[コンプリート！] exotropia eye surgery 140481-Exotropia eye surgery for children

 Exotropia refers to a type of strabismus (eye misalignment) in which either one or both of the eyes turn outward It is not the same as esotropia, in which either one or both of the eyes turn inward Exotropia is a common condition It comprises 25% of all ocular misalignment cases in young childrenExotropia refers to an outwardly drifting eye About one percent of children have an outwardly wandering eye The most common presentation in a child is where the eye drifts only part of the time This is called intermittent exotropia What is infantile exotropia?What is intermittent exotropia?

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Exotropia eye surgery for children-Exotropia Surgery During the procedure, the eye muscle is exposed by making a small incision in the tissue covering the eye The appropriate muscles are then repositioned in order to allow the eye to move properly This procedure is usually performed under general anesthesiaExotropia Exotropia is the second most common kind of strabismus In this condition, one or both eyes turn out away from the nose It usually starts at age two or three In the beginning, the eye may drift out only for a few seconds when the child is tired or ill It

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An ophthalmologist is a medical doctor specializing in eye and vision care Unlike optometrists, ophthalmologists have completed medical school and received their license to practice medicine and perform ocular surgery Thus, they can diagnose and treat far more disorders and diseases of the eye than optometristsOthers develop it as an adult when one eye loses vision The eye with poor vision can wander How is exotropia treated?Sensory exotropia, which occurs in an eye with poor vision and causes it to turn outward;

Exotropia means an eye is turned outward relative to the other eye Most children with exotropia have intermittent exotropia Intermittent indicates that your child's eyes are not always turned outward At certain times your child's eyes may be straight and at other times an eye may drift outward The outward drifting is often most apparent Abstract Intermittent exotropia (X (T)) is one of the most common form of strabismus with surgery being the mainstay of treatment The main goal of surgery is to preserve binocular vision and stereopsis and to prevent its further loss The decision to operate is mainly based on four aspects increasing angle of exodeviation, deteriorating control of X (T), decrease Exotropia is a type of strabismus characterised by outward deviation of an eye If Exotropia affects both eyes, as a result of which the individual is unable to align both eyes, the condition is termed as convergence insufficiency or exophoria Know the causes, symptoms, treatment, prognosis and complications of exotropia

Exotropia in an eye with poor vision is called sensory exotropia In this case, the eye with low vision is unable to work together with the other eye, and therefore, the poorly seeing eye may tend to drift outward and take overTreatment for exotropia depends on how often you have symptoms and on how severe they are Prism in your glasses may be prescribed to help with double vision Eye muscle surgery is also an option, especially if your exotropia is Infantile exotropia is a relatively rare strabismus disorder characterized by outward deviation of one or both eyes Onset is before age 6 months and persists beyond this age ( Figure 1 ) 1,2,3 It is classified as primary infantile exotropia, where patients are healthy with no evidence of systemic or ocular disease ( Table 1 ) 2 It usually

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Intermittent Exotropia (outward eye turn) can develop at any age When the eye is turned, it can be a cosmetic concern Further, it can result in double vision, words moving on a page and lost of depth perception Depth perception is the ability to judge the distance of an object, and to see inSurgery for exotropia Table A13 Bilateral lateral rectus resection (if the medial rectus muscles have been previously recessed then the amount of surgery should be reduced by 1 mm) Esotropia (Δ) LR resections (mm) 15 30 40 25 50 30 60 35 65 40 70 45 75 Table A12 Medial rectus recession and lateral rectus resection Esotropia (Δ) MRExotropia is a common form of strabismus characterized by an outward eye turn, away from the nose Exotropia is a eye turn where one eye points outwards, this may be noticed while the child is looking at distance objects, near objects or both

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 Childhood exotropia (outward deviation) is a horizontal exodeviation characterised by visual axis forming a divergent angle It usually begins as exophoria Exophoria is a condition in which eyes are straight without deviation when both eyes are open However, eye under cover deviates on coveruncover test or alternate cover test It may progress to exotropia whichPurposeTo determine the outcomes of three different techniques of strabismus surgery in patients with convergence insufficiency intermittent exotropia (CIX(T))Patients and methodsSixtyseven patients with CIX(T) with neardistance disparity (NDD) ≥10 prism diopter (PD) were included in this 1year followup prospective study and were randomly divided into three groups slanted Indications for surgery As with any strabismus the indications for surgery include preservation or restoration of binocular function and cosmesis In intermittent exotropia one of the important indications for therapeutic intervention is an increasing tropia phase, since this indicates deteriorating fusional control

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When this occurs, each eye sends a different image to the brain This can cause poor vision overall and also can greatly interfer with learning and reading Vision therapy is often and effectively used for strabismus (commonly called esotropia or exotropia) If you have eyes that do not properly work together, you may have had eye surgery Eye injuries Constant eye injuries like eye bleeding, eye swelling, traumatic iris and hyphema can increase the risk of Exotropia Therefore, it is necessary to treat these injuries and keep a check on your eye health Genetic disorder Disorders in your eye gene can be another main cause of Exotropia This disorder is the main reason inExotropia worse immediately after surgery Had my surgery at around 1pm today (9/16) My doctor performed surgery on just my right eye to address the intermittent exotropia I was discharged at around 3pm As soon as I looked at myself in the mirror I knew my eye was drifting outwards even more so than before

