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Botulinum toxin augmentation as a sequential procedure for residual esotropia in traumatic sixth nerve palsy

International Journal of Ophthalmology(English edition) 2018年第12期11卷 2027-2028页

作者： Hande Taylan Sekeroglu kadriye erkan turan Ali Sefik Sanac Ophthalmology Hacettepe University Faculty of Medicine Ophthalmology Private Practice

Dear Editor, We want to describe the surgical outcome of a patient with residual esotropia due to sixth nerve palsy with re-resection of the lateral rectus combined with botulinum toxin injection to previously recesse... 详细信息

关键词： In Botulinum toxin augmentation as a sequential procedure for residual esotropia in traumatic sixth nerve palsy Figure

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Clinical risk factors for the development of consecutive exotropia:a comparative clinical study

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International Journal of Ophthalmology(English edition) 2016年第6期9卷 886-889页

作者： Hande Tayla Sekeroglu kadriye erkan turan Jale Karakaya Emin Cumhur Sener Ali Sefik Sanac Department of Ophthalmology Hacettepe University Faculty of MedicineAnkara 06100Turkey Department of Biostatistics Hacettepe University Faculty of MedicineAnkara 06100Turkey

AIM： To compare a group of patients with consecutive exotropia with patients who had ≤ 10 prism diopters （PD） esotropia or no deviation postoperatively in terms of probable clinical risk factors for the development of consecutive exotropia. METHODS： The study recruited fourteen patients who developed consecutive exodeviation during follow-up period after the correction of esotropia who were categorized as group 1 and thirty-one patients who had still ≤10 PD esotropia or no deviation at the final visit that were considered as group 2. Clinical risk factors leading the development of consecutive deviation were analyzed as the main outcome measures. RESULTS： The mean age of patients was 4.57±3.11y in group 1 and 5.10±3.52y in group 2 （P=0.634）. There was no significant difference of preoperative near and distant deviations among two groups （P =0.835, 0.928 respectively）. The mean amount of medial rectus recession and lateral rectus resection was similar in both groups （P=0.412, 0.648 respectively）. Convergence insufficiency and neurological diseases were more frequent in group 1 （P-0.007, 0.045）. Accompanying neurological disease was found to be as a significant factor increasing the risk of the development of consecutive exotropia significantly [odds ratios （OR）： 5.75 （1.04-31.93）]. CONCLUSION： Accompanying neurological disease appears to be a significant clinical risk factor for the development of consecutive exodeviation during postoperative follow-up after the correction of esotropia. However, larger studies are needed in order to interpret the results to the clinical practice and to ascertain other concurrent risk factors.

关键词： consecutive exotropia esotropia medial rectus recession neurological disorder lateral rectus resection

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