Abstract

HERNANDEZ SANTOS, Lourdes Rita et al. Surgical outcomes achieved in adults with large-angle exotropia. Rev Cubana Oftalmol [online]. 2013, vol.26, n.2, pp. 227-235. ISSN 0864-2176.

Objective: to find out the surgical outcomes achieved in adult patients aged over 18 years, who were operated on from more than 50 D deviation angle exotropia. Methods: a retrospective and descriptive study was conducted from September 2009 through September 2010 in nine patients, who had gone to the pediatric ophthalmology and strabismus service of "Ramon Pando Ferrer" Cuban Institute of Ophthalmology. They all underwent a single-stage three horizontal muscles squint surgery. Results: the largest group was made up of male patients aged 18 to 28 years for 80%; none of both sexes was significantly predominant. The preoperative deviation was similar near and distant, with mean deviation of 80 D. Of the five overcorrected patients one month after surgery, all reached orthotropia a year later, except for one female patient who showed overcorrection from the very beginning and is waiting for another surgery to correct the residual angle of 25 D. Conclusions: after this surgery, great improvement of the psychosocial and functional subscales was attained, which leads to remarkable rise of the quality of life in these patients. Almost all of them reached ocular alignment in just a single surgical time, and one year after surgery, all except one were found orthotropic.

Keywords : exotropia; large angle; surgery; strabismus; 50 Dioptries.

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