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Updated: Feb 18, 2026
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Surgical Correction for Pediatric Epiblepharon and Trichiasis
Published on: July 8, 2025
636
Early versus late surgery for infantile exotropia
1Department of Ophthalmology, Korea University College of Medicine, Seoul, Republic of Korea.
Summary
Older age at surgery increases recurrence risk for constant infantile exotropia. However, age did not impact outcomes for intermittent exotropia or overcorrection in this study.
Area of Science:
- Ophthalmology
- Pediatric Surgery
Background:
- Infantile exotropia is a common condition requiring surgical intervention.
- The optimal timing for surgical correction remains a subject of investigation.
Purpose of the Study:
- To investigate the association between age at surgery and postoperative outcomes in infantile exotropia.
Main Methods:
- This retrospective study analyzed 93 children with infantile exotropia who underwent bilateral lateral rectus recession.
- Outcomes were defined as recurrence (>8 prism diopters exodeviation) or overcorrection (>5 prism diopters esodeviation).
- Univariate and multivariate analyses assessed the impact of age at surgery on recurrence and overcorrection.
Main Results:
- A total of 93 children were included, with a mean age at surgery of 3.2 years.
- Recurrence occurred in 20.4% and overcorrection in 3.2% of patients.
- Increased age at surgery was associated with a higher risk of recurrence (OR=1.031 per month), particularly in constant exotropia (OR=1.410).
Conclusions:
- Older age at surgery is a risk factor for recurrence in constant infantile exotropia.
- Age at surgery did not significantly correlate with outcomes in intermittent infantile exotropia or overcorrection.
