Sensory outcome of exotropia surgery in Thailand: a retrospective multicenter study
AIM: To evaluate the characteristics of exotropia (XT) and motor-sensory outcomes after surgical correction and to determine the factors associated with sensory outcomes of XT surgery. METHODS: The medical records of all patients that were diagnosed with XT and underwent strabismus surgery in 13 maj...
Saved in:
| Main Authors: | , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Press of International Journal of Ophthalmology (IJO PRESS)
2025-02-01
|
| Series: | International Journal of Ophthalmology |
| Subjects: | |
| Online Access: | http://ies.ijo.cn/en_publish/2025/2/20250218.pdf |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1841526925362724864 |
|---|---|
| author | Narisa Rattanalert Supaporn Tengtrisorn Supawan Surukrattanaskul Phanthipha Wongwai Nutsuchar Wangtiraumnuay Wadakarn Wuthisiri Suntaree Thitiwichienlert Warassabhorn Ployprasith Rattiya Pornchaisuree Piangporn Saksiriwutto Penny Singha Warakorn Thiamthat Parnchat Pukrushpan Sirinya Suwannaraj Yutthaphong Imsuwan Arpha Pornseth Atchareeya Wiwatwongwana Oracha Teerakapong Juthathip Hiriotappa Apatsa Lekskul Variya Nganthavee Poonyawee Nunthanid Worawalun Honglertnapakul Worapot Srimanan Prangkhwan Jiaranaisilawong Prapatsorn Patikulsila Phantaraporn Tangtammaruk Dussadee Tatritorn Thunyaluck Jiwanarom Jipada Pruksacholavit Puncharut Preechaharn La-ongsri Atchaneeyasakul Phawasutthi Keokajee Thammanoon Surachatkumtonekul Pittaya Phamonvaechavan Sorot Wutthiphan Orapan Aryasit Parichat Damthongsuk Alan Frederick Geater |
| author_facet | Narisa Rattanalert Supaporn Tengtrisorn Supawan Surukrattanaskul Phanthipha Wongwai Nutsuchar Wangtiraumnuay Wadakarn Wuthisiri Suntaree Thitiwichienlert Warassabhorn Ployprasith Rattiya Pornchaisuree Piangporn Saksiriwutto Penny Singha Warakorn Thiamthat Parnchat Pukrushpan Sirinya Suwannaraj Yutthaphong Imsuwan Arpha Pornseth Atchareeya Wiwatwongwana Oracha Teerakapong Juthathip Hiriotappa Apatsa Lekskul Variya Nganthavee Poonyawee Nunthanid Worawalun Honglertnapakul Worapot Srimanan Prangkhwan Jiaranaisilawong Prapatsorn Patikulsila Phantaraporn Tangtammaruk Dussadee Tatritorn Thunyaluck Jiwanarom Jipada Pruksacholavit Puncharut Preechaharn La-ongsri Atchaneeyasakul Phawasutthi Keokajee Thammanoon Surachatkumtonekul Pittaya Phamonvaechavan Sorot Wutthiphan Orapan Aryasit Parichat Damthongsuk Alan Frederick Geater |
| author_sort | Narisa Rattanalert |
| collection | DOAJ |
| description | AIM: To evaluate the characteristics of exotropia (XT) and motor-sensory outcomes after surgical correction and to determine the factors associated with sensory outcomes of XT surgery. METHODS: The medical records of all patients that were diagnosed with XT and underwent strabismus surgery in 13 major government hospitals in Thailand; from January 2012 to December 2019, were retrospectively reviewed. Univariable and multivariable logistic regression were performed to identify factors related to binocular vision. RESULTS: Data of five hundred and thirty-seven patients were analyzed. Two hundred and twenty-six patients were men (42.1%). The median age of onset was 3 years old [Interquartile range (IQR): 1, 8]. The median age at diagnosis was 9.21 years old (IQR; 4.64, 21.06). intermittent exotropia [X(T)] was the most common type (52.1%); 19.5% of the patients had amblyopia. For refractive error, spherical equivalent refraction on right eye (RE) and left eye (LE) were -0.53±2.45 diopters (D) (range -14.88 to +10 D) and -0.48±2.37 D (range -19.50 to +7.75 D), respectively. The mean angle of deviation at distance and near before surgery were 42.06±14.91 prism diopters (PD) and 40.81±16.09 PD, respectively. Follow-up time after first operation was 2.48±2.27y. Four hundred sixty-two patients (86%) needed only one