Preoperative factors associated with multiple strabismus surgeries in basic exotropia.
Purpose: To compare the preoperative clinical features in patients with basic unilateral exotropia who underwent single versus two and three or more strabismus surgeries. Design: retrospective Method: Two thousand four hundred fifty-seven patients with unilateral basic exotropia were recruited over...
| Publicado en: | Therapeutic Advances in Ophthalmology Vol. 18; pp. 1 - 12 |
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| Autores principales: | , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Sage Publications Inc.
1/4/2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=190688579&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 190688579 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 25158414 LAW0 jtl: Therapeutic Advances in Ophthalmology issn: 25158414 maglogo: Y pubinfo: dt: 1/4/2026 vid: 18 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 190688579 190688579 190688579 10.1177/25158414251407867 190688579 ppf: 1 ppct: 11 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Preoperative factors associated with multiple strabismus surgeries in basic exotropia. aug: au: Akbari, Mohammad Reza Masoomian, Babak Mirmohammadsadeghi, Arash Azizi, Elham Hussain, Hayder Resen Khorrami-Nejad, Masoud affil: Conceptualization, Translational Ophthalmology Research Center, Farabi Eye Hospital, Tehran University of Medical Sciences, Tehran, Iran sug: subj: Strabismus Surgery Reoperation Methods Preoperative Care Postoperative Complications Risk Factors Risk Assessment Human Male Female Adolescence Adult Iran Retrospective Design Record Review Cross Sectional Studies Comparative Studies Visual Acuity Refractive Errors Amblyopia Oculomotor Muscles Postoperative Period One-Way Analysis of Variance Post Hoc Analysis Chi Square Test Multivariate Analysis Multiple Logistic Regression Odds Ratio Confidence Intervals Statistical Significance Data Analysis Software Descriptive Statistics Adolescent: 13-18 years Adult: 19-44 years Male Female ab: Purpose: To compare the preoperative clinical features in patients with basic unilateral exotropia who underwent single versus two and three or more strabismus surgeries. Design: retrospective Method: Two thousand four hundred fifty-seven patients with unilateral basic exotropia were recruited over 10 years. Of these, 1886 (76.8%) had one surgery, 411 (16.7%) had two, and 160 (6.5%) had three or more surgical interventions. Preoperative data included the best corrected distance visual acuity (BCVA), refractive error, magnitude of exotropia, and amblyopia type and severity. Results: The mean age at first surgery was 26.3 ± 13.35 years (age range: 2–77) with no significant difference between groups with one, two, and three or more surgeries (p = 0.770). Mean BCVA in the strabismic eye was significantly worse in patients who underwent three or more surgeries (0.82 ± 0.076 logMAR) than those who had one (0.55 ± 0.018 logMAR; p < 0.001) or two surgeries (0.52 ± 0.038 logMAR; p < 0.001). Spherical equivalent refraction in the strabismic eye was significantly more hyperopic in patients who underwent three or more surgeries (0.79 ± 0.37 D), compared with those with one (−0.95 ± 0.094 D; p < 0.001) or two surgeries (−0.36 ± 0.16 D; p < 0.001). Relative to one surgery, undergoing two surgeries was independently associated with larger distance horizontal deviation (adjusted odds ratio (aOR) per prism diopter = 1.012; 95% CI, 1.003–1.022; p = 0.009). Undergoing three or more surgeries was independently associated with amblyopia severity (aOR = 2.368; 95% CI, 1.279–4.384; p = 0.006); in the strabismic eye, and higher spherical power markedly increased the odds (aOR = 13.553; 95% CI, 12.801–14.348; p <.001). Conclusion: Worse preoperative BCVA, greater hyperopia, and higher angle of deviation were associated with a greater likelihood of requiring more than one surgery. Surgeons should optimize preoperative refractive and amblyopia management and counsel high-risk patients about the increased likelihood of additional procedures. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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