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Related Experiment Video

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Scleral Cross-linking Using Riboflavin and Ultraviolet-A Radiation for Prevention of Axial Myopia in a Rabbit Model
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Divergence Excess Intermittent Exotropia: Long-Term Effect of Augmented Bilateral Lateral Rectus Recession.

A Magli1, P Esposito Veneruso2, E Chiariello Vecchio1

  • 1a Department of Ophthalmology, Orthoptics and Pediatric Ophthalmology , University of Salerno , Salerno , Italy.

Seminars in Ophthalmology
|May 20, 2017
PubMed
Summary

Augmented bilateral lateral rectus (aBLR) recession surgery effectively treats divergence excess intermittent exotropia (deIXT) over 10 years. Surgical outcomes improved, with increased success rates and better stereopsis in patients with deIXT.

Keywords:
Augmented BLRintermittent exotropiapediatricstrabismussurgery

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Area of Science:

  • Ophthalmology
  • Strabismus Surgery
  • Pediatric Ophthalmology

Background:

  • Divergence excess intermittent exotropia (deIXT) is a common form of strabismus.
  • Surgical intervention is often necessary for managing deIXT.
  • Long-term outcomes of surgical techniques require thorough investigation.

Purpose of the Study:

  • To evaluate the long-term (10-year) efficacy of augmented bilateral lateral rectus (aBLR) recession for deIXT.
  • To assess the impact of aBLR recession on residual deviation and stereopsis.
  • To identify factors influencing surgical outcomes in deIXT patients.

Main Methods:

  • Retrospective analysis of 58 deIXT patients undergoing aBLR recession.
  • Surgical technique involved 8.0 to 9.5 mm recession of the bilateral lateral rectus muscles.
  • Data collected included pre- and post-operative deviation measurements and stereopsis assessment.

Main Results:

  • Significant reduction in both distance and near residual deviation observed over 10 years.
  • Successful surgical outcomes (residual deviation -10 to +5 prism diopters) increased from 51.7% to 81% at final follow-up.
  • Improved stereopsis noted in 39.7% of patients; age at surgery correlated with short/mid-term outcomes.

Conclusions:

  • Augmented bilateral lateral rectus (aBLR) recession demonstrates high long-term effectiveness for divergence excess intermittent exotropia (deIXT).
  • The procedure leads to sustained reduction in ocular misalignment and potential improvement in binocular vision.
  • aBLR recession is a reliable surgical option for managing deIXT.