operation and 299 (55.6%) patients had bilateral lateral rectus recession. At final visit, the mean angles of deviation at distance and near decreased to 5.76±8.96 PD and 5.01±8.73 PD, respectively. After surgery, two hundred seventy-three patients (50.8%) were evaluated for binocular function, but the others did not have result. From multivariable logistic regression in 273 patients, the factors related to better binocular function were type of XT which was X(T) [adjusted odds ratio (aOR) 10.35; 95%CI: 4.73, 22.66] compared to constant XT, without amblyopia (aOR 3.97; 95%CI: 1.84, 8.53), underwent only single operation compared with more than 1 operation (aOR 3.80, 95%CI: 1.58, 9.16), the angle of deviation at near in last visit less than 10 PD better than 10–30 PD with aOR 0.42 (95%CI: 0.18, 0.96) and type of refraction revealed isometropia better than anisometropia with aOR 4.13 (95%CI: 1.19, 14.32). CONCLUSION: The surgical outcomes of XT within one operation in Thailand is 86%. The factors related to achieve binocular function includes type of XT as X(T), without amblyopia, angle of deviation at final visit less than 10 PD, isometropia type of refraction and underwent only one surgical correction. |
| format | Article |
| id | doaj-art-059c722c63ad4d25ad969b05a5421e28 |
| institution | Kabale University |
| issn | 2222-3959 2227-4898 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | Press of International Journal of Ophthalmology (IJO PRESS) |
| record_format | Article |
| series | International Journal of Ophthalmology |
| spelling | doaj-art-059c722c63ad4d25ad969b05a5421e282025-01-16T07:54:35ZengPress of International Journal of Ophthalmology (IJO PRESS)International Journal of Ophthalmology2222-39592227-48982025-02-0118233033910.18240/ijo.2025.02.1820250218Sensory outcome of exotropia surgery in Thailand: a retrospective multicenter studyNarisa Rattanalert0Supaporn Tengtrisorn1Supawan Surukrattanaskul2Phanthipha Wongwai3Nutsuchar Wangtiraumnuay4Wadakarn Wuthisiri5Suntaree Thitiwichienlert6Warassabhorn Ployprasith7Rattiya Pornchaisuree8Piangporn Saksiriwutto9Penny Singha10Warakorn Thiamthat11Parnchat Pukrushpan12Sirinya Suwannaraj13Yutthaphong Imsuwan14Arpha Pornseth15Atchareeya Wiwatwongwana16Oracha Teerakapong17Juthathip Hiriotappa18Apatsa Lekskul19Variya Nganthavee20Poonyawee Nunthanid21Worawalun Honglertnapakul22Worapot Srimanan23Prangkhwan Jiaranaisilawong24Prapatsorn Patikulsila25Phantaraporn Tangtammaruk26Dussadee Tatritorn27Thunyaluck Jiwanarom28Jipada Pruksacholavit29Puncharut Preechaharn30La-ongsri Atchaneeyasakul31Phawasutthi Keokajee32Thammanoon Surachatkumtonekul33Pittaya Phamonvaechavan34Sorot Wutthiphan35Orapan Aryasit36Parichat Damthongsuk37Alan Frederick Geater38Wadakarn Wuthisiri. Department of Ophthalmology, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok 10400, Thailand. wuthisiri@gmail.com; Supaporn Tengtrisorn. Department of Ophthalmology, Faculty of Medicine, Prince of Songkla University, Songkhla 90110, Thailand. tsupapor@medicine.psu.ac.thDepartment of Ophthalmology, Faculty of Medicine, Prince of Songkla University, Songkhla 90110, ThailandDepartment of Ophthalmology, Queen Sirikit National Institute of Child Health, Bangkok 10400, ThailandDepartment of Ophthalmology, Faculty of Medicine, Srinagarind Hospital, Khon Kaen University, Khon Kaen 40002, ThailandDepartment of Ophthalmology, Queen Sirikit National Institute of Child Health, Bangkok 10400, ThailandDepartment of Ophthalmology, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok 10400, ThailandDepartment of Ophthalmology, Faculty of Medicine, Thammasat University, Pathum Thani 10120, ThailandOphthalmology Division, Bhumibol Adulyadej Hospital RTAF, Bangkok 10220, ThailandDepartment of Ophthalmology, Rajavithi Hospital, Rangsit University, Bangkok 10400, ThailandDepartment of