Acquired Exotropia Follow-up
- Author: Neepa Thacker, MBBS, MS, DNB, FRCS; Chief Editor: Hampton Roy, Sr, MD more...
Further Outpatient Care
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- Strabismus surgery is performed as an outpatient procedure.
- Although regimens vary among surgeons, regular follow-up visits are necessary to assess eye alignment and to examine fusional abilities.
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- If left untreated, intermittent deviations could progress to constant exodeviations, with subsequent development of amblyopia and loss of fusional abilities in young children.
- No specific complications are related to surgery for this condition; however, complications of eye muscle surgery in general apply.
- Postoperative complications include overcorrection, undercorrection, residual A- or V-pattern strabismus, and diplopia in side gazes due to lateral incomitances.
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- Some factors that affect the prognosis are as follows:
- Some authors believe that surgical alignment before age 4 years yields better results with lower risks for amblyopia. On the other hand, even a slight overcorrection increases the risk of loss of bifoveal fixation at this young age.
- Patients with better fusional control preoperatively do better postoperatively.
- Correction of refractive error should be continued postoperatively.
- Tenacious proximal fusion may predict better postoperative results.
- Both motor alignment and sensory functional improvement should be included in the postoperative assessment of response to surgery.
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