title: Intermittent exotropia: comparative surgical results of lateral recti-recession and monocular recess-resect.
abstract: OBJECTIVE
  To compare the results between recession of the lateral recti and monocular recess-resect procedure for the correction of the basic type of intermittent exotropia.
  
  
  METHODS
  115 patients with intermittent exotropia were submitted to surgery. The patients were divided into 4 groups, according to the magnitude of preoperative deviation and the surgical procedure was subsequently performed. Well compensated orthophoria or exo-or esophoria were considered surgical success, with minimum of 1 year follow-up after the operation.
  
  
  RESULTS
  Success was obtained in 69% of the patients submitted to recession of the lateral recti, and in 77% submitted to monocular recess-resect. In the groups with deviations between 12 PD and 25 PD, surgical success was observed in 74% of the patients submitted to recession of the lateral recti and in 78% of the patients submitted to monocular recess-resect. (p=0.564). In the group with deviations between 26 PD and 35 PD, surgical success was observed in 65% out of the patients submitted to recession of the lateral recti and in 75% of the patients submitted to monocular recess-resect. (p=0.266).
  
  
  CONCLUSIONS
  Recession of lateral recti and monocular recess-resect were equally effective in correcting basic type intermittent exotropia according to its preoperative deviation in primary position.
authors.affiliation: Cornea and External Disease Sector, Ophthalmology Department, Santa Casa de Misericórdia de São Paulo, São Paulo, SP, Brazil. fiorelliliv@uol.com.br
authors.forename: Vanessa Macedo Batista
authors.initials: VM
authors.lastname: Fiorelli
authors.forename: Mauro
authors.initials: M
authors.lastname: Goldchmit
authors.forename: Carlos Fumiaki
authors.initials: CF
authors.lastname: Uesugui
authors.forename: Carlos
authors.initials: C
authors.lastname: Souza-Dias
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D005099:Exotropia / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D009801:Oculomotor Muscles / Q000601:surgery*; D013508:Ophthalmologic Surgical Procedures / Q000379:methods; D016896:Treatment Outcome