Ophthalmology, Siriraj Hospital, Mahidol University, Bangkok 10700, ThailandDepartment of Ophthalmology, Faculty of Medicine, Prince of Songkla University, Songkhla 90110, ThailandDepartment of Ophthalmology, Lerdsin Hospital, Bangkok 10500, ThailandDepartment of Ophthalmology, Faculty of Medicine, Chulalongkorn University and King Chulalongkorn Memorial Hospital, Thai Red Cross Society, Bangkok 10330, ThailandDepartment of Ophthalmology, Faculty of Medicine, Srinagarind Hospital, Khon Kaen University, Khon Kaen 40002, ThailandDepartment of Ophthalmology, Phramongkutklao Hospital, Bangkok 10400, ThailandDepartment of Ophthalmology, Mettapracharak Hospital, Nakhonpathom 73210, ThailandDepartment of Ophthalmology, Faculty of Medicine, Chiang Mai University, Chiang Mai 50200, ThailandDepartment of Ophthalmology, Khon Kaen Hospital, Khon Kaen 40000, ThailandDepartment of Ophthalmology, Queen Sirikit National Institute of Child Health, Bangkok 10400, ThailandDepartment of Ophthalmology, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok 10400, ThailandDepartment of Ophthalmology, Rajavithi Hospital, Rangsit University, Bangkok 10400, ThailandDepartment of Ophthalmology, Siriraj Hospital, Mahidol University, Bangkok 10700, ThailandDepartment of Ophthalmology, Faculty of Medicine, Chulalongkorn University and King Chulalongkorn Memorial Hospital, Thai Red Cross Society, Bangkok 10330, ThailandDepartment of Ophthalmology, Phramongkutklao Hospital, Bangkok 10400, ThailandDepartment of Ophthalmology, Mettapracharak Hospital, Nakhonpathom 73210, ThailandDepartment of Ophthalmology, Faculty of Medicine, Chiang Mai University, Chiang Mai 50200, ThailandDepartment of Ophthalmology, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok 10400, Thailand; Department of Ophthalmology, Mettapracharak Hospital, Nakhonpathom 73210, ThailandDepartment of Ophthalmology, Siriraj Hospital, Mahidol University, Bangkok 10700, ThailandDepartment of Ophthalmology, Faculty of Medicine, Prince of Songkla University, Songkhla 90110, Thailand; Department of Ophthalmology, Faculty of Medicine, Chiang Mai University, Chiang Mai 50200, Thailand; Department of Ophthalmology, Sanpatong Hospital, Chiang Mai 50120, ThailandDepartment of Ophthalmology, Faculty of Medicine, Chulalongkorn University and King Chulalongkorn Memorial Hospital, Thai Red Cross Society, Bangkok 10330, ThailandDepartment of Ophthalmology, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok 10400, Thailand; Department of Ophthalmology, Police General Hospital, Bangkok 10330, ThailandDepartment of Ophthalmology, Siriraj Hospital, Mahidol University, Bangkok 10700, ThailandDepartment of Ophthalmology, Faculty of Medicine, Chulalongkorn University and King Chulalongkorn Memorial Hospital, Thai Red Cross Society, Bangkok 10330, ThailandDepartment of Ophthalmology, Siriraj Hospital, Mahidol University, Bangkok 10700, ThailandDepartment of Ophthalmology, Siriraj Hospital, Mahidol University, Bangkok 10700, ThailandDepartment of Ophthalmology, Bumrungrad International Hospital, Bangkok 10110, ThailandDepartment of Ophthalmology, Faculty of Medicine, Prince of Songkla University, Songkhla 90110, ThailandDepartment of Ophthalmology, Faculty of Medicine, Prince of Songkla University, Songkhla 90110, ThailandDepartment of Epidemiology, Faculty of Medicine, Prince of Songkla University, Songkhla 90110, ThailandAIM: To evaluate the characteristics of exotropia (XT) and motor-sensory outcomes after surgical correction and to determine the factors associated with sensory outcomes of XT surgery. METHODS: The medical records of all patients that were diagnosed with XT and underwent strabismus surgery in 13 major government hospitals in Thailand; from January 2012 to December 2019, were retrospectively reviewed. Univariable and multivariable logistic regression were