Consecutive Esotropia with and without Abduction Limitation – Risk Factors and Surgical Outcomes of Lateral Rectus Advancement

Abstract Background Different surgical methods have been suggested for the correction of intermittent exotropia. Unilateral lateral rectus recession has been described as a surgical alternative for small and moderate-angle exotropia. In general, previous studies did not focus on the outcomes of unilateral lateral rectus recession in young children with intermittent exotropia. The purpose of this study is to evaluate the surgical outcomes of unilateral lateral rectus recession in the treatment of moderate-angle exotropia (≤ 25 PD (prism diopters)) in children. Methods The charts of all patients younger than 12 years of age with moderate-angle exotropia (up to 25 PD) who were operated during the years 2006–2018 were retrospectively reviewed. Fifty-eight patients underwent unilateral lateral rectus recession and had a minimum follow up of 6 months. The angle of exotropia (PD) before and after surgery and the success rate were documented. Results Mean age at surgery was 6.4 ± 1.9 (range 3.5–11.0) years. Exotropia improved from a preoperative angle of 21.4 ± 4.0 PD to 3.5 ± 5.9 PD postoperatively (p < 0.001). Success rate, defined as deviation of ≤ 10 PD, was achieved in 86.2%. There were 2 (3.4%) cases of overcorrection (consecutive esotropia). There were no intra- or postoperative complications. The mean follow-up duration after surgery was 2.3 ± 1.7 years. Conclusions In children with moderate angle exotropia, good postoperative success rate was achieved by performing unilateral lateral rectus recession.

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Long‐term Surgical Outcomes after Resection of Presacral Tumours and Risk Factors Associated with Recurrence

Colorectal Disease ◽

10.1111/codi.15691 ◽

2021 ◽

Author(s):

Di Zhang ◽

Yizhou Sun ◽

Lei Lian ◽

Bang Hu ◽

Heng Zhang ◽

...

Keyword(s):

Risk Factors ◽

Surgical Outcomes ◽

Factors Associated

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Radiotherapy in implant-based immediate breast reconstruction: risk factors, surgical outcomes, and patient-reported outcome measures in a large Swedish multicenter cohort

Breast Cancer Research and Treatment ◽

10.1007/s10549-013-2770-0 ◽

2013 ◽

Vol 142 (3) ◽

pp. 591-601 ◽

Cited By ~ 43

Author(s):

Max Eriksson ◽

Lotta Anveden ◽

Fuat Celebioglu ◽

Kristina Dahlberg ◽

Ingrid Meldahl ◽

...

Keyword(s):

Risk Factors ◽

Breast Reconstruction ◽

Outcome Measures ◽

Surgical Outcomes ◽

Patient Reported Outcome Measures ◽

Patient Reported Outcome ◽

Immediate Breast Reconstruction ◽

Multicenter Cohort ◽

Patient Reported

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Isolated medial patellofemoral ligament reconstruction for recurrent patellofemoral instability: analysis of outcomes and risk factors

Journal of Orthopaedic Surgery and Research ◽

10.1186/s13018-021-02383-9 ◽

2021 ◽

Vol 16 (1) ◽

Author(s):

Filippo Migliorini ◽

Francesco Oliva ◽

Gayle D. Maffulli ◽

Jörg Eschweiler ◽

Matthias Knobe ◽

...

Keyword(s):

