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Original Research

SETB. 2009; 43(4): 164-168


Comparison of monocular and binocular surgical approaches in basic type exotropia

Kıymet Kasapoğlu, Berker Bakbak, Feyza Önder.




Abstract

Objective: To compare the surgical results obtained by unilateral recession/resection and bilateral rectus recession tecniques for the correction of exotropia.

Methods: The results of surgical treatment in cases with basic exotropia were retrospectively reviewed. Thirty patients who underwent unilateral recession/resection (group 1) and 15 cases who underwent bilateral rectus recession (group 2) were incluided in the study, and the postoperative surgical results were compared.

Results: The mean follow-up was 4.1 years ± 2.2 (1-10 years). From the 30 patients in group 1, success were obtained in 23 patients (%76.3) and from 15 patients in group 2, success were obtained in 7 patients (%46.7). There was stastistically significant difference between these two groups (p=0,02).

Conclusion: Unilateral recession/resection seemed to be more successful and effective surgical procedure for the correction of basic exotropia rather than bilateral rectus recession.

Key words: Basic type exotropia, monocular recession-resection, bilateral recession






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