performed to identify factors related to binocular vision. RESULTS: Data of five hundred and thirty-seven patients were analyzed. Two hundred and twenty-six patients were men (42.1%). The median age of onset was 3 years old [Interquartile range (IQR): 1, 8]. The median age at diagnosis was 9.21 years old (IQR; 4.64, 21.06). intermittent exotropia [X(T)] was the most common type (52.1%); 19.5% of the patients had amblyopia. For refractive error, spherical equivalent refraction on right eye (RE) and left eye (LE) were -0.53±2.45 diopters (D) (range -14.88 to +10 D) and -0.48±2.37 D (range -19.50 to +7.75 D), respectively. The mean angle of deviation at distance and near before surgery were 42.06±14.91 prism diopters (PD) and 40.81±16.09 PD, respectively. Follow-up time after first operation was 2.48±2.27y. Four hundred sixty-two patients (86%) needed only one operation and 299 (55.6%) patients had bilateral lateral rectus recession. At final visit, the mean angles of deviation at distance and near decreased to 5.76±8.96 PD and 5.01±8.73 PD, respectively. After surgery, two hundred seventy-three patients (50.8%) were evaluated for binocular function, but the others did not have result. From multivariable logistic regression in 273 patients, the factors related to better binocular function were type of XT which was X(T) [adjusted odds ratio (aOR) 10.35; 95%CI: 4.73, 22.66] compared to constant XT, without amblyopia (aOR 3.97; 95%CI: 1.84, 8.53), underwent only single operation compared with more than 1 operation (aOR 3.80, 95%CI: 1.58, 9.16), the angle of deviation at near in last visit less than 10 PD better than 10–30 PD with aOR 0.42 (95%CI: 0.18, 0.96) and type of refraction revealed isometropia better than anisometropia with aOR 4.13 (95%CI: 1.19, 14.32). CONCLUSION: The surgical outcomes of XT within one operation in Thailand is 86%. The factors related to achieve binocular function includes type of XT as X(T), without amblyopia, angle of deviation at final visit less than 10 PD, isometropia type of refraction and underwent only one surgical correction.http://ies.ijo.cn/en_publish/2025/2/20250218.pdfexotropiaintermittent exotropiasensory outcome |
| spellingShingle | Narisa Rattanalert Supaporn Tengtrisorn Supawan Surukrattanaskul Phanthipha Wongwai Nutsuchar Wangtiraumnuay Wadakarn Wuthisiri Suntaree Thitiwichienlert Warassabhorn Ployprasith Rattiya Pornchaisuree Piangporn Saksiriwutto Penny Singha Warakorn Thiamthat Parnchat Pukrushpan Sirinya Suwannaraj Yutthaphong Imsuwan Arpha Pornseth Atchareeya Wiwatwongwana Oracha Teerakapong Juthathip Hiriotappa Apatsa Lekskul Variya Nganthavee Poonyawee Nunthanid Worawalun Honglertnapakul Worapot Srimanan Prangkhwan Jiaranaisilawong Prapatsorn Patikulsila Phantaraporn Tangtammaruk Dussadee Tatritorn Thunyaluck Jiwanarom Jipada Pruksacholavit Puncharut Preechaharn La-ongsri Atchaneeyasakul Phawasutthi Keokajee Thammanoon Surachatkumtonekul Pittaya Phamonvaechavan Sorot Wutthiphan Orapan Aryasit Parichat Damthongsuk Alan Frederick Geater Sensory outcome of exotropia surgery in Thailand: a retrospective multicenter study International Journal of Ophthalmology exotropia intermittent exotropia sensory outcome |
| title | Sensory outcome of exotropia surgery in Thailand: a retrospective multicenter study |
| title_full | Sensory outcome of exotropia surgery in Thailand: a retrospective multicenter study |
| title_fullStr | Sensory outcome of exotropia surgery in Thailand: a retrospective multicenter study |
| title_full_unstemmed | Sensory outcome of exotropia surgery in Thailand: a retrospective multicenter study |
| title_short | Sensory outcome of exotropia surgery in Thailand: a retrospective multicenter study |
| title_sort | sensory outcome of exotropia surgery in thailand a retrospective multicenter study |
| topic | exotropia intermittent exotropia sensory outcome |
