postoperative overcorrection of <10Δ resulted in more favorable surgical outcomes in adults undergoing surgery to treat exotropia.
