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Two therapeutic concepts in intermittent divergent squint
1University Eye Hospital, Department of Orthoptics and Pleoptics, Kiel, Germany.
Documenta Ophthalmologica. Advances in Ophthalmology
|January 1, 1993
Summary
Different surgical approaches for intermittent exotropia yield varied outcomes. This review compares recession/resection with bimedial resection, highlighting distinct clinical pictures within intermittent exotropia diagnoses.
Area of Science:
- Ophthalmology
- Strabismus Surgery
- Pediatric Eye Care
Background:
- Intermittent exotropia treatment involves multiple therapeutic strategies.
- Surgical outcomes may vary based on the chosen intervention for intermittent exotropia.
Purpose of the Study:
- To compare the effectiveness of different surgical techniques for intermittent exotropia.
- To investigate potential differences in outcomes between two distinct treatment protocols.
Main Methods:
- Retrospective review of 1989-1990 cases from two centers (Munich and Kiel).
- Center II (Munich) used recession and resection; Center I (Kiel) primarily used bimedial resection.
- Munich patients also received diagnostic occlusion and prism correction.
Main Results:
- Evidence suggests two distinct clinical entities within the diagnosis of intermittent exotropia.
- Surgical approaches and adjunctive therapies differed significantly between the two centers.
Conclusions:
- The classification of intermittent exotropia may encompass different underlying conditions.
- Further prospective evaluation, including prism-acceptance, is warranted to differentiate treatment responses.