PLoS ONE (Jan 2021)

Initial overcorrection after surgery for intermittent exotropia in children less than 4 years old: Comparison with older children.

  • Jinju Choi,
  • Dong Gyu Choi

DOI
https://doi.org/10.1371/journal.pone.0257465
Journal volume & issue
Vol. 16, no. 9
p. e0257465

Abstract

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PurposeWhile initial overcorrection after exotropia-correcting surgery is widely accepted for a favorable long-term outcome, some have not advocated such overcorrection in younger children owing to concerns regarding rapid deterioration of bifixation ability. This study aimed to evaluate the relationship between initial overcorrection after intermittent exotropia surgery and the surgical outcome in patients aged MethodsIn this retrospective study, 391 patients who had undergone surgery for intermittent exotropia were classified into two groups according to the age at surgery: ResultsThe mean exodeviation was smaller in the order of subgroup I, II, and III at every postoperative visit (pConclusionEarly overcorrection after intermittent exotropia surgery was a safe and desirable result in terms of motor outcome in children aged under 4 years, as well as for children aged between 4-16 years.