| url | http://ies.ijo.cn/en_publish/2025/2/20250218.pdf |
| work_keys_str_mv | AT narisarattanalert sensoryoutcomeofexotropiasurgeryinthailandaretrospectivemulticenterstudy AT supaporntengtrisorn sensoryoutcomeofexotropiasurgeryinthailandaretrospectivemulticenterstudy AT supawansurukrattanaskul sensoryoutcomeofexotropiasurgeryinthailandaretrospectivemulticenterstudy AT phanthiphawongwai sensoryoutcomeofexotropiasurgeryinthailandaretrospectivemulticenterstudy AT nutsucharwangtiraumnuay sensoryoutcomeofexotropiasurgeryinthailandaretrospectivemulticenterstudy AT wadakarnwuthisiri sensoryoutcomeofexotropiasurgeryinthailandaretrospectivemulticenterstudy AT suntareethitiwichienlert sensoryoutcomeofexotropiasurgeryinthailandaretrospectivemulticenterstudy AT warassabhornployprasith sensoryoutcomeofexotropiasurgeryinthailandaretrospectivemulticenterstudy AT rattiyapornchaisuree sensoryoutcomeofexotropiasurgeryinthailandaretrospectivemulticenterstudy AT piangpornsaksiriwutto sensoryoutcomeofexotropiasurgeryinthailandaretrospectivemulticenterstudy AT pennysingha sensoryoutcomeofexotropiasurgeryinthailandaretrospectivemulticenterstudy AT warakornthiamthat sensoryoutcomeofexotropiasurgeryinthailandaretrospectivemulticenterstudy AT parnchatpukrushpan sensoryoutcomeofexotropiasurgeryinthailandaretrospectivemulticenterstudy AT sirinyasuwannaraj sensoryoutcomeofexotropiasurgeryinthailandaretrospectivemulticenterstudy AT yutthaphongimsuwan sensoryoutcomeofexotropiasurgeryinthailandaretrospectivemulticenterstudy AT arphapornseth sensoryoutcomeofexotropiasurgeryinthailandaretrospectivemulticenterstudy AT atchareeyawiwatwongwana sensoryoutcomeofexotropiasurgeryinthailandaretrospectivemulticenterstudy AT orachateerakapong sensoryoutcomeofexotropiasurgeryinthailandaretrospectivemulticenterstudy AT juthathiphiriotappa sensoryoutcomeofexotropiasurgeryinthailandaretrospectivemulticenterstudy AT apatsalekskul sensoryoutcomeofexotropiasurgeryinthailandaretrospectivemulticenterstudy AT variyanganthavee sensoryoutcomeofexotropiasurgeryinthailandaretrospectivemulticenterstudy AT poonyaweenunthanid sensoryoutcomeofexotropiasurgeryinthailandaretrospectivemulticenterstudy AT worawalunhonglertnapakul sensoryoutcomeofexotropiasurgeryinthailandaretrospectivemulticenterstudy AT worapotsrimanan sensoryoutcomeofexotropiasurgeryinthailandaretrospectivemulticenterstudy AT prangkhwanjiaranaisilawong sensoryoutcomeofexotropiasurgeryinthailandaretrospectivemulticenterstudy AT prapatsornpatikulsila sensoryoutcomeofexotropiasurgeryinthailandaretrospectivemulticenterstudy AT phantaraporntangtammaruk sensoryoutcomeofexotropiasurgeryinthailandaretrospectivemulticenterstudy AT dussadeetatritorn sensoryoutcomeofexotropiasurgeryinthailandaretrospectivemulticenterstudy AT thunyaluckjiwanarom sensoryoutcomeofexotropiasurgeryinthailandaretrospectivemulticenterstudy AT jipadapruksacholavit sensoryoutcomeofexotropiasurgeryinthailandaretrospectivemulticenterstudy AT puncharutpreechaharn sensoryoutcomeofexotropiasurgeryinthailandaretrospectivemulticenterstudy AT laongsriatchaneeyasakul sensoryoutcomeofexotropiasurgeryinthailandaretrospectivemulticenterstudy AT phawasutthikeokajee sensoryoutcomeofexotropiasurgeryinthailandaretrospectivemulticenterstudy AT thammanoonsurachatkumtonekul sensoryoutcomeofexotropiasurgeryinthailandaretrospectivemulticenterstudy AT pittayaphamonvaechavan sensoryoutcomeofexotropiasurgeryinthailandaretrospectivemulticenterstudy AT sorotwutthiphan sensoryoutcomeofexotropiasurgeryinthailandaretrospectivemulticenterstudy AT orapanaryasit sensoryoutcomeofexotropiasurgeryinthailandaretrospectivemulticenterstudy AT parichatdamthongsuk sensoryoutcomeofexotropiasurgeryinthailandaretrospectivemulticenterstudy AT alanfrederickgeater sensoryoutcomeofexotropiasurgeryinthailandaretrospectivemulticenterstudy |