Risk Factors ◽

Surgical Outcomes ◽

Ligament Reconstruction ◽

Medial Patellofemoral Ligament ◽

Patellofemoral Instability ◽

Mpfl Reconstruction ◽

Medial Patellofemoral Ligament Reconstruction ◽

The Mean ◽

Tegner Score

Abstract Background The medial patellofemoral ligament (MPFL) is always damaged after patellar dislocation. In selected patients, MPFL reconstruction is necessary to restore a correct patellar tracking. Despite the large number of different techniques reported to reconstruct the MPFL, there is no consensus concerning the optimal procedure, and debates is still ongoing. The present study analysed the results after isolated MPFL reconstruction in patients with patellofemoral instability. Furthermore, a subgroup analysis of patients presenting pathoanatomical risk factors was made. Methods In November 2020, the main electronic databases were accessed. All articles reporting the results of primary isolated MPFL reconstruction for recurrent patellofemoral instability were considered for inclusion. Only articles reporting a minimum 12-month follow-up were eligible. Results Data from a total of 1777 knees were collected. The mean age of the patients involved was 22.8 ± 3.4 years. The mean follow-up was 40.7 ± 25.8 months. Overall, the range of motion (+ 27.74; P < 0.0001) and all the other scores of interests improved at last follow-up: Kujala (+ 12.76; P = 0.0003), Lysholm (+ 15.69; P < 0.0001), Tegner score (+ 2.86; P = 0.006). Seventy-three of 1780 patients (4.1%) showed a positive apprehension test. Thirty of 1765 patients (1.7%) experienced re-dislocations, while 56 of 1778 patients (3.2%) showed persisting joint instability. Twenty-five of 1786 patients (1.4%) underwent revision surgeries. Conclusion Isolated MPFL reconstruction for recurrent patellofemoral instability provides reliable surgical outcomes. Patients with pathoanatomical predisposing factors reported worse surgical outcomes.

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Surgical outcomes and risk factors for postoperative complications in patients with Behcet’s disease

Clinical Rheumatology ◽

10.1007/s10067-006-0530-9 ◽

2007 ◽

Vol 26 (9) ◽

pp. 1475-1480 ◽

Cited By ~ 31

Author(s):

Min-Chan Park ◽

Bum-Kee Hong ◽

Hyuck Moon Kwon ◽

You-Sun Hong

Keyword(s):

Risk Factors ◽

Postoperative Complications ◽

Behçet’S Disease ◽

Surgical Outcomes ◽

Behcet’S Disease ◽

Behçet's Disease ◽

Behcet's Disease

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Medulloblastoma presenting as consecutive esotropia after successful lateral rectus muscle recession for infantile exotropia

Journal of American Association for Pediatric Ophthalmology and Strabismus ◽

10.1016/j.jaapos.2011.05.018 ◽

2011 ◽

Vol 15 (5) ◽

pp. 499-501

Author(s):

Steven E. Rosenberg ◽

Danielle Savitsky Strauss ◽

Irina Mikolaenko ◽

Norman A. Saffra

Keyword(s):

Rectus Muscle ◽

Lateral Rectus ◽

Lateral Rectus Muscle ◽

Consecutive Esotropia

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Long-term outcomes following resection-recession versus plication-recession in children with intermittent exotropia

British Journal of Ophthalmology ◽

10.1136/bjophthalmol-2018-313711 ◽

2019 ◽

Vol 104 (3) ◽

pp. 350-356 ◽

Cited By ~ 1

Author(s):

Haeng-Jin Lee ◽

Seong-Joon Kim

Keyword(s):

Surgical Outcomes ◽

Lateral Rectus ◽

Medial Rectus ◽

Clinical Factors ◽

Long Term Outcomes ◽

Intermittent Exotropia ◽

Surgical Success ◽

Angle Of Deviation

Background/AimsTo compare the long-term surgical outcomes between unilateral lateral rectus recession-medial rectus resection (RR) and lateral rectus recession-medial rectus plication (RP) in children with intermittent exotropia.MethodsChildren who underwent RR or RP for intermittent exotropia between January 2008 and July 2016, with a minimum follow-up period of 2 years were retrospectively reviewed. Postoperative angle of deviations and clinical factors including sex, age, refractive errors, preoperative angle of deviation, types of exotropia and stereopsis were investigated. Based on the angle of deviation at year 2, surgical outcomes were classified into two groups as follows: success (esodeviation ≤5 prism dioptres (PD) to exodeviation ≤10 PD) and failure (overcorrection (esodeviation >5 PD) and undercorrection or recurrence (exodeviation >10 PD)).ResultsOf the 186 patients, 114 underwent RR and 72 underwent RP. The angle of exodeviation steadily increased over time in both groups after surgery. The durations of exodrift were longer in the RP group than in the RR group. The surgical success at postoperative year 2 was 55.3% in the RR group and 27.8% in the RP group (p<0.001). The amount of overcorrection was associated with successful outcomes in both groups.ConclusionsIn children with intermittent exotropia, RR group presented better surgical outcomes than RP group. The amount of initial overcorrection was important to achieve favourable outcomes in children with intermittent exotropia.

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