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Comparison Between The Results Of Two Muscles Surgery And Three Muscles Surgery For The Treatment Of Large Angle Exotropia
Exotropia is classified as Primary which includes constant and intermittent exotropias. Secondary XT include Sensory and consecutive XT. Management for IXT consists of non-surgical and surgical treatment. There is some controversy regarding the optimal surgical method varying between bilateral lateral rectus recession (BLR), unilateral lateral rectus recession-medial rectus resection (RR) and bilateral medial rectus resection (BMR).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| group 1 :Two muscle surgery | Active Comparator | 30 patients will underwent two muscle surgery(bilateral lateral rectus muscle recession) |
|
| group 2:Three muscle surgery | Active Comparator | 39 patients underwent three muscle surgery(bilateral lateral rectus muscle recession with unilateral medial rectus muscle tucking) |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| surgery | Procedure | 69 Patients with exotropia of (40-55) PD who are ≥ 5 years old. The 1st group 30 patients had two muscles surgery; bilateral lateral rectus recession. The 2nd group 39 patients had three muscles surgery; bilateral lateral rectus recession and unilateral medial rectus tucking. |
| Measure | Description | Time Frame |
|---|---|---|
| alignment in the primary position | measuring any misalignment by prism bar | 1 week to 6 months |
| palpebral fissure height | measuring with millimeter | 1 week to 6 months |
| End gaze deficit | measuring with prism bar | 1 week to 6 months |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Lobna MH Khazbm, MD | Cairo University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Reham fawzy elsherbiny | Giza | 0000 | Egypt |
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| ID | Term |
|---|---|
| D005099 | Exotropia |
| ID | Term |
|---|---|
| D013285 | Strabismus |
| D015835 | Ocular Motility Disorders |
| D003389 | Cranial Nerve Diseases |
| D009422 | Nervous System Diseases |
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| ID | Term |
|---|---|
| D013514 | Surgical Procedures, Operative |
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69 Patients with exotropia of (40-55) PD who are ≥ 5 years old. The 1st group will do two muscles surgery; bilateral lateral rectus recession. The 2nd group will do three muscles surgery; bilateral lateral rectus recession and unilateral medial rectus tucking.
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|
| D005128 |
| Eye Diseases |