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For children with congenital exotropia, surgery is usually recommended early in life to maximize vision benefits and reduce the risk of complications Adults can also opt for exotropia surgery, but the procedure will usually affect the appearance of the eyes more than the vision itself In some cases, your doctor may also recommend surgery to readjust eye muscles The surgery is done under general anesthesia for a child and with a Surgery should be used as a last resort only for large angle intermittent exotropia Patients with a significant large angle eye turn can benefit from surgery because the eye will appear aligned— increasing confidence in social situations

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The doctor injects the drug into your stronger eye muscles, which eases their pull on the eye and strengthens the weaker musclesAdvanced Eye Associates Ophthalmology, Optometry • 2 Providers 235 Oconnor Dr, San Jose CA, Make an Appointment (408) Advanced Eye Associates is a medical group practice located in San Jose, CA that specializes in Ophthalmology and Optometry Providers Overview Location Reviews XXWhen is surgery for exotropia indicated?

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 Surgery is not usually needed or recommended to correct exophoria Complications and associated conditions There are several conditions that are similar to, or may include, exophoriaChapter 14 What to Expect After Strabismus (Eye Muscle) Surgery A Patient & Parent Guide to Strabismus Surgery George R Beauchamp, MD This and the following (15 & 16) chapters are written by time sequence, and describe events, what to expect after strabismus (eye muscle) surgery;Dr Hang Ly, MD is a Ophthalmology Specialist in Milpitas, CA and has over 24 years of experience in the medical field She graduated from University Of Maryland School Of Medicine medical school in 1997 Be sure to call ahead with Dr Ly to book an appointment

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Figure 1 From Cyclic Esotropia With Development Of A High Accommodative Convergence To Accommodation Ratio After Surgery For Intermittent Exotropia Semantic Scholar

 According to their study, surgery for exotropia in patients below 4y of age resulted in better outcomes when compared to the result in patients above 4 years old (61% vs 28%, respectively) This result is consistent with our current observationsSan Jose Eye Institute offers patients comprehensive eye care As ophthalmologists, Dr Joseph Decker and Dr George Yang provide a full range of services from routine eye examinations and medical ophthalmology to outpatient surgical needs We are a leader in providing the most current surgical techniques and only utilize stateoftheart equipment For cataract surgery,Asymmetrical surgery was defined as recessresect muscle surgery in the same eye or 3 muscle surgery (recessresect in one eye and one muscle recession in the other eye) Threemuscle surgery was done if the angle of deviation was more than 50 PD in exotropia

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But it should not be read that wayIn other words, understanding these matters prior to surgery However, there has been no randomized controlled study comparing the results of recession–resection surgery on one eye and bilateral three or fourmuscle surgery in largeangle exotropiaConsecutive exotropia, which can develop after surgery to treat crossed eyes;

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 Of the patients after exotropia surgery, 603% had a successful outcome This result is comparable to those of other authors, 1, 2, 3, 4, 5, 6 although the criteriaResults Amblyopia was found in 27 patients (505 %) in the exotropia group, and in six patients (111 %) in the control group (P < 0001) before esotropia surgery DVD was detected in 16 (2906 %) patients in the exotropia group as compared to 4 (74 %) in the control group (P = 0003) Surgery for Intermittent Exotropia?

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Schedule eye exams for crossed eyes, strabismus, Esotropia, ExotropiaNJ Pediatric OphthalmologistThe Eye Care & Surgery CenterWestfieldWarrenIselin, an affiliate of Prism Vision Group In general, the goal of surgical treatment for esotropia is to correct alignment to orthotropia Tables developed by experienced ophthalmologists provide guidelines for surgery, but each surgeon should perform a periodic review of the correction achieved for specific amounts of corrective muscle surgeryCriteria for surgery may vary somewhat, but generally surgery is indicated when the exotropia is frequently present, when the patient is experiencing significant symptoms (eyestrain, double vision, squinting), or when there is evidence that the patient is losing "binocular vision" Surgery may not be recommended if the exotropia is

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 Predictors of success following surgery for intermittent exotropia are less clear, although a small retrospective study suggested that performing surgery before a patient is 7 years old, or before the duration of the patient's exotropia has reached 5 years, may be associated with better longterm sensory outcome 31 Another retrospective study with longterm outcomes (10Esotropia and exotropia are types of strabismus, which is a condition in which the eyes are not properly aligned Esotropia means that one eye is deviated inward and is often called crossed eyes Exotropia is when one or both eyes look outward, often called walleyed Although newborns' eyes may wander or cross sometimes, the eyes usuallyCauses of Exotropia Exotropia, especially the intermittent type, often has no known cause The condition might be associated with Very poor vision in one eye

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 The aim was to understand which treatments are most effective at correcting the exotropia without causing any harm The one study included in this review was conducted by a single surgeon in the USA and compared surgery on one eye to surgery on both eyes in 36 children with the basic type of X(T)Congenital or infantile exotropia describes a constantly outwardly deviated eye in an infant less than 12 months old This type of exotropiaIntermittent exotropia is a very common type of eye misalignment One or both eyes turn out toward the ear occasionally Only one eye turns out at a time while the other eye points straight forward Cause of intermittent exotropia The cause of this condition is not known Most experts believe that the brain of affected patients has trouble controlling the

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