Intermittent exotropia: comparative surgical results of lateral recti-recession and monocular recess-resect.
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.
Fiorelli
Vanessa Macedo Batista
VM
Cornea and External Disease Sector, Ophthalmology Department, Santa Casa de Misericórdia de São Paulo, São Paulo, SP, Brazil. fiorelliliv@uol.com.br
Goldchmit
Mauro
M
Uesugui
Carlos Fumiaki
CF
Souza-Dias
Carlos
C
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