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This study is a following study of our prior study about AS-OCT in strabismus. The aim of this study is to compare the longitudinal changes of lateral rectus (LR) muscle insertion between two types of bilateral recession surgery. An AS-OCT scan of the LR muscle was performed every visits. Data on gender, age, degree of deviation (prism diopter), and spur-LR insertion distance using AS-OCT were collected at postoperative months 1,3 in each group.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| conventional lateral rectus recession | This is the standard technique for recession with two single-armed sutures.Exposure of the rectus muscle insertion includes freeing the insertion and proximal muscle borders sufficiently to place the sutures. And the needle is passed through the tendon avoiding the anterior ciliary arteries. If the sutures are passed as shown a true knot is formed, and the muscle is detached. Then a caliper measures from the limbus or the original insertion. A passage of the needle through sclera. The recessed muscle is ideally parallel to the old insertion (or nearly so). Conjunctival incision was finally sutured. |
| |
| hang-back lateral rectus recession | The hang-back recession has been described as "a simple, safe alternative to conventional recession." The procedure is said to be less likely to result in scleral perforation because needles are placed through relatively thicker sclera near the insertion site. It is the modified techique for recession with one double-armed sutures. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| lateral rectus recession (bilateral) | Procedure | Two types of recession (conventional or hang-back method) are typical surgeries for correcting intermittent exotropia. It depends on surgeon's decision at the time of surgery. |
| Measure | Description | Time Frame |
|---|---|---|
| The change of limbus-muscle insertion distance measured with AS-OCT | baseline and 1.3 months |
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Inclusion Criteria:
Exclusion Criteria:
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60 patients
: 30 for conventional recession surgery 30 for hang-back recession surgery
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Sei Yeul Oh | Contact | 821031115293 |
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